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Please fill out the following form and click submit to send your refill order to us.
Patients First name:
Patients Last name:
Phone number:
E-mail address:
Refill number 1
Refill number 2
Refill number 3
Refill number 4

Please confirm my order by phone

Please deliver to my house

I will pick up today

I will pick up tomorrow

Matthews Pharmacy will deliver prescription orders with a value of $10 or more free of charge within a 5 mile radius of our store. Orders with a value of $10 or less or greater than 5 miles can be delivered/shipped for a charge of $1.99. Please place your order by 2:00 PM to receive same day delivery/shipping. Orders placed on Sunday or a holiday can be delivered/shipped the next business day.