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Value Drugs has made it easy for you to order your prescription refills for pickup at the same location that your original prescription is on file at.  Use our secure service for in-store pick-up service, where your prescriptions will be ready for pick-up.

On the prescription refill form below, enter the information requested exactly as shown on the prescription label.  You can order up to six refills at one time, more than that we request that you submit another form, or call-in the refills.  Click here for a graphic showing common information locations from a prescription label.


Enter the patients name exactly as shown on label  *


Choose the Value Drugs Pharmacy from your prescription label  *                       

What location will you be picking these prescriptions up at         *                       

Enter Prescription Numbers Below



Email address :

Phone number for contact if necessary   

Message to the Pharmacist:

Would you like us to contact your doctor if necessary   Yes:   No:

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