Discount Drug Mart -Reordering Online

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Please complete the following 3 steps to order a refill on a prescription. The request will be processed electronically and made available at the store you request.

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Restrictions apply, click here for details.

STEP 1 - Contact Information All fields are required.
Name
Address
City	State
Zip Code
Phone No
Email

STEP 2 - Prescription Information All items are required.
Pharmacy where the prescription was filled:
Enter Up to 8 Rx Numbers: (1 Rx per box, using numbers only)

STEP 3 - Transfer Options

Would you like this prescription filled at a Discount Drug Mart other than ?

No
Yes

Please choose the new Discount Drug Mart:

STEP 3 - Transfer Options

You chose a Non-Discount Drug Mart Pharmacy, therefore this must be a transfer from a competitor's pharmacy. Please fill out the information below so that we can transfer your prescription to one of our stores.

Physician Name:

Please enter information about the original pharmacy:

Pharmacy Name:

Pharmacy Phone:

Pharmacy Address:

Choose the Discount Drug Mart where you would like it filled:

Any special instructions for the pharmacy?

Our pharmacist may contact you via your phone number or email address if there are problems transferring your prescription.

Please allow us 2 business hours to process your transfer request. If you require your medication sooner, please contact a pharmacy staff member or note under special instructions. We thank you for your patronage.