Transfer Prescription | TrustedRxCare.com

Prescription Transfer Form

Provide your current pharmacy information and the prescriptions you'd like to transfer. We'll contact them on your behalf.

First Name *

Last Name *

Date of Birth *

Phone Number *

Email Address *

Pharmacy Name *

Pharmacy Phone Number *

Pharmacy Address

Medication Names *

Prescription Numbers (if known)

I authorize TrustedRxCare to contact my current pharmacy to transfer my prescriptions on my behalf.

Most transfers are completed within 1-2 business days. Complex prescriptions or those requiring prior authorization may take 3-5 business days.

Your current pharmacy's name and phone number. Having your prescription bottles handy helps, but isn't required.