Refill Your Rx

Refill Your Prescription

Fields marked with an * are required


Notice of Privacy Practices for Protected Health Information

New Patient Consent Form

New Patient Transfer Sheet


If enrolled in the Auto Refill Program, it is very important that you monitor the label on your bottles for the number of refills remaining.   Once the prescription has zero refills remaining or is expired it does not qualify for auto refill.  Please communicate well in advance with the pharmacy to make sure the refill renewal is promptly sent to the provider.
Sale of the Product(s) between the pharmacy and you are completed at the physical establishment, in the jurisdiction, in which the pharmacy operates (15600 N. Black Canyon Hwy, Suite B135, Phoenix, AZ). You become the owner of the Product when the pharmacy accepts your order for fulfillment, places the Product in a container or otherwise completes the steps necessary to prepare it for your use, and causes your payment and or insurance to be processed. You are then responsible for picking up or otherwise arranging the delivery of the Product to your address. All steps connected with the transportation of Product orders are carried out by you or by someone acting as your agent on your behalf.

Back to Top