Non-Pharmacy East Prescription Refill Request

Please make sure you have your prescription bottle in hand when you are submitting this request to ensure you are providing exact information.

Any information provided that does not match your prescription will require a phone call to the office and delay the refill process.

Only medications prescribed by a Greenville – Primary Care provider can be refilled through this form. If the prescribing provider listed on your bottle is not a Greenville – Primary Care provider, we cannot handle your request and please contact the prescribing provider directly.

Greenville - Prescription refill request