Transfer a prescription

Please fill in YOUR personal information below. Note: all of your information is sent directly to the pharmacist.

Name *
Name
Date of Birth *
Date of Birth
Phone *
Phone
Please fill in your current pharmacy information below.
Pharmacy Phone Number *
Pharmacy Phone Number
Once we recieve your transfer request, we will contact your current pharmacy to have the prescription transferred to our pharmacy. We will call you within 24 hours to discuss details on processing your order (i.e. insurance information, shipping, pick-up time, etc). Please fill in the "Notes" section below if you have any further questions or feel free to call us at 401-284-4505.