For the time being we will be processing all prescriptions via Fax. Please download the PDF form below, fill out all required information and fax the completed form to (813)999-2701. If you have any questions please call us directly at (813)999-2700.
We appreciate your patience while we continue to work to solve this problem and we apologize for any inconvenience this may cause.
If you would like to be notified as soon as our ERX system is back online please enter your email address in the field below and we’ll send you an email letting you know when we’re back online.
Click to Download