Prescription Refills Online

To refill prescription(s) online, simply complete the Refill Request form below (e-mail address is optional).

* INDICATES REQUIRED FIELD

Patient Information:

 
* First Name:
* Last Name:

Last name must be entered exactly as it appears on the Prescription Label.
Phone Number: () -

Number where you can be reached if the Pharamcist has a question.
E-mail Address:

Required only if you wish to receive an Email confiming your order was received by the Pharmacy. If you have not entered an Email address, please contact the pharmacy to confirm your prescription has been received.

Prescription Information:

Please enter the prescription number(s) you wish to refill at this time. This number is located on your prescription label (see example). All Prescriptions entered must match the Last Name as entered above.
Prescription #1*
Prescription #2
Prescription #3
Prescription #4
Prescription #5
Prescription #6
Prescription #7
Prescription #8
 
* Would you like to:
   Pickup your prescription
   Have your prescription mailed to you
   Have your prescription delivered to you
 
 
   
 
MacQuarries Pharmasave
The Esplanade
Truro, NS B2N 2K6
Phone: (902) 895-1681
Fax: (902) 895-3800
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