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Online Refills: 1. Enter your name and phone number. 2. Enter the 5 digit Rx number of each prescription you would like refilled. 3. Choose a method to recieve your refills. 4. Click the "Refill It" button once and wait for a response.

Name:
Phone:

Refill 1: Refill 2:
Refill 3: Refill 4:
Refill 5:

Refill 6:

Comments:  

Note: All information provided will be kept confidential.
West - 3510 N. Ridge Road, Wichita, KS 67205 • Phone (316) 721-2626 Fax (316) 721-4823 Toll Free 800-786-3431
East - 10333 E. 21st Street, Wichita, KS 67206 • Phone (316) 636-9595 Fax (316) 636-9591 Toll Free 800-786-3431
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