Download Express Scripts Prior Authorization Fax Form | PDF 5,875 Downloads
Express Scripts Prior Authorization Fax Form | PDF
General Fax Form – Send to 1-877-329-3760
Request Script Online
1.800.753.2851
All Forms | Drug Specific
The Express Scripts prior authorization fax form allows prescribers management over a patient’s prescription drug use and may request scripts by telephone, online, or fax.
A prescription may be requested in any of the following ways;
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