We have two options on this page.
1. Refill using our patient portal, logging in with last name and DOB.
2. Refill/Transfer using a web form (for requests with more info/notes)
Patient Portal For Paying and Refilling:
Enter your Last Name and DOB to see your cart for payment,
or to refill, click the ≡ menu at the top left and select a previous Rx.