19035 W. Capitol Dr. #105
Brookfield, WI 53045

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To request a prescription refill call 262.373.1050, download our app, or submit an online request using the form below.

Please enter the prescription number(s) you wish to refill at this time. This number is located on your prescription label. Since your compounded medication is made just for you, please allow two business days for us to prepare your medication.

MD Custom Rx’s app is a tool that will help us improve your health outcomes, increase your medication compliance and ultimately reduce your costs. The app is available in the Apple iTunes and Google Play stores.

Refill Request Form