**If this is an emergency dial 911 or go to your local emergency room right away.
Please only complete this if you have not requested a refill of your medication using the Medication Refill Phone Line.
All patients must have a follow up appointment in order to process your request. If you do not have a follow up scheduled, please call our office at (978)222-3121 X 980 to schedule one.
Please note: This Request Bucket is monitored Monday through Friday from 9:00AM to 4:30PM. Any request submitted after 4:00PM or on a weekend/holiday, will be handled on the next business day.
Please allow 48 hours to process the refill; also please keep in mind your prescribers’ office schedule when requesting a refill.
If your medication requires a Prior Authorization, please be aware that it could take up to 14 business days for your insurance to provide an outcome (approval OR denial.)