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Prescription Refills

To refill your prescription online, please fill out the form below. All fields that are required will be denoted by an (*). Prefer to call, text, or fax? Reach us at (620) 442-3500 or fax (620) 442-2184.

Call or Text

Call or text us at (620) 442-3500 or toll-free at (800) 567-3733 with your prescription information.

Fax Your Refill

Have your provider fax a new prescription, or fax your refill request to (620) 442-2184.

Contact Us Online

Prefer to message us? Use our contact form and our staff will follow up with you.