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Refill Prescription

Prescription Refill is a service for Marshfield Clinic patients who wish to refill their prescriptions at Marshfield Clinic Pharmacy locations.

Please enter your personal information below and indicate your preferred delivery method.

Note: You must select a Pharmacy Location regardless of how you receive the refill. Also, the Pharmacy must be a Marshfield Clinic owned facility or that Pharmacy will not appear on our listing.

Note: Use the "Add Additional RX#" button to add additional RX#'s to your refill request. The first RX# is still required.

 1. Enter Personal Information Step 1 of 2 Help
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Fields with an asterisk (Asterisk) are required.
Full Name: Asterisk     
MHN:      
Pharmacy Location: Asterisk   
Daytime Telephone (8 a.m. - 5 p.m.):    Asterisk
( ) -  e.g. (715)123-4567
Indicate Phone Type Above:    
RX#: Asterisk    What is the RX number?
   
Choose Your Preferred delivery method: Asterisk    
 
  • Mail - the refill will be mailed to the address that you provide. (Logged in My Marshfield Clinic users will have the option to use an existing or alternate address)
  • Pickup - you may pickup your refill at the Pharmacy Location that you selected above.
 

Shipping Address

Address: Asterisk   
City: Asterisk   
State: Asterisk   
ZIP: Asterisk    ex: 12345
 
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