Pa Real Form For Express Scripts
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FAQ
These days, almost all brand name or expensive medications require a prior authorization. A prior authorization means the insurance company requires documentation from the prescriber showing why they are not prescribing a less expensive alternative medication.
If your prescription requires prior authorization, you or your doctor can initiate the prior authorization review by calling Express Scripts at 1-800-753-2851. Express Scripts will inform you and your doctor in writing of the coverage decision.
Certain prescription medications need to be preapproved by Express Scripts before they will be covered. This preapproval process is known as prior authorization. If you do not receive approval for drugs requiring prior authorization, you may pay the full cost of the medication.
The prior authorization (PA) process can be frustrating. Sometimes you may not find out that your medication requires PA until you hear from your doctor or the pharmacy that your prescription can't be filled. This guide will help you understand the PA process from start to finish.
To order a refill, log in to your account and go to Refill Prescriptions under Prescriptions in the main menu. Choose your available medication and place your order. You can also order refills through the Express Scripts® Pharmacy mobile app. If you can't find the answer to your question, please contact us.