Request online refills for prescriptions at CentraCare Pharmacies.
Choose one of the following:
- Request a Prescription Refill
Select this choice to refill a prescription you have previously had filled at a CentraCare Pharmacy site.
- Transfer a Prescription
Select this choice to request a refill for a prescription you have previously had filled at a pharmacy other than CentraCare Pharmacy. Both existing and new CentraCare Pharmacy customers can use this form to request a prescription be transferred from another pharmacy to CentraCare Pharmacy.
- Pharmacy Pre-Registration Form
Select this choice to register as a new customer of CentraCare Pharmacy. Use this form only if you are not requesting a prescription refill or transfer.
CentraCare Pharmacy sites