RX Refills

In our efforts to make customer service our top priority, we are offering you this form to get your prescription refilled online. Please complete the form below. Your prescription will be ready within 24 working hours at the store you have chosen. If you have any questions or problems with this form, please call 1.800.311.1612.

You will receive an email if your refill request was submitted successfully. If you do not receive an email within 30 minutes, please request again.


Prescription Numbers