Neil’s Compounding Pharmacy Prescription Refill Form

Refill your prescription by simply filling out the form below. Items with an * must be completed to process your order.

After successfully completing the form, you should get a confirmation message via email. If you do not get an email confirmation message, your refill request may not have gone through and you’ll need to call us at 704-947-3220.

Thank you.

Items with an * must be completed to process your order.
















1 Month
2 Months
3 Months (free shipping for 90 day refills only)

Pickup: 2 business days (we will notify you when it’s ready)
US Priority Mail: (3-5 business days)
UPS Ground: (1-2 business days)


Captcha Image


Other delivery options available, prices vary, please contact us for more information (704-947-3220).

Free shipping with 90 day orders and orders $100 or more.

The privacy of your health information is important to us. We will never share your information with unauthorized third parties. To review our patient privacy policy, click here

Note: Shipping charges will automatically be charged to your account based upon shipping method selected. If no method is selected, prescription will be sent via US Mail.

Copyright © 2012 Neil's Compounding Pharmacy | (704) 947-3220 | 9801 Kincey Ave, Huntersville, NC 28078

Powered By: Easyfish Marketing