Please complete and submit the form below and a technician will review your request. If there are any questions or the request cannot be filled for any reason, you will receive a phone call. Otherwise, we will fill the request and call you when it is ready.

Please allow 48 hours for prescriptions to be filled. If a refill authorization is required by a doctor, filling this request may be delayed due to the doctor’s schedule.

First Name *

Last Name *

Phone *

Email *

What is the best way to reach you? *

Pet's Name *

Species *

Dog

Cat

Select Specialist

Client ID# located on Rx Label *

Medication Name *

Quantity *

Dosage *

FOR PICK UP ORDERS: NVS has a 48-hour policy on all medication refills. If your prescription refill needs to be picked up on the same day, an additional $15 processing fee will be charged.

FOR ORDERS TO BE SHIPPED: $9.50 shipping fee. A representative will contact you requesting payment method prior to mailing/shipping. Please complete owner address below for mail refills.

How would you like to receive your refill?

Pick up filled prescription at NVS

Pick up written script at NVS

Mail filled prescription to home address

Mail written script to home address

Call into pharmacy

Spam Blocker

Prescription Refill Form

New Patients Welcome