Please fill out the form to order your prescriptions

N.B. Prescriptions require three working days notice

Prescriptions will incur a fee of €20.00 for private patients only. If you are a private patient, you will be transferred to the payment page when you submit the form.


Your Details

Your Address
Your Address
Address Line 1
Address Line 2 (optional)

Patient details

Is the patient a private patient ? *
Patient’s Address
Patient's Address
Address Line 1
Address Line 2 (optional)

Prescription details

Please advise which prescriptions you would like to order allowing one line per item.


Wallace’s Pharmacy,
Ballyvolane Shopping Centre,
Ballyvolane, Cork
Carrignavar Pharmacy
Unit 3&4
Main St Carrignavar
Co. Cork
Blackpool Late Night Pharmacy,
34 Watercourse Rd, Blackpool,
Cork, T23 PRH6
Glenheights Pharmacy,
4 College Shopping Centre,
Ballyvolane, Cork
Sam McCauley’s Blackpool,
Unit 15/ 17,
Blackpool Shopping Centre, Cork
Boots Blackpool,
Blackpool Retail Park,
Blackpool, Cork
Bourkes Pharmacy,
4A Iona Park,
Mayfield, Cork
Irwins Pharmacy,
Unit 1, Mayfield Shopping Centre,
Mayfield, Cork
Phelan’s Pharmacy,
Crestfield Centre,
Glanmire, Co Cork
Pharmacy First Plus Glanmire,
Hazelwood Rd, Riverstown,
Glanmire, Co. Cork
Owenacurra Pharmacy,
79 Main St, Midleton,
Co. Cork, P25 PY99
McElligott’s Pharmacy Blarney,
Ashdale House, Shean Lower,
Blarney, Co. Cork
Hickey’s Pharmacy Mayfield,
Murray’s Supervalu,
Old Youghal Rd, Mayfield, Cork
Pharmacy First Plus Northside,
Glenwood Drive Cork


  • Fee for the prescription is €20.
  • Payment will be taken through Stripe. You do not need a Stripe account.
  • You will receive an email confirming your payment.
  • does not store your credit card details


Please fill out your credit card details.

Credit Card

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