Prescription Refill Request


We thank for refilling your prescription with us. Please use the form below to submit your refill request. Most prescriptions will be ready in one hour. Compounding prescriptions need more time and some prescriptions need additional authorization from your doctor. If this is your first refill at Tormed Pharmacy, we must contact your doctor for an initial authorization. If you have any questions or would like to know the status of your prescription, call us at 310-326-7708.


Enter your full name

Enter your prescription #

Enter the name of your medicine

Enter your phone number

Enter your e-mail address