Mail Order

How do I submit a prescription to the mail order pharmacy?

1. Obtain a written prescription from your doctor. Make sure your doctor writes the prescription for up to a 90-day supply of your medication (or for the maximum days supply allowed by your benefit). The prescription should include refills for up to one year, if appropriate.
2. Write the patient’s name, ID number, address and date of birth on the prescription.
3. Download the Express Scripts® Web Prescription Order Form and follow the instructions.
4. Attach your written prescription to the form as indicated.
5. Mail the order form and written prescription to this address:

Express Scripts, Inc.
P.O. Box 66773
St. Louis, MO 63166-6773

Download the Express Scripts® Web Prescription Order Form