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Prescription Drop Off

This form is to request the processing of new prescriptions only. For Refills, please call (619) 532-8400.

Please note:

Sunday and Federal Holiday requests will be processed on the next business day (Monday-Friday 8:00 am- 6:00 pm, Saturday 9:00 am – 5:00 pm).
Paper prescriptions will need to be physically brought into the pharmacy to be processed.
You will receive a text once your prescriptions are ready for pick up.
Do not input any Protected Health Information (PHI)

Send Prescriptions To

If you choose a Branch Health Clinic to pick up your prescription(s), it will be ready for pick-up after 48 business hours.

Patient's DODID Number

If you do not know your DOD ID #, please enter ten zeroes above and a Pharmacy Tech will reach out to you.

Cell Phone Number

xxx-xxx-xxxx

Cell Service Provider

This allows us to send you a text when your prescription(s) are ready for pick up

# of Electronic Scripts (MTF Provider)

# of Electronic Scripts (Network Provider)

List of Medications and Additional Comments

Medication Example – Acetaminophen 325mg, Ibuprofen 800mg, metFORMIN 500mg OR Comment Example - Pregnant or breastfeeding, weight of patient (if younger than 12), list of allergies.

Don't forget to keep your family's information up to date in DEERS!

Prescription Drop Off

Please note:

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Patient Advocate

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DHA Address