Complete your order: You can pay by e-check, check, money order, or credit card . Make checks and money orders payable to Express Scripts, and write your ...
Express Scripts Home Delivery Form : Useful Links
militaryrx.express-scripts.com
Home Delivery. Prescriptions delivered right to you. Express Scripts provides a convenient way to get your prescriptions. If you take medication ...
Home Delivery Order Options. Ask your doctor to write your prescription for up to a 90-day supply or the maximum days allowed by your plan with refills up to ...
To FAX your prescription: 1. Both “Dr/Prescriber” and “Rx Form” boxes must be filled out. 2. Doctor can fax to: 1-800-600-8105. ▫ Class II prescriptions cannot be ...
Patient/doctor information: Complete one section for each person with a prescription. If a person has prescriptions from more than one doctor, complete a new ...
Describes ways to send new prescriptions to Express Scripts for home delivery.
When can I refill my Home Delivery prescription?
Complete the Patient Profile section of the Express Scripts home delivery profile form for covered patients. • Mail the prescription(s) along with your applicable ...
Get started by contacting your doctor to request a 90-day prescription that he or she can ePrescribe directly to. Express Scripts. Or print a form by selecting “ Forms” ...
Here you can print out an order form to mail along with your written prescription, or blank fax form ...