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Ambulatory Care Pharmacies


How To Request Refills On-Line

  1. Beneath the "Prescription Refill Requests" title on the main page, click on the pharmacy where you plan to pick-up your refill.
  2. Enter the date and time you would like to pick up your refill(s).  Please allow 24 hours for your request to be processed.
  3. Enter your name, birth date, insurance plan, and allergies in the spaces provided.
  4. Enter the six- or seven-digit prescription number (located in the upper left corner of your prescription label) for each refill you are requesting. Include all zeros; do not include numbers after the dash at the end.
    Note: If your label indicated 'No Refills Remaining" at the bottom left of your label, please contact your physician to request a new prescription.
  5. If you do not have your prescription numbers, please type the medication name(s) for the refills you wish to request.
  6. Enter the city where you live as well as daytime and evening phone numbers, and your e-mail address.
  7. Click on "Submit."

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Last modification date: May 20, 2006 8:22 AM
URL: http://www.uihealthcare.com/pharmacy/acp