HealthDyne Specialty Pharmacy Refill Prescriptions

Thank you for choosing HealthDyne Specialty Pharmacy for your specialty prescription needs.

You can refill your prescription on this site if HealthDyne Specialty Pharmacy has previously filled the prescription for you. Otherwise, please contact us at (800) 641-8475.

To place your refill request, please enter the information requested below.

First Name*
Last Name*
Prescription Number*
Birth Date*
Month*
Day*
Year*
Daytime Phone Number*
Refill prescription number; drug name*
Any supplies needed?
If there have been any changes in your health, medical diagnosis, prescriptions, allergies, side effect etc. since the last time you spoke with HealthDyne Specialty Pharmacy you have the responsibility to please call us to update your profile. This allows our expert pharmacists and your health care team to review and manage your care to ensure you receive comprehensive care and have positive outcomes from therapy.
Have you missed any doses*
When is your next dose due?*
Month*
Day*
Year*
What is your shipping address?*
Street Address Line 2
City*
State / Province*
Postal / Zip Code*
Country*
Contact phone number*
What date would you like it delivered?*
Month*
Day*
Year*
HealthDyne Specialty Pharmacy only ships medications Monday through Thursday. if your refill needs fall outside of these days, please contact us at (800) 641-8475.
Do you provide authorization for HealthDyne Specialty Pharmacy to charge your credit card on file for the co-pay?*
Do you have any QUESTIONS FOR THE PHARMACIST REGARDING YOUR MEDICATIONS? If so, please complete and submit below.