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Rx Refill

Refill prescription(s) from your Cobourg Pharmacy
First Name
Last Name
Year of Birth
(4 digits)
[1]Prescription Numbers
(from the label on your medication)
Prescription #1
Prescription #2
Prescription #3
Prescription #4
Prescription #5
Prescription #6
[2]Store Number
(also from the label on your medication)
     I would like to receive an E-mail Reminder (before my next refill is due)
See Below for more information *
By checking this box you agree to our Prescription Refills Terms and Conditions.
Prescription Refills Terms and Conditions.
Pick Up Time of Your Medication
Medications with prescription refills remaining will be ready for pickup in 24 hours (or next business day). Please telephone the pharmacy if you need the medication(s) sooner. Your pharmacy's telephone number appears on the medication label.

How do “Prescription Email Reminders” work?
· Sign up using your email address when refilling your prescriptions online. Sign up only has to be done once per prescription.

· An email reminder will be sent to you five days prior to the date when your prescription is due.

· Simply click on the link provided in the email and submit your order.

Important Information
Reminders will be sent out only for active prescriptions with repeats remaining. Renewal due dates are calculated based on your doctor's instructions and your last refill date. Dates for certain medications such as creams, drops, injectables and some liquids are estimated and may not reflect your true usage.

You can unsubscribe to this service directly on the reminder email.