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Refill My PrescriptionTransfer My Prescription

Refill My Prescription

Submit your refill request online and our team will review it during normal business hours. If we need updated payment information, shipping confirmation, or prescriber authorization, we will contact you before processing your prescription. For urgent requests, please call us directly 925.830.4631

Name *

Email Address *

Phone *

Date of Birth *

Prescription Number - Separate multiple Rx Numbers with a comma

How would you like to receive your prescription? *Pick UpUSPS Priority - $10Local Delivery - $12 (Alamo, Danville, San Ramon, Dublin, Pleasanton, Livermore)GLS - $21

Shipping Information

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Payment Method *Select OneI will be provide payment at pickupUse my credit card on fileContact me before shipping, I will provide a new credit card number

Consent *

Confirm that all information provided is accurate and agree to be contacted.

Transfer Information

Name *

Email Address *

Phone *

Street Address *

Apartment, suite, etc

City *

State/Province

ZIP / Postal code *

How may Prescriptions would you like Transferred? *123+

Pharmacy Information (Where you want your prescription transferred from)

Name of Pharmacy

Phone Number

Street Address *

City *

ZIP / Postal code

One of our pharmacy team members will contact you to obtain prescription details and coordinate the transfer.

Submit Order