Online Shopping Home Prescription Refills Gift Ideas Online Services Security & Privacy Email Us Links Contact Info Please fill out the following form and click submit to send your refill order to us. Patients First name: Patients Last name: Phone number: E-mail address: Refill number 1 Refill number 2 Refill number 3 Refill number 4 Please confirm my order by phone Please deliver to my house I will pick up today I will pick up tomorrow We deliver prescription orders free of charge within a 3 mile radius of our store. We charge $.40 per mile for deliveries outside of 3 miles but limited to 10 miles. All deliveries require signature and payment at time of receipt. Items will not be left without signature and payment unless previous arrangements have been made. If you're outside our delivery radius we will ship your order Priority Mail via the US Postal Service for a minimum charge of $4.00 and will increase based on weight of the order based on the postal services charges. Please place your order by 11:00 AM for same day delivery or shipping. After 11:00 AM we will delivery or ship your order the next business day.