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Click the checkout button on your shopping cart and fill out the order form.
Fax us a copy of your prescription(s) toll free to: 1-866-411-1805
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Fill out the forms (please print clearly).
Fax us the forms along with a copy of your new prescription(s) toll free to: 1-866-411-1805.
To place a refill order you may call our customer service center toll free at 1-866-411-1797 or click the icon to the right to place the refill order online. Print a Refill Form
Print a Fax Coversheet
If you wish to add any New Prescriptions to your refill order please indicate this to our customer service center, and Fax us a copy of your new prescription(s) using the Fax Coversheet to: 1-866-411-1805
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