Quick answer
If your CHAMPVA Meds by Mail prescription still has refills available, VA currently gives you 3 ways to request the next fill:
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Online: Refill and track the prescription through VA's online medication tool.
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By phone: Call the automated Meds by Mail refill line at 888-370-1699. The automated line is available 24/7. Have your full Social Security number and prescription number ready.
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By mail: Send the bar-coded refill slip that came with your medication to:
Meds by Mail
PO Box 331178
Murfreesboro, TN 37133
VA's current Meds by Mail instructions say online and phone refills may take up to 10 days for processing and delivery. A refill requested by mail may take up to 15 days for processing and delivery.
If the prescription has expired or has no refills remaining, that is a renewal, not a normal refill. VA instructs beneficiaries to call Meds by Mail and ask for a prescription renewal.
Refill vs. renewal: know which one you need
A refill and a renewal are different tasks.
- Refill: The prescription is still active and has refills remaining. You can use the online, automated phone, or mail options.
- Renewal: The prescription has expired or has no refills left. VA's current instructions say to call Meds by Mail and request a prescription renewal.
This distinction matters because repeatedly trying the automated refill process will not solve an expired prescription or one with no refills remaining.
For a prescription that has never been sent to Meds by Mail before, use How to Start a New CHAMPVA Meds by Mail Prescription instead.
Option 1: Refill online
VA says you can refill and track Meds by Mail prescriptions through its online medication-management tool.
Use the current VA prescription and medication management page to sign in. VA's online tool allows eligible users to:
- request prescription refills;
- track prescription shipments; and
- review medications associated with VA pharmacy services.
The online route is one of the fastest refill methods. VA currently advises allowing up to 10 days for processing and delivery.
If an expected Meds by Mail prescription does not appear as refillable online, check whether it is expired or has no refills remaining before assuming the website is malfunctioning.
Option 2: Refill by automated phone
VA's currently posted CHAMPVA Guidebook lists the Meds by Mail automated refill line as:
888-370-1699
The automated refill line is available 24 hours a day, 7 days a week.
VA's current Meds by Mail page says you will need:
- your full Social Security number; and
- your prescription number.
Phone refills may take up to 10 days for processing and delivery.
Because the automated system uses your full Social Security number to identify you, initiate the call yourself using the official VA number rather than providing that information in response to an unsolicited call or message.
Option 3: Refill by mail
Each Meds by Mail delivery includes a bar-coded refill slip. You can mail that slip to:
Meds by Mail
PO Box 331178
Murfreesboro, TN 37133
VA's current web guidance says mailed refill requests may take up to 15 days for processing and delivery.
VA also specifically recommends mailing the refill slip as soon as you receive each prescription delivery. That instruction is useful because mail is the slowest of the 3 refill routes and waiting until only a few doses remain creates an avoidable risk of running out.
The older timing language in the currently posted CHAMPVA Guidebook says to allow up to 10 business days for processing after mailing. For planning purposes, this guide uses the newer VA web guidance updated August 12, 2026, which says a mailed refill may take up to 15 days for processing and delivery.
How to renew an expired prescription or one with no refills left
If the prescription has expired or the refill count has reached zero, VA says to call Meds by Mail and ask for a prescription renewal.
The currently posted CHAMPVA Guidebook lists these Meds by Mail Service Center numbers for prescription and refill questions:
- 866-229-7389
- 888-385-0235
VA's current Meds by Mail page lists staffed service hours as Monday through Friday, 8:00 a.m. to 7:30 p.m. Eastern Time.
A renewal can take longer than a routine refill because the prescription itself needs to be renewed. If you see that the prescription is near its expiration date or has no refills remaining, address the renewal before you are down to your last doses.
Do not assume that the online refill button or automated refill line can convert an expired prescription into a renewed prescription. VA separates the renewal process from ordinary refills.
A practical way to avoid medication gaps
Meds by Mail is intended for non-urgent medications you take regularly, so the safest approach is to plan around the program's processing and delivery time rather than waiting until you are almost out.
Before each refill cycle:
- Check whether refills remain. If none remain, use the renewal process instead of a normal refill request.
- Check whether the prescription is still active. An expired prescription needs renewal.
- Use online or phone when timing is tight. VA currently gives those methods a shorter maximum processing-and-delivery estimate than mail.
- If using mail, send the refill slip promptly. VA recommends mailing it as soon as you receive each delivery.
- Track the shipment online when available. Tracking can help you notice a stalled order before you run out.
- Do not rely on Meds by Mail for an urgent medication need. VA describes Meds by Mail as a non-urgent maintenance-medication service.
If you need medication before a Meds by Mail shipment can reasonably arrive, contact your prescriber about the immediate need. VA's CHAMPVA care guidance explains that urgent prescriptions can be filled through participating OptumRx retail pharmacies, subject to the applicable CHAMPVA pharmacy rules.
For the broader differences between retail pharmacy coverage and Meds by Mail, see CHAMPVA Prescription Drug Coverage.
What to do if a refill does not go through
A failed refill request does not always mean the Meds by Mail system is down. Check the basics first:
- Does the prescription still have refills remaining?
- Has the prescription expired?
- Are you entering the correct prescription number?
- Has your prescription insurance situation changed in a way that could affect Meds by Mail eligibility?
- Is the medication still available through Meds by Mail?
If the prescription is expired or out of refills, request a renewal. If the problem is unclear, call the Meds by Mail Service Center rather than repeatedly submitting the same refill request.
For a broader list of CHAMPVA contacts, see CHAMPVA Contacts, Mailing Addresses, and Official Forms.
Eligibility reminder
For CHAMPVA beneficiaries, Meds by Mail is available only when you do not have other health insurance with prescription coverage, including Medicare Part D.
If your other prescription coverage has changed since the last fill, do not assume your Meds by Mail eligibility is unchanged. Review VA's current Meds by Mail eligibility guidance or contact CHAMPVA.
This page focuses on refilling and renewing an existing prescription. For eligibility, costs, other insurance, retail pharmacy use, and medication-specific coverage rules, use the broader CHAMPVA Prescription Drug Coverage guide.