Get Express Scripts Home Delivery Order Form

Filling out the Express Scripts home delivery order form online is a straightforward process that ensures your prescriptions are delivered directly to your door. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to successfully complete the order form:

1. Press the ‘Get Form’ button to access the form and open it in your preferred editor.
2. Ensure your doctor provides a prescription for a 90-day supply of your medication. This information is essential for processing your order.
3. Fill out the form using all capital letters in black ink. Make sure to fill in the ovals as demonstrated in the instructions.
4. Include this completed form with your first order to avoid any delays. Standard shipping is free and typically arrives within 14 days after your order is received.
5. Complete the required fields for your personal information, including your first and last name, date of birth, gender, and contact details like email and phone numbers.
6. Provide your shipping address. Make sure to supply a street address, as some medications cannot be delivered to a P.O. Box.
7. List any drug allergies, health conditions, over-the-counter medications you regularly take, and any medical devices you use in the designated sections.
8. If applicable, list any other prescription medications you are taking, particularly those not filled through Express Scripts Pharmacy.
9. Review all your entries for accuracy and completeness to ensure the pharmacy receives the correct information.
10. Once done, save your changes, and then download, print, or share the form as needed.

Complete your documents online today for a seamless prescription delivery experience.