REFILLS

ON-LINE REFILLS

Order your refills right on-line here

PRINT/FAX REFILLS

Print & fax your refill order form here

Instructions for off-line refill form:

When you click the link above, you will see a a small prompt with these same basic instructions.

1. Open the refill form by clicking the link above or right here.

2. Print the form by selecting 'File', then 'Print' from the new window's menu bar.

3. Complete the form

4. SIGN THE FORM

5. Fax the signed form to 1-203-662-0235

 

Need Assistance?
Call Toll Free
1-877-662-0149



All orders are processed through
Universal Fulfillment
and it's licensed pharmacy partners.
Mailing Address: P.O. Box 677, Moorhead,
MN, 56561-0677 USA
Toll-Free: 1-866-266-9955
Fax: 1-866-252-7137 Email: orders@ecprx.com

 
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