Premier Drugstore is only licensed to dispense and ship prescriptions in the state of Georgia. Per federal and state regulations, we cannot ship prescription items across state lines.

Please fill out form completely and legibly to prevent delays. Once completed, fax to the fax number on the bottom of the form.

If you are a prescriber, and you would like to have your forms personalized, please fill out the form below and we will be in contact with you.