Easily refill prescriptions through the mobile app

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Getting prescriptions is easy on our mobile app. Refill* for you or those you care for, view order status, or manage delivery options: free mail delivery or in-person pickup. Just download our app to get started.

*At Marshfield Medical Center-Beaver Dam and Marshfield Medical Center-Dickinson, you cannot use the My Marshfield Clinic app to refill a prescription. Use the below form to refill a prescription at the Beaver Dam pharmacy or 906-776-5615 to refill a prescription at a Dickinson pharmacy.

Refill your prescriptions below

Please provide your name, email address (won't be published) and a comment

First Name

Last Name

Daytime contact number

Email address

Notify by email when prescription is ready

RX# ?

Add additional RX#

Preferred delivery method:

Pickup
Mail
Route to me (Beaver Dam employees only)
Delivery

Routing location

We will email you when your refill is in the routing system.

Pharmacy location

Check this box if you are a Family Health Center or Community Health Access Patient

Check this box if you fill prescriptions at the Beaver Dam Pharmacy

Mailing Address

City

State Zip Code

Your refill will be mailed to the address you provide in 2 business days.

Same day cutoff time for deliveries is 10 am. One free delivery per week ($5 charge for subsequent deliveries).

Delivery Schedule

Beaver Dam - Monday - Friday
Surrounding Areas:

Monday - Waupun, Atwater, Alto, Oak Center
Tuesday - Columbus, Fall River and Reeseville
Wednesday - Horicon, Mayville, Iron Ridge
Thursday - Juneau, Clyman, Hustisford, Oak Grove
Friday - Randolph, Fox Lake, Friesland, Cambria

Comment

* I verify this information is correct

Thank You

Your request has been received.

Your information

Full Name:
Daytime contact number
Email address:

Delivery method:

Pharmacy location:

Address:

Routing location:

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Next time, sign in to your My Marshfield Clinic account to refill a prescription. Your form will pre-fill with your saved information and physician preferences. My Marshfield Clinic is quick, secure and easy.
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