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Health Spectrum Pharmacy Services

Express Refills

 
Prescription Information:

Health Spectrum Pharmacy Services, an entity of Lehigh Valley Hospital, is solely licensed to ship prescription drug products in the Commonwealth of Pennsylvania.

To protect your privacy, please enter ONLY your prescription number(s) below. This can be found on the label of your original prescription. This number is all we need to access your record. If we have any questions, we will contact you at the phone number you provide.

This form is not encrypted. Please do not submit confidential or sensitive information such as medical information, Social Security numbers, or credit card numbers.

For information on the disposal of unused medicine and prescription drug products, please consult the FDA Guidelines for Drug Disposal (FDA website).


Rx:  A value is required. Format must be 7 digits. Rx:  Format must be 7 digits.
Rx:  Format must be 7 digits. Rx:  Format must be 7 digits.
Rx:  Format must be 7 digits. Rx:  Format must be 7 digits.

 Pickup
Pickup Location:
Please select an item.
 Ship via USPS
 
Contact Information:
Phone:  A value is required. Format must be xxxxxxxxxx