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  
Bimatoprost Eyelash Solution Bimatoprost Eyelash SolutionBimatoprost Eyelash Solution $100.00
$100.00
Letrozole Tablets Letrozole TabletsLetrozole Tablets $100.00
$100.00
Ketamine Troches Ketamine TrochesKetamine Troches $100.00
$100.00
GHK-Cu Facial Serum GHK-Cu Facial SerumGHK-Cu Facial Serum $100.00
$100.00
Ondansetron ODT Ondansetron ODTOndansetron ODT $100.00
$100.00
Bupropion HCl SR Tablets Bupropion HCl SR TabletsBupropion HCl SR Tablets $100.00
$100.00
Hydroxocobalamin (Vitamin B12) Injection Hydroxocobalamin (Vitamin B12) InjectionHydroxocobalamin (Vitamin B12) Injection $100.00
$100.00
Placeholder PlaceholderTestosterone Nasal Gel $100.00
$100.00
Placeholder PlaceholderTamoxifen Gel $100.00
$100.00
Chromium Picolinate Tablets Chromium Picolinate TabletsChromium Picolinate Tablets $100.00
$100.00
Phendimetrazine Tartrate Tablets Phendimetrazine Tartrate TabletsPhendimetrazine Tartrate Tablets $100.00
$100.00
Acne Keto Cream Acne Keto CreamAcne Keto Cream $100.00
$100.00
Estradiol Patch Estradiol PatchEstradiol Patch $100.00
$100.00
Oxytocin Nasal Spray Oxytocin Nasal SprayOxytocin Nasal Spray $100.00
$100.00
Cabergoline Tablets Cabergoline TabletsCabergoline Tablets $100.00
$100.00
Anti-Aging Siro Gel Anti-Aging Siro GelAnti-Aging Siro Gel $100.00
$200.00
Methylcobalamin-Injection-Vitamin-B12 Methylcobalamin-Injection-Vitamin-B12Methylcobalamin Injection (Vitamin B12) $100.00
$100.00
Phentermine HCl Topiramate Capsules Phentermine HCl Topiramate CapsulesPhentermine HCl / Topiramate Capsules $100.00
$100.00
Sildenafil-Testosterone Troches Sildenafil-Testosterone TrochesSildenafil / Testosterone Troches $100.00
$100.00
Placeholder PlaceholderTestosterone Cypionate Injection $100.00
$100.00

Billing details

Provider Details

Patient Details

Prescription

Your order

Product Subtotal
Bimatoprost Eyelash SolutionBimatoprost Eyelash Solution  × 1 $100.00
Letrozole TabletsLetrozole Tablets  × 1 $100.00
Ketamine TrochesKetamine Troches  × 1 $100.00
GHK-Cu Facial SerumGHK-Cu Facial Serum  × 1 $100.00
Ondansetron ODTOndansetron ODT  × 1 $100.00
Bupropion HCl SR TabletsBupropion HCl SR Tablets  × 1 $100.00
Hydroxocobalamin (Vitamin B12) InjectionHydroxocobalamin (Vitamin B12) Injection  × 1 $100.00
PlaceholderTestosterone Nasal Gel  × 1 $100.00
PlaceholderTamoxifen Gel  × 1 $100.00
Chromium Picolinate TabletsChromium Picolinate Tablets  × 1 $100.00
Phendimetrazine Tartrate TabletsPhendimetrazine Tartrate Tablets  × 1 $100.00
Acne Keto CreamAcne Keto Cream  × 1 $100.00
Estradiol PatchEstradiol Patch  × 1 $100.00
Oxytocin Nasal SprayOxytocin Nasal Spray  × 1 $100.00
Cabergoline TabletsCabergoline Tablets  × 1 $100.00
Anti-Aging Siro GelAnti-Aging Siro Gel  × 2 $200.00
Methylcobalamin-Injection-Vitamin-B12Methylcobalamin Injection (Vitamin B12)  × 1 $100.00
Phentermine HCl Topiramate CapsulesPhentermine HCl / Topiramate Capsules  × 1 $100.00
Sildenafil-Testosterone TrochesSildenafil / Testosterone Troches  × 1 $100.00
PlaceholderTestosterone Cypionate Injection  × 1 $100.00
Subtotal $2,100.00
Shipping

Shipping to TX.

