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  
Acne DNS Gel Acne DNS GelAcne DNS Gel $100.00
$200.00
Chromium Picolinate Tablets Chromium Picolinate TabletsChromium Picolinate Tablets $100.00
$300.00
Allopurinol Tablets Allopurinol TabletsAllopurinol Tablets $100.00
$300.00
Anti-Aging Vita Gel Anti-Aging Vita GelAnti-Aging Vita Gel $100.00
$100.00
HCG Injection HCG InjectionHCG Injection $100.00
$100.00
Anti-Aging Ultra Cream Anti-Aging Ultra CreamAnti-Aging Ultra Cream $100.00
$300.00
Ferrous Sulfate Tablets Ferrous Sulfate TabletsFerrous Sulfate Tablets $100.00
$100.00
Acne Keto Cream Acne Keto CreamAcne Keto Cream $100.00
$300.00
Biotin / Minoxidil / Spironolactone Capsules Biotin / Minoxidil / Spironolactone CapsulesBiotin / Minoxidil / Spironolactone Capsules $100.00
$400.00
Placeholder PlaceholderTestosterone Vaginal Cream $100.00
$100.00
Bimatoprost Eyelash Solution Bimatoprost Eyelash SolutionBimatoprost Eyelash Solution $100.00
$200.00
Bi-Mix Injection Bi-Mix InjectionBi-Mix Injection $100.00
$100.00
Cabergoline Tablets Cabergoline TabletsCabergoline Tablets $100.00
$200.00
Diethylpropion HCl Tablets Diethylpropion HCl TabletsDiethylpropion HCl Tablets $100.00
$100.00
Anti-Fungal Nail Solution Anti-Fungal Nail SolutionAnti-Fungal Nail Solution $100.00
$300.00
Bi-est Cream Bi-est CreamBi-est Cream $100.00
$100.00
Ketamine Troches Ketamine TrochesKetamine Troches $100.00
$100.00
Clomiphene Citrate Capsules Clomiphene Citrate CapsulesClomiphene Citrate Capsules $120.00
$120.00
Bi-Est Vaginal Cream Bi-Est Vaginal CreamBi-Est Vaginal Cream $100.00
$100.00
Bupropion HCl SR Tablets Bupropion HCl SR TabletsBupropion HCl SR Tablets $100.00
$200.00
Biotin / Minoxidil Capsules Biotin / Minoxidil CapsulesBiotin / Minoxidil Capsules $100.00
$100.00
Bella Capsules Bella CapsulesBella Capsules $100.00
$200.00

Billing details

Provider Details

Patient Details

Prescription

Your order

Product Subtotal
Acne DNS GelAcne DNS Gel  × 2 $200.00
Chromium Picolinate TabletsChromium Picolinate Tablets  × 3 $300.00
Allopurinol TabletsAllopurinol Tablets  × 3 $300.00
Anti-Aging Vita GelAnti-Aging Vita Gel  × 1 $100.00
HCG InjectionHCG Injection  × 1 $100.00
Anti-Aging Ultra CreamAnti-Aging Ultra Cream  × 3 $300.00
Ferrous Sulfate TabletsFerrous Sulfate Tablets  × 1 $100.00
Acne Keto CreamAcne Keto Cream  × 3 $300.00
Biotin / Minoxidil / Spironolactone CapsulesBiotin / Minoxidil / Spironolactone Capsules  × 4 $400.00
PlaceholderTestosterone Vaginal Cream  × 1 $100.00
Bimatoprost Eyelash SolutionBimatoprost Eyelash Solution  × 2 $200.00
Bi-Mix InjectionBi-Mix Injection  × 1 $100.00
Cabergoline TabletsCabergoline Tablets  × 2 $200.00
Diethylpropion HCl TabletsDiethylpropion HCl Tablets  × 1 $100.00
Anti-Fungal Nail SolutionAnti-Fungal Nail Solution  × 3 $300.00
Bi-est CreamBi-est Cream  × 1 $100.00
Ketamine TrochesKetamine Troches  × 1 $100.00
Clomiphene Citrate CapsulesClomiphene Citrate Capsules  × 1 $120.00
Bi-Est Vaginal CreamBi-Est Vaginal Cream  × 1 $100.00
Bupropion HCl SR TabletsBupropion HCl SR Tablets  × 2 $200.00
Biotin / Minoxidil CapsulesBiotin / Minoxidil Capsules  × 1 $100.00
Bella CapsulesBella Capsules  × 2 $200.00
Subtotal $4,020.00
Shipping

Shipping to TX.

