Transfer your prescription

If you wish to transfer your prescriptions to Remedy’sRX Progressive Pharmacy, please provide:

First Name

Last Name

Date of Birth

Year

Month

Day

Phone

Pharmacy Name

Pharmacy Phone Number

If you choose to transfer only select prescriptions, please provide the drug name or prescription number for each one you’d like to transfer.

Transfer prescriptions

Transfer all my prescriptions

Only transfer my selected prescriptions:

Prescription (Rx) #

I consent

I consent to sending this information to Remedy’sRx Progressive Pharmacy

I understand

I understand that certain prescriptions cannot be transferred in which case we will contact you for assistance

If you are human, leave this field blank.

It’s as easy as
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