Compounded Refills COMPOUNDED PRESCRIPTION RXS ONLY! Who Is This Prescription For?Name* First Last Phone Number*Email Medications NeededEntering Refill Information Enter your refill Rx# below.Rx Number 1:Enter your Rx number from your prescription bottle.Rx Number 2:Pick-Up InformationRefill Availability: 1-4 Days We like to have 48 hrs. notice to prepare your compounded refill before you can pick it up or have it shipped out. Shipping takes 1-3 days depending on our proximity to us. If you need this sooner, please call us to discuss.Pickup, Delivery or Shipping*Please Choose OneI will pick-up at the PharmacyDeliver to MeMail to me (2-3 days to receive)Payment InformationPlease call the pharmacy at (724) 745-6480, M-F 9a-5p to make a payment if needed.Payment Options Bill my Credit Card on File I will call the pharmacy to arrange for payment Would you like us to notify you when your prescriptios are ready?* No, Thank You Yes, via Telephone Yes, via Email Yes, via Text Message (cell # should be in phone Above) Message or Instructions To The PharmacyCAPTCHA
