Email sign-up

Receive FREE e-mail newsletters about healthy living, events, product offers, our pharmacy and more.
Prescription Refill Service

Use the form below to refill your prescriptions online.
Multiple prescriptions may be entered along with a single store and birth year.

Store Location
Prescription Numbers
(separate multiple pre-scriptions with spaces)
Birth Year
Phone


Conditions and Privacy

This application is for requesting refills of prescriptions already filled at one of our stores. State law requires that all new prescriptions be delivered in person or be phoned in by your doctor. We gladly welcome transfers of prescriptions from other pharmacies. Please call to have your prescription transferred at no cost to you.

Please allow one hour for your online refill request to be processed and ready for pick up.

If anything about your medical condition or insurance has changed, please call the pharmacy. Your health is important to us. By providing us this information before we fill your prescription you can avoid delays and unnecessary side effects.

All personal information submitted on this form will be held in strict confidence and is covered by our Privacy Policy. Please read it carefully before submitting.

 






How are we doing?


Take our survey online
or download and mail it in.

Find a
pharmacy
near you




click to search now >

Long-Term
Care

LARGE enough
to offer all the resources,
SMALL enough
to truly care
click to learn more >
      Copyright © HomeTown Pharmacy 2012         All Rights Reserved         HIPAA/Privacy        Intranet       Corporate Office 3001 W. M-20, New Era, MI 49446