Brown-Lupton Health Center
2825 Stadium Drive

Phone: (817) 257-8849
Fax: (817) 257-5271

Insurance Information

If you have never filled a prescription with the TCU Health Center Pharmacy OR you have existing or NEW prescription insurance coverage, you may submit/update your information on this form.

To access the TCU Aetna insurance plan, use the link for TCU Health Center in right margin. On that site click on insurance tab to access ID cards and claim forms.

If you have any questions regarding the TCU Health Center Pharmacy, please contact us by calling (817) 257-8849 or e-mailing. We'll get back to you as soon as possible.

Notice to Optum/United Healthcare Patients

TCU Pharmacy is contracted with ALL available networks for Optum and Catamaran prescription plans. However, some employers have selected a "closed limited network" usually labeled as Optum Bin 610279, PCN 9999. Please check with your HR department to verify your coverage. Students in these "closed limited networks" can usually "opt out" of this network, or they can charge the prescription to the student account, then file a reimbursement claim through your insurance. We are sorry for any inconvenience caused to you by your plan's coverage policy.

Please note: All fields noted by an asterisk are required.

 
Student Name:*


Student Date of Birth*
Month   Day   Year
   
TCU Student ID:*

Prescription Card Holder ID #:*

Group Number:*

Bin Number:*

PCN Number:

Email Address:*

Phone:*



Comments or questions:


 

Pharmacy Hours

Summer Hours
5/15-8/14/2017

Monday - Friday
11AM - 5PM
Closed 12PM - 1PM

Holiday Closings

Memorial Day
(5/29/17)
Independence Day
(7/4/17)

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