Prescription Refills

Please allow 24 hours for refills when using this form.

If you need your prescription sooner, please call 715-425-2255 to place your refill order.

DISCLAIMER: Email is not encrypted, and as such is not covered by our privacy policy.

To ensure the safety of your personal information, please enter your prescription number ONLY!

Full name:

Phone number:

Email address:

RX#
The RX# can be found on the top of the prescription label and consists of six numbers begining with 6.

RX #

By clicking "Submit" you agree that you understand that the information in this form is being transmitted over the internet un-encrypted and could be intercepted and read by people other than the intended party.