• Special Coupon

Transfer Rx

Submit your information in the form provided below. We are grateful for your enduring confidence in our pharmacist and drugstore staff.
You will enjoy exclusive discounts and privileges at Gaston Pharmacy when you transfer your prescription to us. We will be happy to receive your registration via the form below:

Required Information

Select a Sate
  • Alabama
  • Alaska
  • Arizona
  • Arkansas
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District Of Columbia
  • Florida
  • Georgia
  • Hawaii
  • Idaho
  • Illinois
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Mississippi
  • Missouri
  • Montana
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  • Nevada
  • New Hampshire
  • New Jersey
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  • New York
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  • North Dakota
  • Ohio
  • Oklahoma
  • Oregon
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  • Puerto Rico
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virgin Islands
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming

Prescriptions to be transferred

if you would like to transfer all prescriptions, simply check the box below.

If you would like to selectively transfer your prescriptions, simply start typing to find your medication. List specific prescriptions to be transferred

 

  • MEDICATION NAME
  • RX Number