Online Rx refill request

Please use the form below to submit your refill request. If it has been more than a year since your last visit, you will need to schedule an appointment for a check-in.

Your Refill Request

13 + 1 =

Important Reminders

If you are having any adverse or unexpected reactions to your prescription, please let us know.

All refill requests should be submitted individually and not combined with other requests, regardless if for the same patient.

Frequently Asked Questions

Please view some commonly asked questions below. All other questions can be submitted via the “message” section in the form provided above.

Can I request a different medication than what I was prescribed?

If you would like to try a new medication, we kindly ask that you book a check-up appointment to discuss with your provider. This will ensure that you have the best options available to address your reason for making a switch. Please only use the form above if you would like a refill of the same medication you currently have.

I like my prescription, why am I being asked to make an appointment?

If it has been more than one year since your last appointment with us or if you are requesting a different medication, you will need to schedule a check-up appointment. In addition, certain medications require more frequent visits to monitor results and potential side effects.

How long will it take before my prescription refill is ready?

If all information is entered accurately in the form above, and there are no concerns from our providers, your prescription refill will be processed by our team within two business days. From there we encourage you to check with your pharmacy as to when it will be ready.

Book Your Next Appointment

It’s now easier than ever to request an appointment with Luna Dermatology. Simply click the button below and follow the steps to book an appointment online, anytime.