Refill Request
Request Prescription

Your RX number is a key part of tracking your prescription. Find it just above your name on the prescription label from Raff and Hall Pharmacy for fast access.

Refill Request
Request Prescription Form

Provider Details

Patient Details

Product Price Qty Total  
DHEA _ Pregnenolone Capsules DHEA _ Pregnenolone CapsulesDHEA / Pregnenolone Capsules $100.00
$100.00
Placeholder PlaceholderModafinil Tablets $100.00
$200.00
Placeholder PlaceholderTestosterone Nasal Gel $100.00
$100.00
Coenzyme Q10 Capsules Coenzyme Q10 CapsulesCoenzyme Q10 Capsules $100.00
$100.00
Ezetimibe Tablets Ezetimibe TabletsEzetimibe Tablets $100.00
$100.00
Allopurinol Tablets Allopurinol TabletsAllopurinol Tablets $100.00
$200.00
Anti-Aging Siro Gel Anti-Aging Siro GelAnti-Aging Siro Gel $100.00
$100.00
Acne Ultra Gel Acne Ultra GelAcne Ultra Gel $100.00
$100.00
Bella Capsules Bella CapsulesBella Capsules $100.00
$100.00
Placeholder PlaceholderTestosterone Enanthate Injection $100.00
$100.00
Acne Keto Cream Acne Keto CreamAcne Keto Cream $100.00
$100.00
Clomiphene Citrate Capsules Clomiphene Citrate CapsulesClomiphene Citrate Capsules $120.00
$120.00
Bi-est Cream Bi-est CreamBi-est Cream $100.00
$100.00
Tadalafil Tablets Tadalafil TabletsTadalafil Tablets $100.00
$100.00
Rapamycin (Sirolimus) Capsules Rapamycin (Sirolimus) CapsulesRapamycin (Sirolimus) Capsules $100.00
$200.00
Vardenafil Tablets Vardenafil TabletsVardenafil Tablets $200.00
$200.00
Hydroxocobalamin (Vitamin B12) Injection Hydroxocobalamin (Vitamin B12) InjectionHydroxocobalamin (Vitamin B12) Injection $100.00
$100.00
Sildenafil ODT Sildenafil ODTSildenafil ODT $100.00
$100.00
Vardenafil Troches Vardenafil TrochesVardenafil Troches $100.00
$100.00
Metformin-Tablets Metformin-TabletsMetformin Tablets $100.00
$100.00

Billing details

Provider Details

Patient Details

Prescription

Your order

Product Subtotal
DHEA _ Pregnenolone CapsulesDHEA / Pregnenolone Capsules  × 1 $100.00
PlaceholderModafinil Tablets  × 2 $200.00
PlaceholderTestosterone Nasal Gel  × 1 $100.00
Coenzyme Q10 CapsulesCoenzyme Q10 Capsules  × 1 $100.00
Ezetimibe TabletsEzetimibe Tablets  × 1 $100.00
Allopurinol TabletsAllopurinol Tablets  × 2 $200.00
Anti-Aging Siro GelAnti-Aging Siro Gel  × 1 $100.00
Acne Ultra GelAcne Ultra Gel  × 1 $100.00
Bella CapsulesBella Capsules  × 1 $100.00
PlaceholderTestosterone Enanthate Injection  × 1 $100.00
Acne Keto CreamAcne Keto Cream  × 1 $100.00
Clomiphene Citrate CapsulesClomiphene Citrate Capsules  × 1 $120.00
Bi-est CreamBi-est Cream  × 1 $100.00
Tadalafil TabletsTadalafil Tablets  × 1 $100.00
Rapamycin (Sirolimus) CapsulesRapamycin (Sirolimus) Capsules  × 2 $200.00
Vardenafil TabletsVardenafil Tablets  × 1 $200.00
Hydroxocobalamin (Vitamin B12) InjectionHydroxocobalamin (Vitamin B12) Injection  × 1 $100.00
Sildenafil ODTSildenafil ODT  × 1 $100.00
Vardenafil TrochesVardenafil Troches  × 1 $100.00
Metformin-TabletsMetformin Tablets  × 1 $100.00
Subtotal $2,420.00
Shipping

Shipping to TX.

Total $2,420.00

Payment method

Your personal data will be used to process your order, support your experience throughout this website, and for other purposes described in our privacy policy.

