Refill Prescriptions

Refill Prescriptions *Refill your prescriptions easily using Prescription NumberRefill your prescriptions easily using personal information or Alberta Health Card Number (PHN)

Refill your prescriptions easily using Prescription Number

Prescription NumberYou will find on top of your prescription bottle beside RX:#######

First Name

Last Name

Email *

Date of Birth

Year

Month

Day

PICKUPPickup at the pharmacyDelivery

Please enter complete address

Refill your prescriptions easily using personal information or Alberta Health Card Number (PHN)

First Name

Last Name

Phone *

Email *

Date of Birth

Year

Month

Day

Alberta Health Card Number (PHN) (optional)

Please write a short description about medication name and supply amount requestedPlease write a short description about medication name and supply amount requested

PICKUPPickup at the pharmacyDelivery

Please enter complete address