Date: Fri, 19 Dec 1997 20:49:27 GMT Server: Apache/1.2.4 Last-Modified: Wed, 17 Dec 1997 22:05:11 GMT ETag: "16d363-1d3e-34984c97" Content-Length: 7486 Accept-Ranges: bytes Connection: close Content-Type: text/html Walgreens Refills On-line Retail Page
New Service!
Refills On-line


New Service!
On-line Prescription Refill Order Form

If you're a current Walgreens pharmacy customer, here's an easy way to refill your prescription! Use this convenient form to order your refill ahead of time. That way, you can be sure that you'll have your medication just when you need it. Simply fill in the required information in the boxes below, then pick up your prescription from the same Walgreens store that last filled it. It's that simple! You can submit your order 24 hours a day, seven days a week. And although during regular pharmacy hours your prescription should be ready within 2 hours from its submission, allowing more time assures that your prescription will be right on time! (Check with your local store for pharmacy hours.)

Since your prescription is filled at the same local Walgreens by the same pharmacists you've come to know, you can trust that you'll get the same great service you always expect from Walgreens, The Pharmacy America Trusts. This service is available for refills only.

If you're a current customer and are unable to get to your regular Walgreens, call 1-800-WALGREENS (1-800-925-4733) for Emergency Mail Prescription Delivery Service.


Customer Information

In order to refill your current Walgreens prescription on-line you must provide the
Rx number (the 12 digit number found on your current prescription bottle) and your phone
number. Please make sure all information provided is accurate to help your local pharmacist
refill your Walgreens prescription quickly, ensuring your refill is ready right on time!

Rx#-
12 digit # on your prescription label

Customer Phone#--

First name

Last name

Date Refill Submitted//

Time Refill
Submitted


Requested Refill Pick-up Time



When ordering ahead,
please allow your pharmacist
at least 2 hours to refill
your prescription.*
Remember to check your
local Walgreens for regular
pharmacy hours.

*If your prescription is
not refillable, please allow
additional time for
physician approval.
Before submitting your on-line refill please read our terms and conditions.
If you choose to cancel this submission please call 1-800-WALGREENS to submit your current Walgreens prescription refill.

Click here to submit your prescription refill on-line.

Don't forget to pick up your prescription refill at the same Walgreens pharmacy that refilled it the last time. If you're not certain of the exact time when you submitted your refill information, you can call the pharmacy to make sure that it's ready to be picked up.

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