Need Refills?
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Is it time to refill your prescription? Fill out this refill request form and one of our pharmacists will be in touch with you soon.
Step 1 of 3
Select Your Pharmacy
—Please choose an option—King's Pharmacy - NewportKing's Pharmacy - Irvine PickupShip
Phone First name Last name
Date of birth Email
Shipping Information (Rx# or Medication Name)
Days Supply
Step 2 of 3
REFILL 1
Select Quantity —Please choose an option—30 Days60 Days90 Days
REFILL 2
REFILL 3
REFILL 4
REFILL 5
REFILL 6
REFILL 7
REFILL 8
Shipping Information
Step 3 of 3
Shipping Method (additional fees may apply) Select a Shipping MethodFedEx GroundFedEx Overnight FEDEX WILL NOT SHIP TO PO BOXES
Address* State* ZIP*
C/o (optional)
City*
Please bill the credit card number on file
Please contact me for a new credit card number.
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