Prescription Refill

Home Pharmacy Prescription Refill

Download Our App – MobileRx

A free, easy-to-use smartphone app for iPhone and Android. To get started, simply enter 207-783-1410 to bring up our pharmacy.

Google Play

Mobile App Preview

Express Refills: Enter your prescription number or scan the barcode on your label.

Active Rx & Rx History:

Active Rx: See all prescriptions currently available for refill.
Rx History: View past prescriptions, dosage, and last refill dates.

Pharmacy Information: Quick access to our address, phone number, and directions.

Pharmacy Transfer Form

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Contact Information

* - Indicates required field
Patient First Name*
Patient Last Name*
Date of Birth
Address*
Address 2
City*
State *
ZIP *
Patient Primary Phone*
Patient Email*
Current Pharmacy Name*
Current Pharmacy Phone*
Pharmacy Address*
Pharmacy City*
Pharmacy State *
Pharmacy ZIP *
Insurance Provider
Upload Picture of Insurance Card (ctrl + click to add multiple)
Fill this prescription now? Yes, fill now No, save on file
90 day supply, if available

Taking multiple maintenance medications?

Interested in MedBook packaging? Yes No

Prescription/Rx Information

Prescription/Rx #

Name of Medication

Dose/Quantity

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Prescription, Progress Notes, and/or Face Sheet

Upload

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How would you like to receive your order? Delivery Mail Pickup at Bedard Pharmacy (359 Minot Ave, Auburn, ME)

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