Prescription Transfer

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Transferring your prescription to us is easy and is the first step towards a more stress-free prescription experience. To begin the process, you will need to complete the following information.

Are you an existing customer and want to Refill your prescription from another pharmacy? Then click HERE >> to go to the Prescription Refill page.

Prescription Transfer Information

First Name Last Name
Phone Number eMail

Delivery Options (Choose One) Pick-up Soon Pick-up Next-day Please Deliver*

* If requesting delivery OR you are a new patient, please provide your correct address information below. Note: Delivery limited to Ada, Cascade, Forest Hills and Metro Grand Rapids areas at this time.

Street
City State Zip

If you are a new patient, please provide your:

D.O.B.
Medication Allergies (If any)

Pharmacy you are transferring prescription from:
Other
Originating pharmacy's phone number

Enter Prescription Number(s) Below: Note: Click HERE or on the image below for help locating your prescription information.

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If you have more than ten (10) prescriptions to transfer, please submit your first ten, then revisit this page and submit your remaining prescriptions, making sure to complete all necessary information.