Dyer Drug
100 East Cumberland Street
Albany, KY, 42602
Tel.: (606) 387-6444
Fax.: (606) 387-8484
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