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Prescription Refill Form

NOTE: Prescription numbers must be from The MEDCARE  Pharmacy - Carson City, Nevada.

  • Contact us if you wish to transfer your prescriptions from another pharmacy.
  • Enter refill information from your prescription bottle label.
  • Use commas to separate numbers for up to five prescription refills.

NOTE: We will call your doctor if your prescription has no refill
and notify you when the prescription is ready.


Prescription #
Name
Day Phone
Email

Receive by: Customer Pickup (Allow 24 hours)
The MEDCARE Pharmacy Delivery
Mail
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