Pharmacist(s) affiliated to

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Prescription
Pharmacy
Reception
Payment
Summary
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1. Prescription
2. Pharmacy
3. Reception
4. Payment
5. Summary
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Request a Refill

Enter the information shown on your prescription label.

Learn more about prescription refills

Prescription label

First Name

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Last Name

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Telephone

Example: 000-000-0000

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Ext.

Prescription number

Example: 0000000-0000

Rx

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Rx

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Rx

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Rx

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+ Add other prescriptions

I wish to add a note for the pharmacist

Choose my pharmacy

Do not hesitate to consult your pharmacist for any information concerning medications.
The option to refill your prescriptions on the Jean Coutu website allows you to submit a prescription refill request to a Jean Coutu pharmacy near you. In accordance with the Pharmacy Act, preparation of the order remains the responsibility of the chosen pharmacy.