Rx portal

Refill or transfer your prescription

Submit a request to Tru Med Pharmacy Inc. Choose in-store pickup or free delivery to NYC, Long Island, or New Jersey.

Privacy notice

This form opens your email client to send the pharmacy. Do not include Social Security numbers or extra medical history. For urgent needs, call (718) 487-3333.

Patient information

Use the name on the prescription.

First name * Last name * Date of birth * Phone * Email *

Prescription numbers

Enter at least one RX number.

RX 1 * RX 2 RX 3

Pickup or delivery zone

Fulfillment *

Additional notes I agree that Tru Med Pharmacy Inc. may contact me about this request. *

Refill or transfer your prescription

Patient information

Prescription numbers

Previous pharmacy

Pickup or delivery zone

Request received