Arrow Prescription Center #12
500 Farmington Avenue
Hartford, CT, 06105
Tel.: (860) 522-9289
Fax.: (860) 231-7007
Request a refill for your medication(s)
Please note that this form allows you to submit up to 5 prescriptions for refill. If you would like to submit more than 5 prescriptions for refill, please complete additional submission forms.


Rx Number(s)

Numbers only
NO letters or dashes