Medication Renewal Request
To complete your medication renewal request:
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Please review the preferred pharmacy selection before renewing your medication. This is
where you will pick up your medication. |
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To pick up your medication from a different pharmacy, select Other from the preferred
pharmacy box. Enter the name, address(street, city,state) and the phone number of the new pharmacy
in the comments box and click the Request Rx Renewal button. |
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Only the medication(s) listed below will be renewed. Do not enter a new medication in
the comments box. |

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