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Find a Provider
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Your Visit
Request An Appointment
MyChart
Pay a Bill or Get an Estimate
For Referring Providers
Explore UI Health Care
Adult Care
Pediatric Care
Cancer Center
Carver College of Medicine
Translate
About Us
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Contact Us
News and Stories
Share Your Story
Health Topics
Educational Resources & Support Groups
COVID-19
Clinical Trials
Medical Records
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Info For... Directory
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In this section
Pharmacy Services
Department of Pharmaceutical Care
Drug Information and Medication Use Evaluation
How to sign up for our prescription mail service
Investigational Drug Services
Pharmacy Poison Control
Pharmacy Technician Training Program
Specialty Pharmacy Services
Filling a New Specialty Pharmacy Prescription
Refill Your Specialty Medications
Diseases Specialty Pharmacists May Monitor
Medications Specialty Pharmacists May Manage
Frequently Asked Questions about the Specialty Pharmacy
Specialty Pharmacists
Specialty Pharmacy Patient Rights and Responsibilities
Patient Safety and Disposing Unused Medications
Transfer Your Prescriptions
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Transfer Your Prescriptions
If you would like our pharmacists to contact your local pharmacy to transfer a refillable prescription for pick-up, please complete the following information. Allow one business day for your prescription to be processed for pick-up. If your medications are needed in less than 24 hours, contact the pharmacy by telephone at
319-384-6800
.
Patient Information
First Name
This field is required.
Last Name
This field is required.
Email
This field is required.
Phone
This field is required.
Date of Birth
This field is required.
Allergies
Please list any known allergies to medications.
UI Health Care Pharmacy
Location
This field is required.
- Select -
Pharmacy - Iowa River Landing
Specialty Pharmacy Services
Pharmacy - North Dodge
Pharmacy - River Crossing
Pharmacy - Children’s Hospital Outpatient Pharmacy
Pharmacy - Pomerantz Level 2
Pharmacy - General Hospital
Discharge Pharmacy - Main Entrance
Pharmacy - Clinical Cancer Center
Pharmacy - Ambulatory Surgery Center
Requested Pickup Date and Time
This field is required.
Requested Pickup Date and Time: Date
This field is required.
Requested Pickup Date and Time: Time
This field is required.
Please allow one business day for your prescription to be processed for pick-up. If your medications are needed in less than 24 hours, please contact the pharmacy by telephone at
319-384-6800
.
Current Pharmacy
Name
This field is required.
City
This field is required.
Phone
This field is required.
Enter your pharmacy name, phone number, and prescription (Rx) number for each prescription you are requesting to transfer.
Prescriptions
Add Your Prescriptions Below:
Add Your Prescriptions Below:
Prescription
Example: Penicillin 500mg - 3 times daily
Fill this prescription now?
Yes, fill now
No, save for later
If you do not have your prescription number, please type the drug name and strength for each refill you are requesting in the boxes provided below.
Additional Information
Comments
Is there anything we should know before filling your prescriptions?
University of Iowa Health Care pharmacies accept most major insurance plans, but insurance plans may not cover all medications. Please review all prescription insurance claims with pharmacy personnel before you leave the pharmacy.
Leave this field blank