Prescription Refill Form


First Name* (* required)

Last Name*

Daytime Phone*

Email Address*

Mailing Address*




Prescription Numbers

1st Refill*

2nd Refill

3rd Refill

4th Refill

5th Refill

Comments or Special Instructions


Did you Know?

Drug Crafters has over 8,000 formulas available to compound. Should drug shortages arise, we may be able to compound the medication until it is commercially available again.

Experienced Pharmacists

Once the therapy has begun, one of our pharmacists will continue to work with the prescriber and patient to make sure the Hormone Replacement Therapy is working correctly. Our pharmacists will recommend dosages and dosage adjustments to the prescriber if needed and ensure that the medication is just right for each individual patient.

Quality Service

Backed with advanced technology and a complete inventory of chemicals and formulas, Drug Crafters can compound practically any medication. From topical creams and lozenges to injections prepared in our clean room, medications are prepared by an experienced team of compounding pharmacists and technicians.

Excellence in Custom Compounding

Drug Crafters is a state-of-the-art compounding pharmacy offering physicians and patients both sterile and non-sterile compounded prescription medications. Our experienced team of compounding pharmacists and technicians use advanced technology and chemicals from only FDA-approved facilities and adhere to stringent, comprehensive standards to ensure our products meet the quality you expect and deserve.