Please submit the information below and a representative will contact you within 12 hours. Billing is $25 for general current patient prescriptions and $50 for controlled substances. All new patients must become a patient prior to utilizing the online Rx refill option.

Please fill out the form below.
  • Date Format: MM slash DD slash YYYY
  • Submitting your payment information for RX Refills is a safe and secure method and your information will not be stored or charged again for any reason.
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