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Request a Refill in Seconds
Submit your prescription details below and our team will confirm pick-up or delivery options.
Prescription 1
Prescription Number *
Medication Name *
Patient First Name *
Date of Birth *
Preferred Pickup Date
Preferred Time
Select time
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Phone Number *
Email Address
Delivery Method
Store Pickup
Same-Day Delivery (Austin)
Mail Delivery
I authorize AM Pharmacy to process this refill request and contact me regarding my prescription.
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