Transfer My Prescription to Michoud Pharmacy

We'll use the information you provide here to contact your pharmacy and transfer your prescription(s) to Michoud Pharmacy.

Patient Information:

Gender
---MaleFemale

Transfer RX information:

Any addition medication you would like to transfer:

Current Pharmacy: Pharmacy phone number: Drug name: RX prescription number (Optional):

Fill this prescription now?

Yes, fill nowNo, save for later

How would you like to receive your prescription?
PickupDelivery

Insurance Information:

Save time at the pharmacy and answer a few questions about your prescription insurance. You may leave your insurance information blank. Please bring your insurance card to the pharmacy in case we need to verify your information.