Refill Your Custom Prescription

Fill out this form and a member of our service team will review your refill request. This page can also be used when your provider sends a new prescription for a titration or dose change. Please add a note indicating that a new prescription or increased dose was sent.

If you have missed your medication for more than 4 weeks, you may need to contact your provider about restarting the titration at a lower dose to help minimize side effects such as nausea and vomiting.

First Name

Last Name

Phone Number

Date of Birth

Refill Rx Number If Known (Not Required)

When was your last dose of this medication?

If you're prescribed an injectable medication, would you like us to ship you injection supplies (syringes, needles, alcohol pads)?

Yes No

Payment Options

Credit Card on File (if available) Text/email me a secure payment link

Do you need to update your address?

Yes No

New Address

Notes to Pharmacy

Thank you for your interest in Dynamic Labs RX compounding pharmacy.

Monday – Friday: 8AM PST – 6PM PST
Saturday – Sunday: Closed

info@dynamicrxlabs.com
Phone: (425) 255-9000

Compounded drugs are not FDA-approved. Compounded drugs may be appropriate if an FDA-approved drug is not commercially available or cannot meet a patient's medical needs. Compounding pharmacies are regulated by State Boards of Pharmacy and must follow regulations set by the United States Pharmacopeia to ensure strict quality and safety standards.

*Compounded GLP-1s: This is a compounded drug that has not been approved by the FDA, has not been reviewed for safety, effectiveness, or quality, and has not been demonstrated to the FDA to be safe or effective for its intended use. The processes by which this drug is manufactured have not been reviewed by the FDA. FDA-approved alternatives are available.