IU Health Georgetown Retail Pharmacy

  
  Enter your refill information

Please note all fields are required to process your refill request.

Last Name:      
Birthdate:     (MM/DD/YYYY)
Prescription Number: 1       2
3       4
5       6
Delivery Method:
 

Contact Information


E-mail:
Phone Number: ###-###-####

Would you like the pharmacy to contact your doctor if your prescription needs authorization?