📞 248-404-5045
Mon–Fri 9–7 · Sat 9–4
5700 E 11 Mile Road STE 2, Warren MI 48091
Moda Meds
Independent Pharmacy · Rx
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Home
About
Services
Shop
Refill Rx
Book Visit
Journal
Contact
⎯⎯ PRESCRIPTIONS
Refill or transfer a prescription.
Submit in under two minutes. Our team will follow up by phone.
Full Name *
Date of Birth *
Phone *
Email *
Rx Number *
Medication Name
Pickup or Delivery *
Pickup
Delivery
Delivery Address (if applicable)
Pharmacy Name & Telephone
Insurance Information
Submit Request
HIPAA aware · We will phone you to confirm
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