SECURITY AND PRIVACY INFORMATION - PLEASE READ BEFORE SUBMITTING A REFILL REQUEST
PGPA Pharmacy values your relationship with us, and we know that respect for your privacy is the foundation of that relationship. We are committed to protecting the privacy of your protected health information (PHI) that is in our possession, and only using and disclosing your PHI as necessary to providing you with health care products and services. All information submitted in the online refill form will be treated as a confidential part of your medical record.
While PGPA Pharmacy utilizes encryption technology on this website, no data transmission over the internet can be considered 100% secure. When sending refill information over the internet, you agree that PGPA Pharmacy can not be held liable for disclosures of your information due to system errors or unauthorized acts of a third party.
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Please use this form to order your prescription refills. Forms received after 4:00 pm will be ready the next business day.
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