Total $2,100.00

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  
Bimatoprost Eyelash Solution Bimatoprost Eyelash SolutionBimatoprost Eyelash Solution $100.00
$100.00
Letrozole Tablets Letrozole TabletsLetrozole Tablets $100.00
$100.00
Ketamine Troches Ketamine TrochesKetamine Troches $100.00
$100.00
GHK-Cu Facial Serum GHK-Cu Facial SerumGHK-Cu Facial Serum $100.00
$100.00
Ondansetron ODT Ondansetron ODTOndansetron ODT $100.00
$100.00
Bupropion HCl SR Tablets Bupropion HCl SR TabletsBupropion HCl SR Tablets $100.00
$100.00
Hydroxocobalamin (Vitamin B12) Injection Hydroxocobalamin (Vitamin B12) InjectionHydroxocobalamin (Vitamin B12) Injection $100.00
$100.00
Placeholder PlaceholderTestosterone Nasal Gel $100.00
$100.00
Placeholder PlaceholderTamoxifen Gel $100.00
$100.00
Chromium Picolinate Tablets Chromium Picolinate TabletsChromium Picolinate Tablets $100.00
$100.00
Phendimetrazine Tartrate Tablets Phendimetrazine Tartrate TabletsPhendimetrazine Tartrate Tablets $100.00
$100.00
Acne Keto Cream Acne Keto CreamAcne Keto Cream $100.00
$100.00
Estradiol Patch Estradiol PatchEstradiol Patch $100.00
$100.00
Oxytocin Nasal Spray Oxytocin Nasal SprayOxytocin Nasal Spray $100.00
$100.00
Cabergoline Tablets Cabergoline TabletsCabergoline Tablets $100.00
$100.00
Anti-Aging Siro Gel Anti-Aging Siro GelAnti-Aging Siro Gel $100.00
$200.00
Methylcobalamin-Injection-Vitamin-B12 Methylcobalamin-Injection-Vitamin-B12Methylcobalamin Injection (Vitamin B12) $100.00
$100.00
Phentermine HCl Topiramate Capsules Phentermine HCl Topiramate CapsulesPhentermine HCl / Topiramate Capsules $100.00
$100.00
Sildenafil-Testosterone Troches Sildenafil-Testosterone TrochesSildenafil / Testosterone Troches $100.00
$100.00
Placeholder PlaceholderTestosterone Cypionate Injection $100.00
$100.00

Billing details

Provider Details

Patient Details

Prescription

Your order

Product Subtotal
Bimatoprost Eyelash SolutionBimatoprost Eyelash Solution  × 1 $100.00
Letrozole TabletsLetrozole Tablets  × 1 $100.00
Ketamine TrochesKetamine Troches  × 1 $100.00
GHK-Cu Facial SerumGHK-Cu Facial Serum  × 1 $100.00
Ondansetron ODTOndansetron ODT  × 1 $100.00
Bupropion HCl SR TabletsBupropion HCl SR Tablets  × 1 $100.00
Hydroxocobalamin (Vitamin B12) InjectionHydroxocobalamin (Vitamin B12) Injection  × 1 $100.00
PlaceholderTestosterone Nasal Gel  × 1 $100.00
PlaceholderTamoxifen Gel  × 1 $100.00
Chromium Picolinate TabletsChromium Picolinate Tablets  × 1 $100.00
Phendimetrazine Tartrate TabletsPhendimetrazine Tartrate Tablets  × 1 $100.00
Acne Keto CreamAcne Keto Cream  × 1 $100.00
Estradiol PatchEstradiol Patch  × 1 $100.00
Oxytocin Nasal SprayOxytocin Nasal Spray  × 1 $100.00
Cabergoline TabletsCabergoline Tablets  × 1 $100.00
Anti-Aging Siro GelAnti-Aging Siro Gel  × 2 $200.00
Methylcobalamin-Injection-Vitamin-B12Methylcobalamin Injection (Vitamin B12)  × 1 $100.00
Phentermine HCl Topiramate CapsulesPhentermine HCl / Topiramate Capsules  × 1 $100.00
Sildenafil-Testosterone TrochesSildenafil / Testosterone Troches  × 1 $100.00
PlaceholderTestosterone Cypionate Injection  × 1 $100.00
Subtotal $2,100.00
Shipping

Shipping to TX.

Total $2,100.00

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.