Transfer Your Prescription to ConnectRx

Simply fill out the form below. A pharmacist will call you back to gather all the details of your prescription transfer.

"*" indicates required fields

Name*

First Name Last Name

Email*

Phone*

Pharmacy Location*

Call Back Date*

Call Back Time*

This field is for validation purposes and should be left unchanged.

Transfer Prescription

Caring is the best medicine.

From fast, free home delivery to cost-saving drug programs to dedicated support from expert pharmacists, we’re here for you throughout the Capital Region.

Hometown in Watervliet
Clifton Park
Latham

Transfer Prescription