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  
Melasma NT Cream Melasma NT CreamMelasma NT Cream $100.00
$100.00
Placeholder PlaceholderTestosterone Nasal Gel $100.00
$100.00
Tadalafil Troches Tadalafil TrochesTadalafil Troches $100.00
$200.00
Acne DNS Gel Acne DNS GelAcne DNS Gel $100.00
$100.00
Tadalafil-Oxytocin ODT Tadalafil-Oxytocin ODTTadalafil / Oxytocin ODT $100.00
$200.00
Biotin / Finasteride / Minoxidil Capsules Biotin / Finasteride / Minoxidil CapsulesBiotin / Finasteride / Minoxidil Capsules $100.00
$100.00
Melasma HQ Cream Melasma HQ CreamMelasma HQ Cream $100.00
$100.00
Placeholder PlaceholderVitamin B-Complex Injection $100.00
$100.00
Doxycycline Tablets Doxycycline TabletsDoxycycline Tablets $100.00
$100.00
Tamoxifen Citrate Tablets Tamoxifen Citrate TabletsTamoxifen Citrate Tablets $100.00
$100.00
Placeholder PlaceholderTestosterone Cypionate Injection $100.00
$100.00
DHEA _ Pregnenolone Capsules DHEA _ Pregnenolone CapsulesDHEA / Pregnenolone Capsules $100.00
$100.00
Spironolactone Tablets Spironolactone TabletsSpironolactone Tablets $100.00
$100.00
Hair Restore D Scalp Solution Hair Restore D Scalp SolutionHair Restore D Scalp Solution $100.00
$100.00
Exemestane Tablets Exemestane TabletsExemestane Tablets $100.00
$100.00
Tadalafil ODT Tadalafil ODTTadalafil ODT $100.00
$100.00
Hair Restore Lite Scalp Solution Hair Restore Lite Scalp SolutionHair Restore Lite Scalp Solution $100.00
$100.00
Hydroxocobalamin (Vitamin B12) Injection Hydroxocobalamin (Vitamin B12) InjectionHydroxocobalamin (Vitamin B12) Injection $100.00
$100.00
Tadalafil Tablets Tadalafil TabletsTadalafil Tablets $100.00
$100.00
Niacin IR Tablets Niacin IR TabletsNiacin IR Tablets $100.00
$100.00
Hair Restore Ultra Scalp Solution Hair Restore Ultra Scalp SolutionHair Restore Ultra Scalp Solution $100.00
$100.00
Dutasteride Capsules Dutasteride CapsulesDutasteride Capsules $100.00
$100.00
Tadalafil-Tramadol HCl Troches Tadalafil-Tramadol HCl TrochesTadalafil / Tramadol HCl Troches $100.00
$100.00

Billing details

Provider Details

Patient Details

Prescription

Your order

Product Subtotal
Melasma NT CreamMelasma NT Cream  × 1 $100.00
PlaceholderTestosterone Nasal Gel  × 1 $100.00
Tadalafil TrochesTadalafil Troches  × 2 $200.00
Acne DNS GelAcne DNS Gel  × 1 $100.00
Tadalafil-Oxytocin ODTTadalafil / Oxytocin ODT  × 2 $200.00
Biotin / Finasteride / Minoxidil CapsulesBiotin / Finasteride / Minoxidil Capsules  × 1 $100.00
Melasma HQ CreamMelasma HQ Cream  × 1 $100.00
PlaceholderVitamin B-Complex Injection  × 1 $100.00
Doxycycline TabletsDoxycycline Tablets  × 1 $100.00
Tamoxifen Citrate TabletsTamoxifen Citrate Tablets  × 1 $100.00
PlaceholderTestosterone Cypionate Injection  × 1 $100.00
DHEA _ Pregnenolone CapsulesDHEA / Pregnenolone Capsules  × 1 $100.00
Spironolactone TabletsSpironolactone Tablets  × 1 $100.00
Hair Restore D Scalp SolutionHair Restore D Scalp Solution  × 1 $100.00
Exemestane TabletsExemestane Tablets  × 1 $100.00
Tadalafil ODTTadalafil ODT  × 1 $100.00
Hair Restore Lite Scalp SolutionHair Restore Lite Scalp Solution  × 1 $100.00
Hydroxocobalamin (Vitamin B12) InjectionHydroxocobalamin (Vitamin B12) Injection  × 1 $100.00
Tadalafil TabletsTadalafil Tablets  × 1 $100.00
Niacin IR TabletsNiacin IR Tablets  × 1 $100.00
Hair Restore Ultra Scalp SolutionHair Restore Ultra Scalp Solution  × 1 $100.00
Dutasteride CapsulesDutasteride Capsules  × 1 $100.00
Tadalafil-Tramadol HCl TrochesTadalafil / Tramadol HCl Troches  × 1 $100.00
Subtotal $2,500.00
Shipping

Shipping to TX.

