Refill Request Online

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Ask the Pharmacist

Please fill out the form below.  One request per prescription.  Your refill order will be available for pick up within 2 hours during normal Health Center business hours.   If you fail to pick up your refill within 7 days, it will be canceled and you will be required to re-order your refill request.  Questions can be directed to the Pharmacy at pharmacy@admin.fsu.edu or by calling (850)644-3517.  Please note that information submitted over the Internet is not 100% secure and may be viewed by third parties.

 

Drug Name:
FSU Prescription Number:
Number of Refills Requested:
Comments: