Prescriptions

Prescription example

We know your time is precious, with our prescription refill service this will ensure that your prescription is ready when you come to pick it up.


1. Fill in the information needed below.

2. Click the 'Request Refill' button below.

3. Pick your prescription up at your favorite Phoenix Pharmacy


Prescription Number:

Your Name:

Your Phone Number:

Your Email Address:


Location Prescription was originally filled:

Location Prescription is to be picked up:


Date/Time you would like to pick up your Prescription: 2013  

Additional Comments / Instructions: