Island Pharmacy - Online Prescription Refills 

Island Pharmacy now has 8 locations to serve you better. We are able to process your prescription refills online for each store. To begin this process please choose from the following Island Pharmacy locations. Your selection will take you to the form for your chosen location. Your privacy is very important to us. If you are at all concerned, please take a moment to review our Privacy Policy. 

Select the store where you will pick up your prescription(s).
Store Location:

Choose a location: *
Patient Information:

First Name: *
Last Name: *
Main Phone: *
Mobile Phone:
Email Address: *
Prescription(s) to be Refilled

Enter each prescription number to be refilled (1 per line). You will find the number in the top corner of the label of your current prescription. If you have more than five refills, fill out one order for the first five, and then fill out a second order for the additional refills.
Refilled Rx #1: *
Refilled Rx #2:
Refilled Rx #3:
Refilled Rx #4:
Refilled Rx #5:
Store Transfer:

Please transfer my prescription(s) from another pharmacy
Pharmacy Name:
Pharmacy Address:
Pharmacy Number:
Prescription(s) to be Transfered:

Transfered Rx #1:
Transfered Rx #2:
Transfered Rx #3:
Transfered Rx #4:
Transfered Rx #5:
Pick-Up Options:

Would you like the prescription(s) delivered? (free)
Please supply us with your street number and city. Please note, free delivery is not available on Gabriola Island.
Street number:
City:
Notes:

Is there anything special that you feel the Island Pharmacy Pharmacist should know about your refill Request? If so, please enter it in the space below.
Message:
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