ePharmacy Registration

To use our online pharmacy services, you must first create a free, confidential ePharmacy Account. Registration is quick and easy. Simply fill out the form below.


* Indicates a required field.

Patient Registration Information

Complete the following information for access to Basic ePharmacy services.

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Note: Your password must contain 6 to 15 letters and/or numbers in any combination, including at least two numbers and two letters (preferably a mixture of upper and lowercase letters, but not required). Do not include any special characters ($, #, &, *, etc.) in either the password or user name.

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Note: To submit online refill requests, the last name should match EXACTLY with the name on the prescription bottle.


 



 

 
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Prescription Information - Optional

Do You Want Access to Your Online Prescription Profile?

Provide the following information for Advanced ePharmacy services, including online access to your personal prescription medication profile and point-and-click Whenever Wherever refill service.

To access your prescription profile, your online registration must be linked to your pharmacy prescription records. Therefore, you must specify a recent prescription number, identify the pharmacy and provide your date of birth. For security purposes, this information must exactly match the information in the pharmacy records.

To whom will this account belong?

 

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Select the correct pharmacy using one of the following methods:

  • Select from the following list of pharmacies:

or


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or

  • Search for the pharmacy: