Prescriptions

Please call or submit all requests during regular business hours, you may submit your request in one of three ways:

(a) Phone:
281/480-6264
281/484-6264

(b) Fax:
281/480-4046
Attn: Nurse
Re: Refills

(c) E-Mail:

Name:

Email Address:

Subject:

Pharmacy Name:

Pharmacy Address:

Pharmacy Phone Number:

Message:

Recipients:
(Check one or more recipients.)
Dr. Mani's – Medical Assistant
Dr. Jafri's – Medical Assistant
Dr. Rungta's – Medical Assistant
Dr. Inamdar's – Medical Assistant
Dr. Altug's – Medical Assistant

     

Refills will be handled based on standard clinical criteria for refills

Denials:
Refills may be denied if further clinical evaluation is necessary, patient has not had a follow-up appointment or in the professional opinion of the Physician a refill is not necessary, or there has been non-compliance with recommendations. Patients may also be referred back to the Primary Care Physician for follow-up and refill requests. Many insurance plans will limit/restrict the amount, type, or duration of therapy, and/or require re-evaluation or referral back to Primary Care Physicians.

Substitutions:
Generic substitutions and/or changes to equivalent therapy may be part of your insurance contract for pharmacy benefits -- you should contact your insurance company or benefits administrator for details.

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