Free Prescription Refill Inquiry Letter Template

Prescription Refill Inquiry Letter


December 07, 2080

To: Springfield Pharmacy
456 Oak Avenue
Springfield, IL 62705


Dear Springfield Pharmacy,

I hope this letter finds you well. I am writing to inquire about a prescription refill for Lisinopril 10mg, which I have been prescribed by Dr. Sarah Miller. Below are the details of my prescription:

  • Patient Name: John Doe

  • Prescription Number: 123456789

  • Medication Name: Lisinopril 10mg

  • Dosage: 10mg once daily

  • Prescribing Doctor: Dr. Sarah Miller

  • Date of Last Refill: October 15, 2080

I would appreciate it if you could let me know if a refill is available or if any additional information is required. If a new prescription is needed, please inform me of the process.

Thank you for your assistance. I look forward to your response.

Sincerely,

[Your Name]

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