Transfer Prescription

Start your prescription transfer in minutes.

Tell us where your prescription lives today. Our pharmacy team contacts your current pharmacy and coordinates the transfer. We will contact you if any additional information or a new prescription is needed.

Many transfers can be completed within one business day, depending on applicable requirements
Protected with administrative, technical, and physical safeguards
Free local delivery within approximately 10 miles for eligible prescriptions
Our pharmacy team coordinates the transfer and contacts you if anything else is needed

Prefer to call?

Speak to a ProTab pharmacist and we'll start your transfer over the phone in a few minutes.

(773) 424-0541

You do not need to know every prescription detail. Provide the information you have, and our pharmacy team will contact your current pharmacy to complete the transfer.

Submitting this form does not guarantee that a prescription can be transferred or filled. Certain medications may require a new prescription from the prescriber.

Many transfers can be completed within one business day, depending on the medication, current pharmacy, prescriber response and applicable transfer requirements.

Patient Full Name

Patient Phone Number

EmailOptional

Patient Date of Birth

Current Pharmacy Name

Current Pharmacy Phone Number

Current Pharmacy LocationOptional · city or address

Prescription NumberOptional

Medication NameOptional

Doctor's NameOptional

Preferred Method of ContactOptional

Preferred LanguageOptional

Referred ByOptional · who sent you our way?

NotesOptional

I confirm that I am the patient, the patient's authorized representative, or otherwise authorized to submit this request. I authorize ProTab Pharmacy to contact my current pharmacy, prescriber, and insurance plan as necessary to complete this prescription transfer.