Prescription request

Transfer your prescriptions to Statmeds

Tell us where your prescriptions are now. We contact your current pharmacy and handle the transfer for you.

Two sealed pharmacy bags and a prescription vial on a pharmacy counter

We contact your pharmacyYou don’t need to call them yourself
We confirm coverage and costBefore anything is filled
Ready or on its wayPick up in Hicksville or get free delivery
Prefer to call?(516) 900-0636, Monday to Friday, 9 AM to 6 PM

Transfer your prescriptions to Statmeds

We contact your current pharmacy and handle the transfer for you.

Your health information is protected. What you send through this form is protected health information under HIPAA. It is sent over an encrypted connection to our pharmacy team and is used and disclosed as described in our Notice of Privacy Practices. Don’t use this form for emergencies or urgent medical questions. Call us at (516) 900-0636 or dial 911.

Patient

First name

Last name

Date of birth

Mobile phone We’ll call this number about your request. We text only if you opt in below.

Email (optional)

Current pharmacy

Pharmacy name

Pharmacy phone

Pharmacy address or cross streets (optional)

Prescriptions to transfer Transfer all of my active prescriptions

Medication name 1 (optional)

Rx number at current pharmacy (optional)

Federal and New York rules limit transfers of some controlled-substance prescriptions. If one can’t be transferred, we’ll ask your prescriber for a new electronic prescription.

Pickup or delivery

How would you like to get your medication?

Free deliveryPick up in Hicksville

How will you pay?

InsuranceMedicare drug planCash / no insuranceNot sure

Delivery address (optional)

Notes for the pharmacy (optional)

I am the patient or legally authorized to act for the patient, and I acknowledge that I have received the Notice of Privacy Practices. Text me about my prescriptions (optional). By checking this box, I agree to receive recurring automated text messages from Statmeds Pharmacy (Duffy Rx LLC) at the mobile number I provided, including refill reminders, order and delivery status updates, and replies to my requests. Consent is not a condition of purchase or service. Message frequency varies. Message and data rates may apply. Reply STOP to opt out or HELP for help. Text messages aren’t encrypted, so we keep health details in them to a minimum. See our Privacy Policy and Terms of Service.

Fields marked * are required.

Questions

Transfer questions

Can’t find your answer? Call (516) 900-0636 and a team member will help.

Do I need to call my current pharmacy?

No. We contact them directly with the details you provide.

Can every prescription be transferred?

Most can. Federal and New York rules limit transfers of some controlled-substance prescriptions; in that case we’ll ask your prescriber for a new electronic prescription.

Transfer your prescriptions to Statmeds

Transfer your prescriptions to Statmeds

Transfer questions

For prescribers and office staff