Inquiry Form

Get answers to your questions quickly and easily online. Although Express Scripts answers the majority of questions within 1 business day, additional time may be needed to properly research some issues. Inquiries are answered between Monday and Friday from 8 a.m. to 5 p.m. CST.

* Required

	Seven-Digit NCPDP Number *
	Contact Name *
	Rejection Code *
	Reason Code *
	Member ID *
	Group Name
	Prescription Number *
	Date of Fill *
	NDC/Drug Name *
	Phone Number *
	Fax
	E-Mail
	Comments