Refill Requests  
 

New prescription:
It will be necessary for you to fax or mail in your prescription.  You may also have your physician call in your prescription.

Refill prescription:

Simply complete the form below and allow at least 24 hours for your order to be processed.  Please remember to specify if you will need your prescription sent out or what day and time you would like to pick up your prescription.

Please note: You may leave a message 24/7 on the pharmacy voice mail and your refill request will be processed during the next business day. 612-866-2211 or 888-303-9033

 

 

      Phone: 612-866-2211      •     Email: info@customrx.com