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Medication prescription paper

Prescription Transfer

Are you moving? Do you need to change pharmacies?

Do you wish to transfer your prescriptions to your local Medicine Shoppe pharmacy? Simply fill out the secure form below to send a transfer request.

We'll take care of the rest!

Transfer To

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Transfer From

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Prescriptions to be transferred

If you choose to transfer only select prescriptions, please provide the drug name or prescription number for each one you'd like to transfer.


Patient Information

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