Refill requests must come directly from your pharmacy. Please call your pharmacy and ask that they submit an electronic request. Allow 48 hours for your request to be processed. Contact your pharmacy early in the day, and early in the week. Requests received after 3:00pm will not be addressed until the next business day, and may take up to 48 hours for completion.
To ask a question or check the status of a refill, please email email@example.com or call (610) 363-0100.
If you require a refill of a controlled substance, gather the required information below:
Patient Full Name
Patient Date of Birth
Primary Provider/Practitioner at CMMD & Associates
Drug Name (from the bottle, please)
Dose (from the bottle, please)
Times taken per day (from the bottle, please)
Pharmacy Name, Street Address, Phone
Does your Insurance allow 90-day supplies?
Is this refill needed urgently?
Please note that we are unable to call in or authorize refills of controlled medications after hours or on weekends. Due to tightened DEA regulations, medications such as narcotics, anti-anxiety medications, and ADD medicines will only be refilled Monday-Friday, 9 am to 5 pm. Please check your medication quantities carefully before the end of the week. Please note that if you are on a controlled substance for ADD (Adderall, Ritalin, Vyvanse, Concerta, Focalin and others) you MUST be seen at least every THREE months in order for refills to be authorized.
Send this information to firstname.lastname@example.org or call (610) 363-0100, or you may enter it into the form below: