Express Scripts FoundationServices
Request Prior Authorization for Members with a Medco ID Card
By Fax
Download the prior authorization fax form (PDF file) and fax to 1.888.235.8551 without a cover sheet.
By Phone
Call 1.800.935.6103 to initiate a review, request a form, or ask questions.
Online
Log in to the Physician Coverage Review portal to use our online form. Need a password and PIN? Call 1.800.496.5661.
If your patient is a Medicare Part D member, go to our Medicare Resources to request coverage review.
