RX REFERRAL FORMS Toll Free 855.362.3397 Company Patients Providers News & Resources Personalized Healthcare Get the advice and expertise you need from the certified pharmacists at DirectRx The advice and information you need about your prescriptions is right at your fingertips. Our DirectRx pharmacists can answer all of your questions and provide their expertise to not only help you solve problems, but also better manage your treatment plan. At DirectRx Pharmacy, we care about our patients needs and it is our pleasure to assist you with any questions you may have. Ask The Pharmacist Simply complete the form below and we will be happy to reply to your questions via the email address you have provided. If you prefer, we can even call you directly to discuss your questions and concerns. First Name Email Last Name Phone Purpose Choose an option arrow&amp;v Question I confirm that the information given in this form is true Submit Got Questions? We've got the answers. Contact us to discuss how DirectRx can support you. Get In Touch Quick Links Home What We Do Service Map Provider Information Patients Request Refill Ask The Pharmacist Referral Forms Resources Careers News Contact Contact Details info@directrx.com (855) 362-3397 Fax: (877) 892-4007 830 Kirts Blvd, Ste. 300 Troy, MI 48084 Connect © 2021 by DirectRx Pty Ltd

RX REFERRAL FORMS Toll Free 855.362.3397 Company Patients Providers News & Resources Got Questions? We've got the answers. Contact us to discuss how DirectRx can support you. Get In Touch Quick Links Home What We Do Service Map Provider Information Patients Request Refill Ask The Pharmacist Referral Forms Resources Careers News Contact Contact Details info@directrx.com (855) 362-3397 Fax: (877) 892-4007 830 Kirts Blvd, Ste. 300 Troy, MI 48084 Connect © 2021 by DirectRx Pty Ltd