Prescription - OHC Pharmacy

Transfer a Prescription

Complete our secure form below to become a new patient. Need Help? Call us for immediate assistance 800-674-4440

STEP 1- Patient Details

Tell us about you so that we can verify who you are with your old pharmacy

Name

Email

Birthday

Phone Number

STEP 2 - Previous Pharmacy Info

Pharmacy Name

Pharmacy Number

STEP 3 - Prescriptions

Add the medication name and Rx number for all that you'd like to transfer

Medications Name & Rx Number

Notes for Pharmacy

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Monday – Friday: 9am – 5pm

Saturday , Sunday: Closed

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