CVS/pharmacy
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Express Refills for In-Store Pickup

1. Patient & Prescription Information 2. Verify Your Order 3. Order Complete
* =Required Field.

Your Contact Information

Please provide this information in case the pharmacist needs to contact you.

  • First Name *
  • Last Name *
  • Email Address *

    example: email@address.com

CVS/pharmacy & Prescription Information


    Rx Number *

  1. Example: 1234567.
    Please leave off leading
    letters and zeros.
  • The store number is at the top of the prescription label and the prescription number is at the bottom
    Not your label? View CVS Rx Label 2