 *
Request Prescription Form

Provider Details

Patient Details

Request Prescription Form
Product Price Qty Total  
DHEA _ Pregnenolone Capsules DHEA _ Pregnenolone CapsulesDHEA / Pregnenolone Capsules $100.00
$100.00
Placeholder PlaceholderModafinil Tablets $100.00
$200.00
Placeholder PlaceholderTestosterone Nasal Gel $100.00
$100.00
Coenzyme Q10 Capsules Coenzyme Q10 CapsulesCoenzyme Q10 Capsules $100.00
$100.00
Ezetimibe Tablets Ezetimibe TabletsEzetimibe Tablets $100.00
$100.00
Allopurinol Tablets Allopurinol TabletsAllopurinol Tablets $100.00
$200.00
Anti-Aging Siro Gel Anti-Aging Siro GelAnti-Aging Siro Gel $100.00
$100.00
Acne Ultra Gel Acne Ultra GelAcne Ultra Gel $100.00
$100.00
Bella Capsules Bella CapsulesBella Capsules $100.00
$100.00
Placeholder PlaceholderTestosterone Enanthate Injection $100.00
$100.00
Acne Keto Cream Acne Keto CreamAcne Keto Cream $100.00
$100.00
Clomiphene Citrate Capsules Clomiphene Citrate CapsulesClomiphene Citrate Capsules $120.00
$120.00
Bi-est Cream Bi-est CreamBi-est Cream $100.00
$100.00
Tadalafil Tablets Tadalafil TabletsTadalafil Tablets $100.00
$100.00
Rapamycin (Sirolimus) Capsules Rapamycin (Sirolimus) CapsulesRapamycin (Sirolimus) Capsules $100.00
$200.00
Vardenafil Tablets Vardenafil TabletsVardenafil Tablets $200.00
$200.00
Hydroxocobalamin (Vitamin B12) Injection Hydroxocobalamin (Vitamin B12) InjectionHydroxocobalamin (Vitamin B12) Injection $100.00
$100.00
Sildenafil ODT Sildenafil ODTSildenafil ODT $100.00
$100.00
Vardenafil Troches Vardenafil TrochesVardenafil Troches $100.00
$100.00
Metformin-Tablets Metformin-TabletsMetformin Tablets $100.00
$100.00

Billing details

Provider Details

Patient Details

Prescription

Your order

Product Subtotal
DHEA _ Pregnenolone CapsulesDHEA / Pregnenolone Capsules  × 1 $100.00
PlaceholderModafinil Tablets  × 2 $200.00
PlaceholderTestosterone Nasal Gel  × 1 $100.00
Coenzyme Q10 CapsulesCoenzyme Q10 Capsules  × 1 $100.00
Ezetimibe TabletsEzetimibe Tablets  × 1 $100.00
Allopurinol TabletsAllopurinol Tablets  × 2 $200.00
Anti-Aging Siro GelAnti-Aging Siro Gel  × 1 $100.00
Acne Ultra GelAcne Ultra Gel  × 1 $100.00
Bella CapsulesBella Capsules  × 1 $100.00
PlaceholderTestosterone Enanthate Injection  × 1 $100.00
Acne Keto CreamAcne Keto Cream  × 1 $100.00
Clomiphene Citrate CapsulesClomiphene Citrate Capsules  × 1 $120.00
Bi-est CreamBi-est Cream  × 1 $100.00
Tadalafil TabletsTadalafil Tablets  × 1 $100.00
Rapamycin (Sirolimus) CapsulesRapamycin (Sirolimus) Capsules  × 2 $200.00
Vardenafil TabletsVardenafil Tablets  × 1 $200.00
Hydroxocobalamin (Vitamin B12) InjectionHydroxocobalamin (Vitamin B12) Injection  × 1 $100.00
Sildenafil ODTSildenafil ODT  × 1 $100.00
Vardenafil TrochesVardenafil Troches  × 1 $100.00
Metformin-TabletsMetformin Tablets  × 1 $100.00
Subtotal $2,420.00
Shipping

Shipping to TX.

Total $2,420.00

Payment method

Your personal data will be used to process your order, support your experience throughout this website, and for other purposes described in our privacy policy.

 *
Frequently asked questions
Our dedicated team of specialists is ready to help you find the answers you’re looking for.
Can Raff and Hall Reach Out to My Doctor Directly for Prescription Refills?

Yes, we can handle contacting your doctor for your refill request. Please note that response times from their office may vary depending on their availability.

Yes, you can conveniently request a refill by heading to our Refill Request page and completing the form.

We do not offer automatic refills. Since many of our medications are prescribed on an “as needed” basis, we aim to avoid billing patients for medications they may no longer require. Additionally, automatic refills could lead to issues with package delivery if the recipient is not available to accept it.

The time required to fill or compound a prescription can vary for each case. On average, most orders are shipped within 7 business days, provided we receive your prescription by 7:00 PM CST. Kindly note that after receiving a prescription from your physician, we will reach out for your approval prior to filling it, unless directed otherwise.

When requesting a refill, make sure to clarify how you’d like to receive your medication. If you prefer home delivery, fill in your shipping details and choose a shipping method. Alternatively, if you plan to pick it up at our facility, please select the “Patient Pickup” option on the form.