FOR ALL REFILLS : Please allow up to 24 hrs. for your request to be complete on Pharmacy Refills.

Shipped medication - Allow 5 business days for shipping.

A shipping charge may apply to orders outside of Houston and surrounding cities.

Refills requested on weekends or holidays will be called in on the next business day.

Name

First Name

Last Name

Birthdate

Do you have any drug allergies?

If yes list in the comment section below.

Name of Medication to be Refilled

Other Medication to Refill

Pharmacy (Name & Address)

Shipping Address -if medication is shipping to you

Make sure you have entered all information correctly!

Comments