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Bill Info

Please enter the information requested below:
Pharmacy Payment Type: Chartwell Pennsylvania, LP Pre-Payment
Customer Last Name:
Customer First Name:
Customer Number:
Click here to see the Customer Number circled in red on your statement facsimile
Payor Last Name:
Payor First Name:
Phone Number:
Pre-Payment Amount:
After you have made your payment, you will be presented with a receipt that you should print for your records. If you also want to receive an e-mail confirmation of this transaction, the contents of which may be considered private, please enter your e-mail address twice (for verification) below:
EMail Address:
EMail Address Confirm:
By clicking submit, I authorize UPMC to initiate a one-time charge or debit entry in the amount indicated above on the credit card, debit card, check card or banking account I selected, as full or partial payment for services provided by UPMC.
If you have a question about your bill, please call 1-800-366-6020 Option 6

Payment Info

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Banking Information

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