Rx Refill Request – Pickup ONLY

Utilize our Online Pharmacy to get medication refills delivered to your home or fill out the form below to pick up the medication yourself. Please contact us for the pick-up address.

Owner's Name(Required)

First Last

Pickup Person(Required)

First Last

Mobile Number for Text Medication(Required)

Email address(Required)

Medication(Required)

Form(Required)

(caplet, tablet, chew, transdermal gel, paste, etc.)

Strength(Required)

(example: 25mg, 100mg, etc.)

Amount(Required)

(example: 60ct or 100ct bottle)

Equine Name(Required)

Current Usage(Required)

(How much and how often, or "New")

Equine #2

(if you are sharing the package)

Equine #2 Usage

Preferred Pickup Day & Time(Required)

Payment(Required)

I will pay at pickup

Charge my card on file

Any other questions or comments related to the requested medication?

95056

Rx Refill Request – Pickup ONLY

Contact Us

Hours