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Get Express Scripts New Prescription Fax Form
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How to fill out the Express Scripts New Prescription Fax Form online
Filling out the Express Scripts New Prescription Fax Form is an essential step in ensuring your prescription is processed efficiently. This guide provides clear and detailed steps to help you complete the form online, making the process smooth and straightforward.
Follow the steps to successfully complete the form.
- Press the ‘Get Form’ button to access the document and open it in your editor.
- Begin by completing all required information in the prescriber information section, including the prescriber name, DEA number, and fax number. Ensure you include the NPI number as well, as this is crucial for processing.
- Next, input the member information. This includes the prescription drug card member number, making sure to include all characters and leaving boxes blank for spaces. Also, fill in the cardholder's name.
- Proceed to enter patient information, which includes the patient’s name and date of birth (DOB). You will also need to fill in or attach the prescription details.
- Complete the prescription details by indicating the medication name, strength, and any medical conditions that apply. If applicable, mention any allergies, and specify a quantity.
- Indicate any specific directions for the medication, as well as the number of refills requested.
- If required, print the supervising physician's name in the designated area. Ensure the prescription is signed and dated by the prescriber, as stamps are not accepted.
- Finally, fax the completed form from your secure fax line to 1-800-837-0959. Remember to fax without a cover sheet and ensure all sections are filled out, as incomplete forms can result in processing delays.
- Once you've reviewed the document for accuracy, you can save your changes. You may also choose to download the completed form, print it for your records, or share it with others as needed.
Take the next step and complete your documents online for a hassle-free experience.
Yes, you can fax a prescription to Express Scripts. Utilizing the Express Scripts New Prescription Fax Form, simply complete the document with the required information and send it to the designated fax number. This method guarantees that your prescription is received and processed in a timely manner, making it convenient for you.
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