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ORDER REFILL REQUEST

Prescription Refill Request Form

You may request a prescription refill or transfer by filling out this form. Please be sure to include your email address and a phone number where you can be reached in case we have a question regarding your prescription.

*Prescription Transfers
For prescription transfers, please reach out to us directly via phone or by filling out our Contact Form and we will take care of the whole process for you. 
Contact Us
Custom Medicine Pharmacenter
CONTACT US

25 Cabot Street, Beverly, MA 01915

Tel: 978.524.4800

Fax: 978.524.4809

Store Hours: Mon – Fri. 9 am - 6 pm and Sat. by appt.

OUR SERVICES

Refill Request

Compounding Services

Wellness & Nutrition

LDN

Bio-Identical Hormones

Veterinary Medicine