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Refill Rx | Lutz Pharmacy
Prescription Refill

Refill Your Rx
Online, Fast & Free

No need to call or come in — submit your refill request below and we'll have it ready for pickup or delivered straight to your door.

Ready Same Day Free Delivery We'll Notify You

Prescription Refill Request

Fields marked * are required. We handle all refill requests with care and speed.

Refill Request Sent!

We've received your request and will get your prescription ready as soon as possible. We'll reach out when it's ready for pickup or out for delivery.

Who Is This Prescription For?
Rx Refill Numbers

Enter your prescription number(s) found on your medication label. Leave blank if you don't have the number — we can look it up.

01
02
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04
Over-the-Counter Items (optional)
# Item Name Qty
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Pickup or Delivery? *
Notify When Ready?
Additional Notes (optional)