Hopkins Center Drug Home Page
Hopkins Center Drug Home Page


Fill out this easy to use form to quickly transfer your prescriptions from your old pharmacy to ours. You can either enter the prescription number or the name of your prescription in the blanks provided below.

Thank you for choosing Hopkins Center Drug for you pharmacy needs, and remember we offer prescription delivery to the greater Hopkins area.

Please allow a week for us to transfer your prescriptions, we will e-mail you upon completion of the transfer.

If you want to refill a prescription you already have with Hopkins Center Drug, use our Prescription Refill Request Form


Transfer Your Prescription(s) to us

Leave this empty:


Required fields are bordered in red

Patient Information:


Allergy Information:


Old Pharmacy Information:


Please select transfer all or use the following boxes for your prescription numbers:

Transfer all medications

*** Please note: If the pharmacy that you are transferring from does not have refills, they will not send us the prescripton ***


Insurance Plan Information

(Obtain this information from your insurance card):

Enter any comments about your RX transfers:

IMPORTANT - READ BEFORE SUBMITTING

Do to the delays recently in getting prescriptions transfered to our store, please allow one week for your prescriptions to be available at Hopkins Center Drug. Thank you for your understanding and we look forward to serving you.

 I agree with the terms of the transfer and wish to submit it to Hopkins Center Drug.

 

© Copyright - Center Drug. All rights reserved.
Read our Privacy policy