Weight Loss Refill Request Form

Emerge Wellness - Idaho & Oregon

Please allow for processing time:

If you receive a confirmation after submitting on this page, your request has been received—there is no need to submit again.

Emerge Wellness: 1-3 Business Days

Mountain Care Pharmacy: 3-5 Business Days

After submission:

For any questions regarding shipping, delivery, or adjustments after your prescription has been sent, please contact the pharmacy directly at 208-287-4667