Refill Request

Rx30 RefillRx - Generic Viagra®

RefillRx Mobile App

You can fill out our the refill request form below or use your smart phone to scan the barcode on your bottle using the “RefillRx® Mobile” app found in either Google Play or Apple App Store.

To download the RefillRx® Mobile AppWith your smart phone, scan the QR code to the right to take you the RefillRx App Download page and pick your platform.