Ordering a New Prescription

**Patient Information Form  must be completed prior to any prescriptions being filled. 

Mail:

a) Complete Pharmacy Service Form

b) Mail completed Pharmacy Service Form along with prescriptions to address located on the form

Phone:

Have physician phone your prescription to the pharmacy

Toll Free: 1-877-262-4579

Locally: 369-8783

Fax:

Have your physician fax your prescription to 1-319-368-5619

**Only your physician's office can fax prescriptions**

Electronically:

We accept electronic prescriptions from physicians' offices.