Physician Innovation

Other PA options
If you’re unable to use ePA, there are other ways to submit your PA request.
Call us at 800.753.2851, download a state specific fax form or fax your requests to the number shown on our general request form. For example, use the prior authorization general request form below if you would like to request a coverage determination (such as a step therapy exception) or if you would like to make an appeal for us to reconsider a coverage decision.
- Visit this page for state specific forms and PA statistics
- Download Prior Authorization General Request Form (e.g., use this to initiate step therapy exception)
- Medicare Plan Members Coverage Review Information
Other important resources

ePrescribing NCPDP ID
For patients with an Express Scripts ID card or TRICARE beneficiaries, ePrescribe to:
Express Scripts Home Delivery NCPDP ID 2623735 4600 North Hanley Road St. Louis, MO 63134
For Workers' Compensation, ePrescribe to:
Workers’ Comp Express Scripts NCPDP ID 0320301 4600 North Hanley Road St. Louis MO 63134
ePrescribing questions? Call 800.211.1456 or email ePrescribing@express-scripts.com.