Refill Your Prescription

Refilling your prescriptions is fast and easy.
Click the button below to begin.

Transfer Your Prescription

We do all the work when transferring your prescriptions. Click the button below to access our quick, hassle-free form.

TRANSFER YOUR MN PRESCRIPTION

HOME CARE PHARMACY IN MINNEAPOLIS / ST. PAUL & SURROUNDING AREAS

To conveniently transfer prescriptions to our Minnesota pharmacy please provide just a few pieces of information below and our Twin Cities pharmacy staff will do the rest for you. If you have a new prescription that you have not filled before, please call our St Paul / Minneapolis pharmacy to expedite the filling process.

All fields are required except for RX Number and Insurance Information.

Name
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Phone*
Date of Birth*
Date Format: MM slash DD slash YYYY
Gender:*
- Male
- Female
Primary Contact*
Primary Physician*
Primary Physician Phone*
Insurance Information
All fields are required except for RX Number and Insurance Information.
Insurance Co.*
BIN #*
Cardholder I.D.
Group #*
PCN / Processor #*
Transferring Prescription From
Pharmacy Name*
City*
Phone*
Prescription Information
You can transfer up to 7 prescriptions at a time. If you have more than 7 prescriptions, just let us know in the comments section below and we'll do the rest.
Medication Name
Strength
RX Number (if known)
Medication Name
Strength
RX Number (if known)
Medication Name
Strength
RX Number (if known)
Medication Name
Strength
RX Number (if known)
Medication Name
Strength
RX Number (if known)
Medication Name
Strength
RX Number (if known)
Medication Name
Strength
RX Number (if known)
- Select this option to have us automatically refill your medications. If you would like certain medications to be filled only once, just list those in the comments section below.
Known Drug Allergies:
How would you like to get your prescription?*
- By mail (preferred)
- Pick it up
- By courier*
*Let us know in the Comments area if there is an urgent need for this medication.
Select one of the following:*
- Receive medications in easy-open snap cap vials
- Receive medications in reversible push tab vials
Additional Comments / Questions
*Note: If you requested to pick up your prescriptions, please let us call you to confirm we received your message and are filling your prescription before stopping by to pick up your medications.

Refill Your Prescription

Transfer Your Prescription

TRANSFER YOUR MN PRESCRIPTION

HOME CARE PHARMACY IN MINNEAPOLIS / ST. PAUL & SURROUNDING AREAS

Insurance Information

Transferring Prescription From

Prescription Information