Get Il Express Scripts Stlnesew

The IL Express Scripts STLNESEW form is essential for managing your prescriptions via home delivery. This guide will provide you with a comprehensive overview of the form's components and step-by-step instructions to ensure you complete it accurately and efficiently.

Follow the steps to successfully complete your IL Express Scripts STLNESEW form.

1. Click the ‘Get Form’ button to obtain the form and open it for editing.
2. Begin by providing your member information. This includes verifying your Member ID, Group, and ensuring your email address is correct for receiving notifications regarding your prescriptions.
3. Fill in your name, street address, city, state, and ZIP code. If you wish to use a new shipping address, provide that information as well. Note that this address will remain on file for future orders unless changed.
4. Next, move on to the patient and doctor information section. Complete a section for each individual with a prescription. This includes the patient's first and last name, birth date, gender, and their relationship to the member.
5. For each patient, also fill in the doctor’s last name, first initial, and their phone number. If there are multiple prescriptions from different doctors, ensure to complete additional sections as needed.
6. In the order completion section, indicate the number of prescriptions you are submitting. Choose your payment option, either by e-check, credit card, or check. Provide the necessary payment details including the card number and expiration date if paying by credit card.
7. If required, sign to authorize Express Scripts to charge your card for all orders. Consider the option to rush the mailing of your shipment if needed, and ensure the correct address is filled in.
8. Review all information for accuracy. Ensure all necessary signatures are included and that the payment options are clearly marked.
9. Once completed, place your prescriptions, this form, and payment in an envelope. Do not use staples or paper clips, and send it to the address provided on the form.
10. Finally, save any changes made to the form, and consider downloading or printing it for your records before sending it off.

Begin filling out your IL Express Scripts STLNESEW form online to ensure your prescriptions are managed smoothly.