Express Scripts

HIPAA Information

Business Associate Agreement
Download agreement forms or addendums to fulfill HIPAA requirements for business associates.

Release to Disclose Protected Health Information (PDF file)
Plan Sponsors must complete this form to allow Express Scripts to transfer claims data. For example, to a Disease Management vendor, broker or consultant.

Privacy Notices
Read our Notice of Privacy Practices, which describes how our members' medical information may be used and disclosed and explains how members can access their information. You can also view our Internet Privacy Promise, which describes the policies and practices we have developed to safeguard our members' information online.

PDF files require Adobe Acrobat Reader.