Hup intranet 2025

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The document outlines the mail-order prescription service offered by Penn Medicine at Radnor for employees of the University of Pennsylvania Health System with Caremark prescription benefits. It provides instructions for placing an order, including completing an order form, mailing prescriptions, and payment details. The service allows employees to obtain a 90-day supply of medications conveniently while benefiting from lower co-pays compared to other pharmacies.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your Patient First and Last Name in the designated field at the top of the form.
Fill in your Street Address, City, State, and Zip Code accurately to ensure proper delivery.
Provide your Home Phone number and Birthdate in the respective fields.
Complete the Caremark Information section by entering your ID Number and Group Number.
List any medications you are ordering under Refills for Penn Medicine at Radnor Pharmacy Prescriptions, including Rx Numbers and Medication Names.
In the Comments section, specify if you do not want a generic substitution for any medication.
Select your payment method and fill out the Credit Card information, including Number, Expiration Date, and Security Code.
Finally, review all entered information for accuracy before submitting your form via mail as instructed.

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