Refill Request Form 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 NeededEntering 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 InformationRefill 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*Please Choose OneI will pick-up at the PharmacyDeliver to MeMail to me (2-3 days to receive)Payment InformationPlease 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 PharmacyCAPTCHA