We now carry this season’s Flu Vaccine (2025-2026)

Refill Request

Name

First Name

Last Name

Date of Birth

MM

DD

YYYY

Phone Number or Email

Mega Drug Branch

Prescription Numbers (No: or Rx#:)

Unique number for each medicine, Located above your name on the bottle

Other Notes or Messages

Changes in Insurance, Vacation Fill, Etc.

Refills