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208-329-7811 Transfer Prescription

Transfer a Prescription

Complete our secure form below to transfer your prescription to Cedar Pharmacy. We'll handle everything with your current pharmacy.

Need Help? Call us: 208-329-7781

Patient Information

First Name *

Last Name *

Date of Birth *

Phone Number *

Email Address *

Street Address *

City *

State *

ZIP Code *

Current Pharmacy

Pharmacy Name *

Pharmacy Phone *

Pharmacy Address

Prescription Details

Medication Name(s) *

Doctor's Name

Doctor's Phone

Additional Notes

Anything else we should know?

By submitting this form, you authorize Cedar Pharmacy to contact your current pharmacy and healthcare provider to transfer your prescription(s).