Transfer Your Prescriptions Fill out the form below and we take care of the rest. First Name Last Name Your Email ID Your Phone Number Please enter 10 digit phone number, e.g. 2109991234 (no hyphens) Your Birth Date Previous Pharmacy Name Tell us about your old pharmacy so we can transfer your medications. Previous Pharmacy Phone Number Tell us about your old pharmacy so we can transfer your medications. Prescriptions Transfer all of my medicationsOnly transfer the medications listed belowOthers Others Add the medication name and Rx number for all that you'd like to transfer. Notes for Pharmacy Verify your insurance here or in the pharmacy when you get your medication.