Transfer RX – pineislandrx.com

Easily Transfer Your RX

Make the Switch, We're Here to Help

Transferring your prescription to our pharmacy is quick and easy. Just complete the form with your current pharmacy’s information and the medication details.
Our team will handle the rest, so you can enjoy fast, friendly, and reliable service, the care you deserve.

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Your prescription transfer request has been received.

Personal Details

Name *

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Last name *

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Date of Birth *

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Phone Number *

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Insurance Name

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Street *

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Apt/Suite/Unit

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City *

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State *

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ZIP Code *

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Current Pharmacy Details

Current Pharmacy Name *

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Current Pharmacy Phone Number *

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How Many RXs do you need to transfer? *

Transfer all my prescriptions
Transfer only the prescriptions listed below

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List the prescriptions you’d like to transfer *

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Only fill in this field if you selected "Transfer only the prescriptions listed below" in the previous question.

Easily Transfer Your RX

Make the Switch, We're Here to Help

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