Are you a CDPHP member

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Transfer Your Prescription to ConnectRx

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

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Name*

First Name Last Name

Email Address*

Address*

Street Address City Zip Code

I'm Interested in

Free home delivery or free shipping*

I'd like a 90-day supply, if available

*Home delivery is limited to specific zip codes. Shipping is limited to NYS. Shipping not available for refrigerated medications or controlled substances.

Current Pharmacy Name*

Current Pharmacy Phone*

A pharmacy team member will contact you within 24-48 hours during regular weekday pharmacy hours. Please be prepared with your medication list.

Preferred Contact Method*

Phone Call

Text Message

Daytime Phone*

Preferred Weekday Call Time*

Morning

Afternoon

Thank you!

Thanks for requesting a prescription transfer to ConnectRx. A pharmacist will call you to begin the transfer process. We look forward to serving you!

– The Team at ConnectRx

Are you a CDPHP member

Transfer Your Prescription to ConnectRx

Thank you!

ConnectRx Hometown

ConnectRx Latham