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An express scripts prior authorization form is meant to be used by medical offices when requesting coverage for a patient’s prescription. Step 3 fax or mail the completed form to express scripts canada®. Works for any prescription drug and any pharmacy. After you select the done.
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The medical staff will need to fill out the form with the patient’s personal and medical details, as well the prescriber’s. To ensure that all parties understand their rights, it is essential to create an authorization form. Step 2 prescribing doctor completes part b. Web express scripts prior (rx) authorization form.
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