Steps to Getting a Prescription Filled at the Clinic Pharmacy:

  1. Sign in at the Patient Registration Desk at the Pharmacy
  2. Fill out medication requests, or provide any new prescriptions

New prescriptions filled at the clinic pharmacy:

 Prescriptions must be written for medications carried on the health clinic Pharmacy Formulary. If a medication is not available through the health clinic pharmacy, you may elect to request a comparable prescription from your doctor or fill it yourself at your own expense from another pharmacy.


 For refills call, 251-368-9134 (this phone number can be found in the top right corner of your NEW prescription label), have your prescription numbers in hand, and follow the automated instructions. The prescription number can be found in the bottom left-hand corner of the prescription label under the name of your medication.

Prescriptions filled at the Contract Pharmacy:

 For Medications not on Health Clinic Pharmacy Formulary a “Non- formulary Drug Request Form” must be completed by your provider in order for PCI to consider approving payment at an outside pharmacy.

In order to minimize expenses and maximize benefits for the majority of patients, outside approvals are limited to those prescriptions which have no comparable substitute and that are vital to preserve life, limb, and /or organ.

If you are referred to an outside provider, the prescriptions he/she may write are not automatically provided. The same conditions outlined above apply to those as well. You and your doctor’s office may access the formulary at the following website:

Copies are also available at the pharmacy.

Please keep in mind that there are products on the formulary which may require you (Tribal Members or 1st generation) to take the prescription to an outside contracted pharmacy. Those products and their co-pays will be paid for by the Buford L. Rolin Health Clinic only with proper approval.

There are some medications, such as Orlistat (Xenical) and Varenicline (Chantix), which require documented education at the health clinic prior to each fill.

Non-controlled drug prescriptions are valid for one year from the date your doctor writes them.

Medications that are taken routinely are dispensed in 30-day supplies:

Depending on the clinic load each day, monthly refills may not be available for pick-up until the next day. It is best to allow at least 24 hours for a routine refill. Do not wait until you run out to request a refill. You may request a refill up to 3 days before your current supply is exhausted. Confidential education and consultation are provided.

If you request someone else to pick up your medications, you must provide his/her name, date of birth, and your permission for them to pick up your medications.