Send us your Prescription and save time
Fill in your information and upload an image of your prescription. You can come to the pharmacy and pick up your prescriptions.
Complete the Patient Information form according to your most recent medical records.
Include an image of the prescription (this can be done by taking a picture with your mobile phone’s camera.)
In the space for comments, write in patient information that you think is important as you process an order. Examples are, if your prescription can be the generic brand, if your health insurance has changed, or if there were any changes in your prescription coverage.
Remember to bring the original prescription slip along with photo identification and your health insurance card.
This page is meant to streamline the refill process. Nonetheless, this does not substitute the steps that need to be taken in order to process prescriptions, equipment, or medical services.
If you wish to request a prescription refill, write down the patient’s information in the corresponding spaces and the refill number in the comments area. Also include what you deem as necessary information in order to process your prescription (changes in your health insurance plan amongst other things.)
You can also use RefillRx Mobile
At San Rafael Pharmacy, you can also fill your prescription order via our mobile application RefillRX. If you wish to use this application, you can read about downloading it onto your smartphone and look for San Rafael Pharmacy in order to process your prescription.
At San Rafael Pharmacy, we’re here to assist you with your individual needs and specialized prescriptions.
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