New Prescription at IHS Pharmacy and Wellness Center

IHS Pharmacy wants to make it easy for you to order a a new prescription from any of our 3 Greene County pharmacies. Simply fill out the form below to tell us about yourself and your prescription, then click on the Submit button. We will call your doctor, and get your prescription by phone.

Get New Prescriptions Filled at IHS Pharmacy

Bold* fields are required. We never sell or supply your information to any third parties.
Store Location *	Select Xenia Fairborn Jamestown Home Delivery
Patient First Name *
Patient Last Name *
Patient Phone *
Patient Date Of Birth *	(i.e. 1/23/1969)
Patient Email
Address 1
Address 2
City
State
Zip	(5 digits)
Prescriber's Name *
Prescriber Phone *
Drug Name and Strength *
Additional Drug Names and Strengths
Additional Instructions
Enter Code (this helps prevent SPAM) *

IHS Pharmacy & Wellness Centers : Xenia Pharmacy (937) 374-0899 : Fairborn Pharmacy (937) 482-0328 : Jamestown Pharmacy (937) 675-6500