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Offline Refill Form


Please follow the steps below to place a refill order.

To Email or Fax Your Refill Order:


1. Search for your medication on our Products Page.

2. Download and fill out our Printable Refill Form.

3. Email your completed form to This email address is being protected from spambots. You need JavaScript enabled to view it. - or fax them to us at 1-866-795-9461.

4. Call us at 1-888-243-7675 to complete payment and confirm your refill order details.