Transfer Your Rx

Fill out the form below and we will contact your current pharmacy to begin filling your prescription.

  • General Info

  • Date Format: MM slash DD slash YYYY
  • Patient Contact

  • Insurance Info

  • Prescription Info

  • Current PharmacyCurrent Pharmacy Phone Number 
  • Physician NamePhysician Phone Number 
  • Rx NumberMedication Name 

All information provided will remain STRICTLY CONFIDENTIAL and used only in conjunction with our services. Privacy Policy 

Curant Health is a fully-licensed U.S. pharmacy that has been approved to sell prescription drugs in all states and D.C.