Need A Rx Refill? Contact Us Fill out the form to get started. Ready to refill your medication? At wellnesslabRX, you can submit a request to refill your meds online. Just fill out the form below, and we’ll make sure to refill your Rx as soon as possible. Please enable JavaScript in your browser to complete this form.First Name *Last Name *Date of Birth *Phone Number *Street AddressCityStateZipPlease list the 6 digit Refill number or medication name (separated by commas) *Check One:PickupDeliverySubmit