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Get 877 526 2307 Form

REQUEST FOR MEDICARE PRESCRIPTION DRUG COVERAGE DETERMINATION This form may be sent to us by mail or fax Address Fax Number Express Scripts Inc. 1-877-526-2307 8640 Evans Road B401-03 St. Louis MO 63134 You may also ask us for a coverage determination by phone at 1-800-338-6180 TTY users can call 1-800899-2114 8 am to 6 pm 7 days a week or through our website at www.

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