Ondoc

For your pharmacy

Have your pharmacy fax your refill request to us

If you're already at the pharmacy counter or your pharmacy prefers to initiate the request, give them the fax number and cover sheet below.

Ondoc fax number

+1 (844) 444-0573

Three steps for your pharmacist

  1. 1Send the standard refill authorization fax to +1 (844) 444-0573 with the cover sheet below.
  2. 2Include patient DOB, medication, strength, directions, quantity, and refills requested.
  3. 3You'll receive a signed response by return fax — usually within 24 hours.

Patients — submit your request first

We can only process pharmacy-initiated requests for patients who have an approved request on file. Submit your request below — no payment required until your request is approved — so we can match the incoming fax to your account.

Ondoc

Refill Authorization Request — Fax Cover Sheet

Fax to

+1 (844) 444-0573

From (Pharmacy)

Pharmacy name

Pharmacist

Phone

Fax

Patient

Full name

Date of birth

Phone / email

Medication

Drug name & strength

Directions (sig)

Quantity

Refills requested

Last fill date

Original Rx #

This fax may contain confidential health information protected by federal and state law. If you received this in error, please notify the sender and destroy all copies. Ondoc reviews routine, non-controlled refill requests only. For controlled substances or new prescriptions, please contact the patient's primary care provider.