Insurance Information

TCU Health Center Pharmacy
Located in The Brown-Lupton Health Center
2825 S. University Drive
Fort Worth, TX 76129
PHONE: (817) 257-8849
FAX: (817) 257-5271

help@tcupharmacy.com

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Insurance Information Submit Form 
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.

By providing the following information, you will allow us to process your prescription requests more efficiently.

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.

To set your account up at TCU Pharmacy please complete all of the following information.

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

Insurance Information Form
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