Refill Your Prescription Online

Use this form to request a routine prescription refill from Balboni’s Drug Store in Plymouth. Enter the requested prescription details as accurately as possible so the pharmacy team can review your request. A submitted request does not replace any prescriber authorization a medication may need.

Need refill help? For questions about refill timing, remaining refills, delivery or medication synchronization, visit our prescription refill service page or call (508) 746-1251.

Prescription Refill Disclaimer

By submitting this refill request, you acknowledge and agree to the following terms:

Identity Verification & Authorization

I hereby attest and confirm that:

I am the patient for the prescription(s) being requested
The information provided (including date of birth and prescription numbers) is accurate and belongs to me
I am authorized to request this refill
I understand that providing false information is a violation of law and pharmacy policy

No Guarantee of Refill or Timing

Submission of a refill request does not guarantee that your prescription will be refilled, filled by a specific time, or available for pickup/delivery on a specific date.

Verification Required

All refill requests are subject to verification, including:

Valid prescription on file
Prescriber authorization and refill authorization status
Pharmacy review for clinical appropriateness
Insurance eligibility and approval
Patient identity and date of birth verification

Not for Urgent or Emergency Needs

This refill request tool is for routine refills only. If you require immediate assistance, contact the pharmacy directly or seek medical care.

Processing Times

Refill requests received outside normal business hours will be processed on the next business day. Balbonis Pharmacy is not responsible for delays caused by prescriber response times, insurance authorization, supply shortages, or incomplete information.

Authorization to Access Records

By submitting this request, you authorize the pharmacy to access and review your prescription, medication, and insurance records as necessary to process the refill.

Privacy and Data Security

Information submitted is processed in accordance with applicable privacy laws and our Privacy Policy.

Independence of Professional Judgment

A licensed pharmacist may refuse to refill a prescription if, in their professional judgment, it would be unsafe or inappropriate to do so.

I confirm that I have read and agree to the terms above and that I am the patient associated with this request.