Get Express Scripts Prior Authorization Form

Protect your personal information: Express Scripts may need to reach out to you by either call or email to clarify your prescription information for order processing or alert you about an unpaid balance.

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.

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.

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.

Tell us a little about your needs or challenges and let's start the conversation. 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.

To get started, grab your Express Scripts ID card and visit .express-scripts.com. If you have questions, please call Express Scripts toll-free at 866‑685‑2792 (non-Medicare enrollees) or 888‑416‑3326 (Medicare enrollees).

Certain prescription medications need to be preapproved by Express Scripts before they will be covered. This preapproval process is known as prior authorization. If you do not receive approval for drugs requiring prior authorization, you may pay the full cost of the medication.

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 plan's requirements, you pay the plan's copayment at the pharmacy.