Tricare express scripts prior authorization phone number

Real-time data

Get important patient benefit data prior to e-Prescribing. View patient out-of-pocket costs, coverage alerts and therapeutic options – and avoid having to change a prescription later.

Direct messaging

With immediate access to patient-specific information within your electronic health record, you can make better decisions for your patients, right in the exam room.

Integrated capability

Integrate the information you need into your electronic health record, making it easier than ever for you and your staff to submit electronic prior authorizations (ePAs).

Connect to all PBMs and payers with ePA from Surescripts.® It’s easy to submit ePA requests and you can save valuable time if you haven’t fully integrated ePA into your electronic health record workflow.

CoverMyMeds® is a one-stop solution that works for all medications and all payers.

The ExpressPAth® portal lets you manage prescription drug ePAs for patients with Express Scripts pharmacy benefits, or if your patient’s health plan is part of Care Continuum. Not available for TRICARE® beneficiaries.

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.

• Visit this page for state specific forms and PA statistics 
• Download General Request Form
• Medicare Plan Members Coverage Review Information

National Preferred Formulary (NPF)

Our highly-effective, clinically-based NPF is an example of how we make the market work for payers and patients by leveraging competition and directing members to medications with the lowest net cost. The NPF provides access to nearly 4,000 medications, including 600 brand-name drugs and 99% of all generics.

Medicare Part D Formularies

Express Scripts Medicare Part D formularies are reviewed by a Pharmacy & Therapeutics Committee comprised of independent, actively practicing physicians and pharmacists approved by the Centers for Medicare & Medicaid Services. Be sure to refer to the formulary that applies to your patient’s plan option.

TRICARE Home Delivery Pharmacy Program

We’re honored to enable military members and their families to get their medications delivered directly to their home or anywhere they choose. Home Delivery is more cost effective compared to filling prescriptions through retail pharmacies. Also, during the e-prescribing process, patient-specific TRICARE pharmacy data is now available to providers who have Real-Time Prescription Benefit functionality embedded in their electronic health record.

Drug Recalls

Visit the link below for a list of drug recalls managed by the U.S. Food & Drug Administration.

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 .