Your Pharmacy, Your Way.

Get up to 80% off prescriptions.
Delivery and pick-up options*.
Download our app for easy refills.

Save time and money with a new kind of pharmacy. SpotRx saves you up to 80% on your prescriptions and delivers right to your door. Close to one of our pharmacy kiosks? Fill your order and pick up whenever you're ready - no more waiting in line!

Fill out this form and a friendly pharmacist will call you to complete your transfer. Or, skip the call by registering online.

Safe. Secure. Discreet.

Patient Information
First Name*
Last Name*
Date of Birth
Date Format: YYYY dash MM dash DD
Gender*
Address*
Street Address City State Zip Code
Email Address
Phone Number*
Mobile or Home
- Mobile Number
- Home Number
Existing Patient
- I have used SpotRx Pharmacy in the past
Pharmacy and Prescription Information
Pharmacy Name
Pharmacy Cross Streets or Address*
Prescription Transfer
- I would like to transfer all my prescriptions from this pharmacy
- No, I'll list my prescriptions individually
Prescription Names
Upload images of RX labels, RX lists, discount cards and/or insurance.
Upload Files
Drop files here or
Consent*
- I understand that by submitting this form I consent to transfer my prescriptions to SpotRx pharmacy*
Text Alerts
- Text Notifications: I would like to receive prescription reminders and alerts via text.
  Msg & Data Rates May Apply. You may opt out at any time by texting BLOCK to 36471 or STOP to (226) 400-4481. Privacy & Security
*Fields required.
By submitting this form, I acknowledge that I have read and accept the SpotRx Terms and Privacy and HIPAA FORMS Service Privacy Statement.

About SpotRx:

SpotRx is your next-gen pharmacy. With our cutting-edge pharmacy kiosks, we're the everywhere, anytime solution for all your drugstore needs. Offering deep discounts on prescriptions and over-the-counter medications as well as delivery and pick up options, we're Pharmacy your way.

*Delivery is temporarily subject to pharmacy hours and valid in specific zip codes. Delivery fees may be applicable.

Transfer your prescriptions today:

Home Delivery or Pick Up at Our Kiosk.
Savings Up to 80% on Prescriptions.
Talk to a Pharmacist.

Your Pharmacy, Your Way.

Get up to 80% off prescriptions.

Delivery and pick-up options*.

Download our app for easy refills.

Fill out this form and a friendly pharmacist will call you to complete your transfer. Or, skip the call by registering online.

Safe. Secure. Discreet.

Patient Information

Pharmacy and Prescription Information

About SpotRx:

Transfer your prescriptions today:

Home Delivery or Pick Up at Our Kiosk.

Savings Up to 80% on Prescriptions.

Talk to a Pharmacist.

Get Started

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