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Pharmacy Online Refill

Reminder: Pharmacy Refill Policy
The PX Refill Pharmacy is the ONLY site to pick-up refills called-in thru the refill line or entered online.

You are accessing a U.S. Government (USG) Information System (IS) that is provided for USG-authorized use only. If you have any questions or concerns about the use of this system or wish to view the IS user agreement, please contact your site's Web Master.



Please complete all of the form steps to obtain prescription information. First select the type of prescription processing , then enter the Social Security Number information. Next, specify up to 22 prescriptions which you would like to refill. Then, select the pharmacy where you would like to pick up your medications. Finally, click on the "Send this Request" button to submit your request.

Step 1
Select a prescription option
Drug Information          Prescription Status          Refill Prescription         

Step 2
please enter the last four digits of your sponsor's social security number
Step 3
please enter only the numeric portion of your prescription number Prescription #1

If you have more than one prescription to refill, use the additional 21 locations below.
    Rx #2       Rx #3       Rx #4  
    Rx #5       Rx #6       Rx #7  
    Rx #8       Rx #9       Rx #10
    Rx #11     Rx #12     Rx #13
    Rx #14     Rx #15     Rx #16
    Rx #17     Rx #18     Rx #19
    Rx #20     Rx #21     Rx #22

if you have more prescriptions to refill, return to this page and enter the remainder of your prescriptions.

Step 4
Pharmacy Location  
Step 4 is not required for Drug Information.


Step 5
      

Last update:
 
07/12/2007 16:24

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