Patient Support

Request a prescription refill.

Submit your refill request securely online. Our team will review it and follow up if we need anything else.

Prescription bottles ready for refill at Village Pharmacy

Coming from another pharmacy? Transfer your prescriptions instead →

Your Information

All fields marked * are required.

First Name

Last Name

Date of Birth

Phone Number

Prescription / Rx Number(s)

You may enter multiple Rx numbers separated by commas.

How would you like to receive your prescription?

Pick UpPick up at our pharmacyDeliveryWe can deliver to you

MedSquare Plaza — 9408 SW 87th Ave, Suite 105, Miami, FL 33176Located immediately behind Baptist Hospital Main.
7 reserved parking spots for our customers.
Monday – Friday, 9:00 AM – 5:00 PM

Additional Information

Optional — add a note for our pharmacy team.

Additional Notes

Payment Preference

You can choose or change your payment method at any time.

Payment info on fileCharge to your saved payment methodSend me a checkout linkWe'll text or email a secure payment linkPay in personPay when you pick up in store

Your information is secure and will only be used to process your request.