RX Refills

Refills are available by:
  • Calling our pharmacy during normal business hours
  • Filling out the form below

This form is only intended for use if your shipping and billing information is the same as your previous order. If you need to make a change to either of those, please contact the pharmacy at (603) 5639 1400.

If you have a new prescription from your physician or veterinarian for a compounded medication that you would like to fill please contact the pharmacy at (603) 5639 1400 or via the Contact Us form for further details.

Your Particulars:

Your Name (required)

Contact No(required)

Your Email (required)


Prescription:

RX# (required)
RX#
RX#
RX#
RX#

Delivery Information:

Method
Address
City
State
Zip

Comments or special requests:

 

Upon receipt of request for refill, we will contact you to provide information on:-

  • Price for prescription
  • Estimated time required to fill your prescription
  • Payment method
  • Dispensing method : Self collection at the pharmacy, home/office delivery ( price subjected to location)

Upon receiving payment, our pharmacist will begin filling your prescription. We will contact you once the preparations are ready for collection/delivery.