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  • Mail Order Registration Form - Express Scripts

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3300 INSTRUCTIONS FOR PLACING YOUR ORDER Contact your doctor to write a new prescription for up to a three-month supply with authorized refills for up to one year. OPTION 1: MAIL Your Order 1. Complete.

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Contact support

Call Express Scripts at 877-603-1032, and let them do all the work. For most medications, Express Scripts will be able to contact your doctor and arrange for your first mail-order supply. Ask your doctor for a new prescription for up to a 90-day supply, plus refills for up to one year (if appropriate).

How long will it take to receive my home delivery medications from Express Scripts? Usually, you'll receive your medication within eight days after we receive a new prescription and about five days after we receive your refill request.

Express Scripts® Pharmacy is available to those with pharmacy benefits from Express Scripts and other participating pharmacy benefit managers.

your daily medications delivered to you with free standard shipping. Through Express Scripts® Pharmacy, you can order up to 90-days' worth of long-term, daily medication (or the amount allowed by your plan).

Your doctor's office can send your prescription to us electronically from their office or by fax. Go to Forms & Cards under Benefits in the top menu of the home page and select the appropriate form. your prescription to the address listed.

Please call us at 800.753. 2851 to submit a verbal prior authorization request if you are unable to use Electronic Prior Authorization. Prior Authorization criteria is available upon request.

Go to express-scripts.com and select Register, or download the Express Scripts mobile app for free from your mobile device's app store and select Register. Complete the information requested, including email address and personal information, and create a password.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232