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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
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To get started, you simply need to make the request through Express Scripts Member Services or online at www.express-scripts.com. You will need to choose the medication(s) you want to transfer to Home Delivery and confirm the prescribing doctor information so that ESI can contact the doctor on your behalf.
TRICARE provides prescription drug coverage with most TRICARE health plans. If you use the US Family Health Plan, you have a separate pharmacy coverage.
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.
What Does Pharmacist Reviewing Prescription Mean? A pharmacist is checking to see if the medication gives the appropriate interactions, dose, quantity, and indications. In addition, professionals will check the reliability of the medication to avoid forgery.
For help with your prescription benefit or prescriptions filled through the Express Scripts Pharmacy, call Patient Customer Service at the number on your prescription ID card or call 800.282. 2881. Log in to our client website for support and technical help, and to access insights specific to your plan.
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People also ask

You may also ask us for an appeal through our website at www.Express-Scripts.com. Expedited appeal requests can be made by phone at 1.800. 935.6103, (TTY users can call 1.800. 716.3231), 24 hours a day, 7 days a week (including holidays).
If a PA is needed, locate the process for submitting and obtain any required prior authorization forms. This information is typically found on the plan's website, or you may call the member services number found on the back of your insurance card.
mail a written complaint to the appropriate contractor (see below) and include the following: Your name, address and telephone number. Your Sponsor's Social Security number. Your date of birth. Your signature. A description of the issue or concern that must include: Date and time of the event.
A grievance is any complaint other than one that involves a coverage determination. You would file a grievance if you have any type of problem with us or one of our network pharmacies that does not relate to coverage for a prescription drug.
When your pharmacist tells you that your prescription needs a prior authorization, it simply means that more information is needed to see if your plan covers the drug. Only your doctor can provide this information and request a prior authorization. 2.

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