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Request A Refill

If you are an existing Mountaineer Medical Pharmacy customer, you may call (304) 423-5200 or complete the form below to request a refill on your prescription. Please allow a minimum of three hours for your refill to be processed. Thank you!

If you need refills for multiple prescriptions, please complete and submit a separate form for EACH individual prescription. Thank you!

Thank you for using our online refill request form. Once you click "SUBMIT" please allow at least three hours for your refill request to be processed.