1) Pharmacy Information
Select the pharmacy name that this refill is on file with.
Novant Health Phcy Winston
Novant Health Phcy Westgate
Novant Health Phcy Specialty
Novant Health Phcy Salem
Novant Health Phcy Rowan
Novant Health Phcy Presbyteria
Novant Health Phcy Mountainvie
Novant Health Phcy Maplewood
Novant Health Phcy Kernersvill
Novant Health Phcy Forsyth Lob
2) Prescription Information
Enter the prescription number(s) and the last name on the prescription. If you have more than one prescription with different last names, select fill prescriptions for multiple people below. Be sure to enter name exactly as it appears on prescription label.
Fill prescriptions for one person
Fill prescriptions for multiple people
Patient's Last Name
3) Phone Number
Enter a phone number,including area code, so our pharmacist can contact you if there is a problem with this order.
Would you like to:
Have your prescription mailed to you
Pickup your prescription
Would you like the pharmacy to contact your doctor
if your prescription needs authorization?
Please allow 20 to 30 seconds for your prescriptions to process.