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Prescription Refills

This form is used to request refill prescriptions which were filled by the SHS pharmacy.

For information concerning requesting refills of a prescription filled by another pharmacy, you can visit our frequently asked questions page.

Submit up to five prescription refill requests here. They will be processed within 4 hours of your request from 8am to 4pm daily. Requests received after 4pm will be ready at noon the following day. Please be aware of the pharmacy hours.

 

***Scroll down to view prescription refill form***

Please Order Contraceptive Refills Here


Order All Other Medication Refills Here

Enter your complete prescription number in the space provided.

Please provide the following contact information

(xxx-xx-xxxx)

 

Disclaimer
Information contained on this Web site is not intended as a substitute for professional medical advice or emergency treatment. You should not use any information on this Web site to diagnose or develop a treatment plan for a health problem or disease without consulting a qualified health care provider. If you are in a life-threatening or emergency medical situation, seek medical assistance immediately. In the event of a medical emergency, call 911. Great care has been taken to review the accuracy of the information provided on this Web site. However, neither The Board of Trustees of Illinois State University nor any of its officers, agents, or employees shall be held responsible for errors or omissions in information contained in this Web site nor be held liable for any direct or indirect damages whatsoever resulting, in whole or in part, from any person’s use or reliance upon this Web site.

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