Dupont Circle Physicians Group

 1737 20th Street, NW  Washington, DC 20009
 p: 202-745-0201   f: 202-332-2794

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Prescription Refills

Mail Orders

This service requires all of the following information
.

Refill request for antibiotics require a consultation with the doctor.

Request will be filled in 24-48 hours


Patient Name:
Patient Phone Number:
Patient Email:
Prescribing Doctor:
Mail Order Pharmacy:
Pharmacy Phone Number:

Medication:
Dose:

Medication:
Dose:

Medication:
Dose:

        











Mail Order Pharmacies:
Aetna RX (Missouri)
Aetna RX (Florida)
Caremark
Cigna Tel Drug
Express Scripts
Medco
Walgreens