Please complete our easy refill form below and fax to the pharmacy. Please contact one of our pharmacists at 320-230-1050, option 4, if you have any questions regarding your order. As always, please contact us directly by telephone for any urgent or after-hours situations. Our pharmacists are on call 24 hours a day, 7 days a week.

Refill Request Sheet

Fax Refill Requests to
855-502-1051 toll free