All prescription refill requests are to be submitted 7-10 business days prior to the due date.

You will be contacted by phone once the prescription(s) has been approved and is ready for delivery or pick-up.

Please DO NOT make multiple requests for the same medication, as this will only delay processing time.

We are happy to refill your prescription, please fill out the form below.



Per DEA regulation, Schedule II medications cannot be called to the pharmacy; therefore, the written prescription must be mailed or picked-up at an OrthoIndy location. If requesting a refill on a Schedule II medication, please select one of the options.


If you selected "Pick-Up" for Schedule II Medications, please pick which OrthoIndy location you would like to pick-up your medication.

All fields must be completed.