Refill Your Prescription

Request a refill online and pick it up in-store or have it delivered — most requests are ready the same day.

Managing your medications should be simple, start to finish. Fill out the form below with your prescription details and how you'd like to receive it — at our counter on Farmington Avenue, or via free next-day delivery anywhere in the Hartford area.

Before you start, have this ready:

Your name and date of birth, as they appear on the prescription label
The prescription number, printed on the top left of your label (if you have it — we can look it up without it)
The name of each medication you're refilling
A phone number where we can reach you if anything needs clarifying

If it's urgent, skip the form and call us directly at (860) 522-9289.

Please noteThis form is not monitored 24/7 and is not appropriate for medical emergencies. If you are experiencing a medical emergency, call 911.

Patient name *

Date of birth *

Phone number *

Prescription number (top left of your label, if known)

Medication name(s) to refill *

Pickup or delivery? *