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Express Scripts Prescription Fax Form - GuideStone Insurance 2025

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The document is a refill request form for medications, requiring patient and pharmacy information, medication details, and preferred method of receiving the request. It includes a $10 fee for Schedule II medication refills between appointments, with a processing time of 72 hours.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How do I fax a prescription?

Express Scripts, Inc. Your doctor can fax this form to Express-Scripts at: 1-877-895-1900. 1-602-586-3911 (overseas)

Can you fax a prescription to Express Scripts?

E-PRESCRIBING OR FAX | The easiest way to enjoy the convenience of home delivery is to ask your provider to send your prescription(s) electronically to Express Scripts Pharmacy . Your provider can also fax your prescription to Express Scripts Pharmacy they can call (888) 327-9791 for faxing instructions.

How to fax a prescription?

To start, enter the pharmacys fax number. Next, fill out the rest of the required details. You can also type a custom message or insert an electronic signature. Find the attachment space, then drag and drop a copy of your prescription.

How do I fill out a prescription with Express Scripts?

Its easy to get a refill from Express Scripts Pharmacy. Just log in to your account and go to Refill Prescriptions under Prescriptions in the main menu. Choose your available medication and place your order. You can also order refills through the Express Scripts mobile app.

How do I transfer a prescription from a pharmacy to Express Scripts?

Call 844-516-3323 to speak with a prescription benefit specialist or sign in at .Express-Scripts.com/StartHD and select Transfer your retail prescriptions to get started. Well do the rest.

refill request form

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How to fax prescription to express script?

Your provider can also fax your prescription to Express Scripts Pharmacy they can call (888) 327-9791 for faxing instructions. Be sure to give them your member ID number. (Only providers can fax prescriptions.)

What is the fax number for Express Scripts prior authorization form?

After the form has been completed, it can be faxed to Express Scripts at 1-877-251-5896 for review. Express Scripts will notify your doctor of the approval or denial within 48 hours of receipt of the prior authorization form. Electronic Prior Authorization.