Thank you for choosing the IU Health Center Pharmacy!
We are happy to provide you with this convenient, but secure method of transferring your prescriptions to our pharmacy.
This form enables you to transfer up to five (5) prescriptions for up to five (5) dependents from your current pharmacy, to the IU Health Center Pharmacy.
If you have more prescriptions and/or dependents, then you may submit multiple forms.
Do you have a question for one of our Pharmacists? (812) 855-3865.
Do you have a technical question about this form? (812) 856-5475.