Refill Request

As part of our committment to excellent customer service, current patients with prescriptions at The Pharmacy may utilize this automated refill service. You may enter up to five refill requests per submission. If you have new prescription insurance information, please call us prior to submitting this request. If we have any questions we will contact you using the information you provide below.

If you have any questions or require immediate assistance, do not hesitate to phone one of our stores.

Johnson City, NY: (607) 798-0343

The Pharmacy, Request a prescription refill

Name: (First & Last)*

Prescription 1 - Enter your 6 or 7 digit RX number:*

Prescription 2 - Enter your 6 or 7 digit RX number:

Prescription 3 - Enter your 6 or 7 digit RX number:

Prescription 4 - Enter your 6 or 7 digit RX number:

Prescription 5 - Enter your 6 or 7 digit RX number:

When will you pick up this order?*

Email Address:*

Phone Number:* Home Work Cell

Please enter any questions or comments for the pharmacist here.