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If your prescription requires prior authorization, you or your doctor can initiate the prior authorization review by calling Express Scripts at 1-800-753-2851. Express Scripts will inform you and your doctor in writing of the coverage decision. Q: How do I know if my medication needs a coverage review?
Answer: Yes, your prescribing physician will need to obtain prior authorization (for any medication for which Express Scripts requires such prior authorization) in order for your prescription to be covered on your plans effective date. Contact Express Scripts at (877) 554-3091 for specific details.
Express Scripts prior authorization phone lines are open 24 hours a day, seven days a week, so a determination can be made right away. If the information provided meets your plans requirements, you pay the plans copayment at the pharmacy.
Express Scripts Pharmacy Members 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 1 (800) 282-2881.
If you need prior authorization, your doctors office will process the request for you at no charge. They will follow up with your insurance company until the request is approved or denied. This process can involve a great deal of back and forth.
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