- Fax: 1 (877) 251-5896
- Urgent Requests: 1 (800) 417-8164
Express Scripts Prior (Rx) Authorization Form
An Express Scripts prior authorization form is used by a medical office when requesting coverage for a patient's prescription. Medical staff must complete the form before delivering it to Express Scrips for review so they can determine if the prescription is covered by the patient's insurance plan.
Updated November 18, 2024
4.8 Stars | 187 Ratings
Downloads:
8,443