Refill Request Form – The Animal Pharmacy

The Medicine Shoppe has made it easier for you! Order your prescription refills online here for your pets so that we can provide you with the fastest service possible.

Form for Pet Compounded Rx Refills

Refill Request for Animals

This will be use for refill compounds request

Who Is This Prescription For?
Patient's Name (Animal Name)*
Owner's Name*
First Last
Phone Number*
Email
Medications Needed
Entering Refill Information
Enter your refill Rx# below. Either the number or name will work
Rx Number 1:

Enter your Rx number from your prescription bottle.
Rx Number 2:
Pick-Up Information
Refill Availability: 1-4 Days
We like to have 48 hrs. notice to prepare your compounded refill before you can pick it up or have it shipped out. Shipping takes 1-3 days depending on your proximity to us. If you need this sooner, please call us to discuss.
Pickup, Delivery or Shipping*
Payment Information
Please call the Animal Pharmacy at (585) 394-4930, M-F 9:30a-4p to make a payment if needed.
Payment Options
- Bill my Credit Card on File
- I will call the pharmacy to arrange for payment
Would you like us to notify you when your prescriptions are ready?*
- No, Thank You
- Yes, via Telephone
- Yes, via Email
- Yes, via Text Message (cell # should be in phone Above)
Message or Instructions To The Pharmacy
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