.refill-page .transfer-form {
  max-width: 980px;
}

.refill-section-title {
  margin: 24px 0 18px;
  padding: 9px 16px;
  border-radius: 6px;
  background: #f0f0f0;
  color: #4d5148;
  font-size: .82rem;
  font-weight: 900;
  letter-spacing: .02em;
  text-align: center;
  text-transform: uppercase;
}

.refill-section-title span {
  font-size: .72rem;
  color: #222;
}

.refill-rx-grid {
  display: grid;
  grid-template-columns: repeat(2, minmax(0, 1fr));
  gap: 16px;
  margin-bottom: 18px;
}

.refill-number-field {
  display: grid;
  grid-template-columns: 48px 1fr;
}

.refill-number-field span {
  display: flex;
  align-items: center;
  justify-content: center;
  border-radius: 10px 0 0 10px;
  background: #f0f0f0;
  color: #888;
  font-size: .78rem;
  font-weight: 800;
}

.refill-number-field input {
  margin: 0;
  border-radius: 0 10px 10px 0;
}

.refill-otc-box {
  border: 1px solid #d8ddd0;
  border-top: 14px solid #c8c8c8;
  border-radius: 8px;
  padding: 22px;
  margin-bottom: 18px;
}

.refill-otc-row {
  display: grid;
  grid-template-columns: 1fr 1fr;
  gap: 12px;
  margin-bottom: 14px;
}

.refill-otc-row:last-child {
  margin-bottom: 0;
}

.refill-form select {
  border-radius: 12px;
  padding: 13px 14px;
}

@media (max-width: 760px) {
  .refill-rx-grid,
  .refill-otc-row {
    grid-template-columns: 1fr;
  }

  .refill-number-field {
    grid-template-columns: 44px 1fr;
  }

  .refill-otc-box {
    padding: 16px;
  }
}