Only controlled medications are to be picked up from the pharmacy. All other medications delivered to you - fees will be paid upon receiving.
Please fill the following form to order your medications.
In case there is more than one prescription that needs to be mailed to the same address, please fill the form once and add all required medical record numbers.

Pickup method: Through express mail (Registered only, conditions apply)


Service Terms and Conditions

  • The form should be filled out from 8 am to 3 pm.
  • Forms submitted after 3 pm will be received the following working day.
  • Prescription refill requests made during the weekend (Friday & Saturday) will be processed on Sunday morning.
Published on: March 24, 2019 - 10:26 am
Last update on: July 26, 2021 - 10:08 am