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Personal Information

Upload Scripts


Fill in the form below including your phone number and email address so we can send the repeats back. 

Copy and upload your eprescription code to the form provided below and request original or generic brand.
Another method is to email the token/qr code to

Collect your prescriptions 

There is no paper script involved with E-Scripts. If you have any repeats, they will be forwarded back to your mobile or email. 


Please fill out the following form to help us fill your prescription

Brand Preference

Thanks for submitting!

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