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Rx Refill Request

Send us your refill request securely. Our pharmacy team will contact you to confirm the next steps.

Secure Refill Request

Patient Information

Fields marked required are needed to locate your prescription. Include an Rx number or medication name whenever possible.

Your request is sent to Summit Pharmacy for processing. Do not include payment or insurance information in this form. See our privacy notice.

Need Another Option?

Other Ways to Request a Refill

Call the Pharmacy

Call during business hours and our team can help request your refill and confirm the next steps.

Text Us Back

If you have received a text from Summit, reply to that message. You can also use the direct phone number on your prescription label.

Need a new prescription instead of a refill? Ask your provider to send it to Summit Pharmacy, or call us so we can help determine the right next step.

Need Help With Your Refill?

Call us and our pharmacy team will help you place your order through NimbleRx.