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Submit a New Prescription

When you receive a new written prescription from your doctor for up to a 90 day supply of a medication, simply follow the instructions below.

If you haven't established a patient profile with ProAct Pharmacy Services, you can do so by clicking here before submitting a new prescription.

Via Mail

  • Print and complete an order form by clicking here . Be sure to indicate where you would like the prescription shipped and verify which of your family members it is for.
  • Send the original prescription, the completed order form and necessary co-payment to ProAct Pharmacy Services at the following address:

    1226 US Highway 11
    Gouverneur, NY, 13642

Via Fax

Your physician's office can fax new prescriptions to: 1-315-287-3330


ProAct Pharmacy Services now accepts e-prescribing directly from your physician. For more information on e-prescribing, have your doctor's office contact our pharmacy at 866-287-9885.