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Hup intranet 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your Patient First and Last Name in the designated field. This is essential for identifying your prescription order.
  3. Fill in your Street Address, City, State, and Zip Code to ensure accurate delivery of your medications.
  4. Provide your Home Phone number and Birthdate for verification purposes.
  5. Complete the Caremark Information section by entering your ID Number and Group Number.
  6. List any medications you are ordering under Refills for Penn Medicine at Radnor Pharmacy Prescriptions, including Rx Numbers and Medication Names.
  7. In the Comments section, specify if you do not want a generic substitution for any medication.
  8. Select your payment method and enter the Credit Card Number, Expiration Date, Security Code, and Name of Card Holder.
  9. Finally, review all entered information for accuracy before submitting the form via mail as instructed.

Start using our platform today to streamline your prescription orders effortlessly!

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