About Online RxRefills

The prescription number from your label must match your name.

A valid daytime phone number is required just in case the Pharmacist has a question.

An email address isn't required, but if you give us your address we will send you a confirmation email as soon as your request is received.

Be sure that your pharmacy store is selected from the list.

Separate each Prescription # with a comma or space.

Your First Name: 


Your Last Name: 


Your Phone Number:     
(304-123-4567)

Your Email Address:   


Your Date of Birth:     
(10-02-1982)

Which Store:
Alderman's Pharmacy Greenbrier Medical Arts Pharmacy Greenbrier Medical Arts Express Greenbrier Medical Arts Express - Robert C. Byrd Union Pharmacy Western Greenbrier Pharmacy

Please Select:
In Store Pickup Delivery by Local Courier US Mail

Prescription Number(s): 


Comments/Instructions: