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Express Scripts and Caremark are both currently facing lawsuits from independent pharmacies over their contracting practices. Krogers dispute with Express Scripts was also cited in a lawsuit from the state of Ohio against PBMs in 2023.
If your request for prescription coverage was denied, you have the right to ask for a redetermination (appeal) of our decision. If youre an Express Scripts member, log in to your account before filling out this form. Did the doctor requesting this appeal also prescribe the medication?
You can also file a grievance. This is also known as a complaint. To file a complaint, please contact: Civil Rights Coordinator at Express Scripts Medicare, P.O. Box 4083, Dublin, OH 43016. Complaint forms are available at .
You may also ask us for an appeal through our website at .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).
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