Locatel

1Rx details 2Patient info 3Insurance 4Pickup

Transfer Rx to locatel

We'll use the information you provide here to contact your non-Locatel pharmacy and transfer your prescription(s) to Locatel. Please use one form per pharmacy.

Rx details

Current pharmacy

Pharmacy phone number

Add prescription

Patient information

First name

Last name

Gender

Date of birth

Phone number

Email address We’ll only use your email address to send you a confirmation once your request is submitted.

Insurance information

Save time at the pharmacy and answer a few question about your prescription insurance.

Are you the primary cardholder?

Yes
No
Skip this step

If you have insurance, please bring your information to the pharmacy.

Pick up in store
Choose a Locatel Pharmacy.

Hallandale
Miami

Chose a Date

Prescription Information
Transfering from

Patient Information
First name:
Last name:
Gender:
Date birth:
Phone number:

Insurance Information

You did not enter insurance information. If you have prescription insurance coverage, please bring the card with you when picking up your prescription.

Need help?

Call customer service at
Hallandale: 954-416-1202
Miami: 786-422-8302

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Transfer Rx to locatel

Thank you! We received
your transfer request.

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Transfer Rx to locatel

Thank you! We received your transfer request.

To suscribe to newsletter, validate that you are a human

Thank you! We received
your transfer request.

To suscribe to newsletter,
validate that you are a human