Total $4,020.00

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  
Acne DNS Gel Acne DNS GelAcne DNS Gel $100.00
$200.00
Chromium Picolinate Tablets Chromium Picolinate TabletsChromium Picolinate Tablets $100.00
$300.00
Allopurinol Tablets Allopurinol TabletsAllopurinol Tablets $100.00
$300.00
Anti-Aging Vita Gel Anti-Aging Vita GelAnti-Aging Vita Gel $100.00
$100.00
HCG Injection HCG InjectionHCG Injection $100.00
$100.00
Anti-Aging Ultra Cream Anti-Aging Ultra CreamAnti-Aging Ultra Cream $100.00
$300.00
Ferrous Sulfate Tablets Ferrous Sulfate TabletsFerrous Sulfate Tablets $100.00
$100.00
Acne Keto Cream Acne Keto CreamAcne Keto Cream $100.00
$300.00
Biotin / Minoxidil / Spironolactone Capsules Biotin / Minoxidil / Spironolactone CapsulesBiotin / Minoxidil / Spironolactone Capsules $100.00
$400.00
Placeholder PlaceholderTestosterone Vaginal Cream $100.00
$100.00
Bimatoprost Eyelash Solution Bimatoprost Eyelash SolutionBimatoprost Eyelash Solution $100.00
$200.00
Bi-Mix Injection Bi-Mix InjectionBi-Mix Injection $100.00
$100.00
Cabergoline Tablets Cabergoline TabletsCabergoline Tablets $100.00
$200.00
Diethylpropion HCl Tablets Diethylpropion HCl TabletsDiethylpropion HCl Tablets $100.00
$100.00
Anti-Fungal Nail Solution Anti-Fungal Nail SolutionAnti-Fungal Nail Solution $100.00
$300.00
Bi-est Cream Bi-est CreamBi-est Cream $100.00
$100.00
Ketamine Troches Ketamine TrochesKetamine Troches $100.00
$100.00
Clomiphene Citrate Capsules Clomiphene Citrate CapsulesClomiphene Citrate Capsules $120.00
$120.00
Bi-Est Vaginal Cream Bi-Est Vaginal CreamBi-Est Vaginal Cream $100.00
$100.00
Bupropion HCl SR Tablets Bupropion HCl SR TabletsBupropion HCl SR Tablets $100.00
$200.00
Biotin / Minoxidil Capsules Biotin / Minoxidil CapsulesBiotin / Minoxidil Capsules $100.00
$100.00
Bella Capsules Bella CapsulesBella Capsules $100.00
$200.00

Billing details

Provider Details

Patient Details

Prescription

Your order

Product Subtotal
Acne DNS GelAcne DNS Gel  × 2 $200.00
Chromium Picolinate TabletsChromium Picolinate Tablets  × 3 $300.00
Allopurinol TabletsAllopurinol Tablets  × 3 $300.00
Anti-Aging Vita GelAnti-Aging Vita Gel  × 1 $100.00
HCG InjectionHCG Injection  × 1 $100.00
Anti-Aging Ultra CreamAnti-Aging Ultra Cream  × 3 $300.00
Ferrous Sulfate TabletsFerrous Sulfate Tablets  × 1 $100.00
Acne Keto CreamAcne Keto Cream  × 3 $300.00
Biotin / Minoxidil / Spironolactone CapsulesBiotin / Minoxidil / Spironolactone Capsules  × 4 $400.00
PlaceholderTestosterone Vaginal Cream  × 1 $100.00
Bimatoprost Eyelash SolutionBimatoprost Eyelash Solution  × 2 $200.00
Bi-Mix InjectionBi-Mix Injection  × 1 $100.00
Cabergoline TabletsCabergoline Tablets  × 2 $200.00
Diethylpropion HCl TabletsDiethylpropion HCl Tablets  × 1 $100.00
Anti-Fungal Nail SolutionAnti-Fungal Nail Solution  × 3 $300.00
Bi-est CreamBi-est Cream  × 1 $100.00
Ketamine TrochesKetamine Troches  × 1 $100.00
Clomiphene Citrate CapsulesClomiphene Citrate Capsules  × 1 $120.00
Bi-Est Vaginal CreamBi-Est Vaginal Cream  × 1 $100.00
Bupropion HCl SR TabletsBupropion HCl SR Tablets  × 2 $200.00
Biotin / Minoxidil CapsulesBiotin / Minoxidil Capsules  × 1 $100.00
Bella CapsulesBella Capsules  × 2 $200.00
Subtotal $4,020.00
Shipping

Shipping to TX.

Total $4,020.00

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.