Total $2,500.00

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  
Melasma NT Cream Melasma NT CreamMelasma NT Cream $100.00
$100.00
Placeholder PlaceholderTestosterone Nasal Gel $100.00
$100.00
Tadalafil Troches Tadalafil TrochesTadalafil Troches $100.00
$200.00
Acne DNS Gel Acne DNS GelAcne DNS Gel $100.00
$100.00
Tadalafil-Oxytocin ODT Tadalafil-Oxytocin ODTTadalafil / Oxytocin ODT $100.00
$200.00
Biotin / Finasteride / Minoxidil Capsules Biotin / Finasteride / Minoxidil CapsulesBiotin / Finasteride / Minoxidil Capsules $100.00
$100.00
Melasma HQ Cream Melasma HQ CreamMelasma HQ Cream $100.00
$100.00
Placeholder PlaceholderVitamin B-Complex Injection $100.00
$100.00
Doxycycline Tablets Doxycycline TabletsDoxycycline Tablets $100.00
$100.00
Tamoxifen Citrate Tablets Tamoxifen Citrate TabletsTamoxifen Citrate Tablets $100.00
$100.00
Placeholder PlaceholderTestosterone Cypionate Injection $100.00
$100.00
DHEA _ Pregnenolone Capsules DHEA _ Pregnenolone CapsulesDHEA / Pregnenolone Capsules $100.00
$100.00
Spironolactone Tablets Spironolactone TabletsSpironolactone Tablets $100.00
$100.00
Hair Restore D Scalp Solution Hair Restore D Scalp SolutionHair Restore D Scalp Solution $100.00
$100.00
Exemestane Tablets Exemestane TabletsExemestane Tablets $100.00
$100.00
Tadalafil ODT Tadalafil ODTTadalafil ODT $100.00
$100.00
Hair Restore Lite Scalp Solution Hair Restore Lite Scalp SolutionHair Restore Lite Scalp Solution $100.00
$100.00
Hydroxocobalamin (Vitamin B12) Injection Hydroxocobalamin (Vitamin B12) InjectionHydroxocobalamin (Vitamin B12) Injection $100.00
$100.00
Tadalafil Tablets Tadalafil TabletsTadalafil Tablets $100.00
$100.00
Niacin IR Tablets Niacin IR TabletsNiacin IR Tablets $100.00
$100.00
Hair Restore Ultra Scalp Solution Hair Restore Ultra Scalp SolutionHair Restore Ultra Scalp Solution $100.00
$100.00
Dutasteride Capsules Dutasteride CapsulesDutasteride Capsules $100.00
$100.00
Tadalafil-Tramadol HCl Troches Tadalafil-Tramadol HCl TrochesTadalafil / Tramadol HCl Troches $100.00
$100.00

Billing details

Provider Details

Patient Details

Prescription

Your order

Product Subtotal
Melasma NT CreamMelasma NT Cream  × 1 $100.00
PlaceholderTestosterone Nasal Gel  × 1 $100.00
Tadalafil TrochesTadalafil Troches  × 2 $200.00
Acne DNS GelAcne DNS Gel  × 1 $100.00
Tadalafil-Oxytocin ODTTadalafil / Oxytocin ODT  × 2 $200.00
Biotin / Finasteride / Minoxidil CapsulesBiotin / Finasteride / Minoxidil Capsules  × 1 $100.00
Melasma HQ CreamMelasma HQ Cream  × 1 $100.00
PlaceholderVitamin B-Complex Injection  × 1 $100.00
Doxycycline TabletsDoxycycline Tablets  × 1 $100.00
Tamoxifen Citrate TabletsTamoxifen Citrate Tablets  × 1 $100.00
PlaceholderTestosterone Cypionate Injection  × 1 $100.00
DHEA _ Pregnenolone CapsulesDHEA / Pregnenolone Capsules  × 1 $100.00
Spironolactone TabletsSpironolactone Tablets  × 1 $100.00
Hair Restore D Scalp SolutionHair Restore D Scalp Solution  × 1 $100.00
Exemestane TabletsExemestane Tablets  × 1 $100.00
Tadalafil ODTTadalafil ODT  × 1 $100.00
Hair Restore Lite Scalp SolutionHair Restore Lite Scalp Solution  × 1 $100.00
Hydroxocobalamin (Vitamin B12) InjectionHydroxocobalamin (Vitamin B12) Injection  × 1 $100.00
Tadalafil TabletsTadalafil Tablets  × 1 $100.00
Niacin IR TabletsNiacin IR Tablets  × 1 $100.00
Hair Restore Ultra Scalp SolutionHair Restore Ultra Scalp Solution  × 1 $100.00
Dutasteride CapsulesDutasteride Capsules  × 1 $100.00
Tadalafil-Tramadol HCl TrochesTadalafil / Tramadol HCl Troches  × 1 $100.00
Subtotal $2,500.00
Shipping

Shipping to TX.

Total $2,500.00

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.