Refilling Your
Prescription is Easy

Call Brand Direct Health® with questions Questions? Call us at 866-331-6440

To refill your prescription, please complete the form below. A Brand Direct Health® representative will charge the payment method on file, and ship to the same delivery address as your previous order.

Brand Direct Health® can only process refills when there is a valid prescription, payment method, and delivery address on file.

If we encounter any issues in processing your prescription, one of our patient service representatives will reach out to you using phone number 985-809-2181.

*required

* Please enter first name * Please enter last name * Please enter a valid mobile phone number * Please provide your valid email address
  / /
* Please enter Prescription Number
A prescription number is 6 to 9 digits long
I would like to receive more information on Brand Direct Health® and my prescription.
Consent
Easy Refill *
I authorize Brand Direct Health® to refill my prescription one time by charging the payment method previously used and shipping to the delivery address on record.
Please check the checkbox to authorize your refill