Enroll

Join our Magnolia Pharmacy family and discover a simpler way to order and refill prescriptions. Enjoy free shipping, express delivery, savings opportunities, and access to our friendly, in-house pharmacists from the comfort of your home.

Enroll Online Now

    Personal Information









    PLEASE CHECK IF YOU ARE PLACING THIS ORDER FOR A PET

    Patient Information











    checked

    Patient Authorization (Please check one)

    The following terms and conditions govern the sales between MAGNOLIA Pharmacy authorized dispensary (the “Pharmacy”) and the individual (the “Patient”) regarding the products and services (”the Products”) offered for sale by the Pharmacy. The patient here in represents to the Pharmacy that:

    1. I have fully and accurately disclosed my personal information and personal health information and consent to its use by the Pharmacy.
    2. I have had a physical examination by a physician within the last 12 months and do not require a physical examination.
    3. I understand that all Products shall be sold and dispensed by a Pharmacy operating within the GEORGIA Board of Pharmacy jurisdiction and in a manner consistent with the laws of the United States of America.
    4. I authorize and appoint the Pharmacy, as my attorney and agent, to take all steps, sign all documents and to act on my behalf as if I were personally present and acting myself for the limited purposes of (a) obtaining a valid prescription for any prescription which I have sent to the Pharmacy; and (b) packaging my prescriptions and delivering them to me. This authorization shall include, but not be limited to: collecting and using my personal and personal health information as reasonably necessary for the fulfillment of my order, including disclosure to a licensed physician if required for the issuance of a valid prescription in the jurisdiction of the Pharmacy. This authorization may be revoked at any time and shall continue until I revoke it.
    5. I understand that the Pharmacy is legally incorporated and authorized by law to carry on business in the jurisdiction of the Pharmacy, and that I am purchasing medications that have been FDA approved for sale in the jurisdiction of the Pharmacy. Title to my medications passes from the Pharmacy to me in the jurisdiction of the Pharmacy when my medications leave the Pharmacy. All agreements reached or contracts formed with the Pharmacy shall be deemed to be made in the jurisdiction of the Pharmacy, the laws of the jurisdiction of the Pharmacy shall govern all transactions, and I adorn to the courts of the jurisdiction of the Pharmacy, which shall have sole and exclusive jurisdiction over any dispute arising between me and the Pharmacy, its affiliates, officers and directors.

    I HAVE READ AND UNDERSTAND THESE TERMS AND AGREE THAT THEY SHALL BE BINDING UPON ME AND MY ASSIGNS, HEIRS AND PERSONAL REPRESENTATIVES.

    A Magnolia Pharmacy representative will be in contact with you in the next 2-5 business days to collect additional information including medical conditions, insurance information, and payment information.

    If you would like to pay for your orders online, check below and we will e-mail you a personalized payment link.

    Or enroll by mail using our Patient Enrollment Form

    Once completed, please mail with your prescription to:

    Magnolia Pharmacy Services, LLC
    2620 Bethelview Drive, Suite 100
    Cumming, GA 30040

    Frequently Asked Questions

    How long does it take to process my prescription?

    It depends on how quickly we receive your prescription from your doctor or pharmacy. Once a valid, legal prescription is received, you should expect 2-5 days of processing time though our average is around 24 hours.

    What are your shipping rates?

    USPS Standard Ground Shipping: FREE – 2-8 business days
    USPS/UPS Signature Confirmation: $3.95 – 2-8 business days
    USPS Priority: $10.00 – 1-3 business days
    UPS Tracking: $11.95 – 1-5 business days
    UPS 2 Day: $17.95 – 2 business days
    UPS Next Day Air: $29.95 – 1 business day