Mail-Order Pharmacy Services

Click to download the Mail-Order Enrollment Form

Mail Order Enrollment Form

LifeBridge Health Outpatient Pharmacy at Northwest now offers free mail-order service.

How it works:

  1. Order up to a 3-month supply of your maintenance medications or medications you take regularly.
  2. LifeBridge Health Outpatient Pharmacy will fill your order and send it to the address you provide.
  3. Your medication will arrive within five days.


Two simple steps to use mail-order service:

  1. Complete the order form and mail it to:
    Northwest Hospital
    Attn: LifeBridge Health Outpatient Pharmacy at Northwest Hospital
    5401 Old Court Road
    Randallstown, MD 21133

    Or fax completed forms to: 410-701-4422
  2.  

  3. ePrescribe. Ask your doctor to send an electronic prescription to LifeBridge Health Outpatient Pharmacy at Northwest Hospital.