Pickup or Faxed to Pharmacy
* $19.50 for 14+yrs
* Free for under 14yrs

Please make ALL payments to ASB 12-3476-0015340-00 and use your Name and Date of Birth or NHI as reference.
For more information, please refer to our repeat prescription guidelines.

Please make sure you fill in all required (*) fields

First Name *
 
Last Name *
 
Middle Name(s)
 
Birth Date (DD/MM/YYYY) *
Day
Month
Year
Your Email Address
 
Phone Number *
 
MEDICATION REQUIRED *
Name of pharmacy (Pharmacy name and Location) *
 
 
 
Please make ALL payments to ASB 12-3476-0015340-00 and use your Name and Date of Birth or NHI as reference

  • Repeat prescriptions are available for long term medications.

  • Due to high volumes of prescriptions, processing times may exceed four working days. We will contact you once your script is ready.

  • Requests placed after 4 pm on Friday will not be ready until the following Tuesday.

  • If your doctor is away and your medications are due, you may only be issued a shorter supply until your own doctor can see you.
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