Fill Out Your Express Scripts Form

What is the Express Scripts order form used for?

The Express Scripts order form is required for submitting prescriptions via fax for medication orders. This form ensures that the necessary information is included so that prescriptions can be processed efficiently. Each patient requires their own separate form, and it’s important to fill out all fields completely to avoid any delays in order fulfillment.

How do I properly fill out the Express Scripts order form?

To complete the form, start by providing all essential details such as the prescriber’s name, DEA or NPI number, and contact information. Then, include the patient's name, phone number, date of birth, and address. When it comes to medication, list the drug name, strength, quantity, directions for use, and the number of refills. If a brand name is necessary, the prescriber must write "BRAND NECESSARY" or "BRAND MEDICALLY NECESSARY" on the form. Remember, one form per patient is a must.

How long does it take for prescriptions submitted via fax to be processed?

Once the prescription is faxed to Express Scripts, it may take up to 72 hours for it to be entered into their system. There’s no need to resend the prescription or to call the service center for confirmation, as doing so could actually delay processing even further.

Can Controlled Substance II (CII) prescriptions be faxed using this form?

No, Controlled Substance II (CII) prescriptions cannot be submitted via fax. Only prescriptions from a prescriber’s office can be faxed, and for CII medications, alternative submission methods must be used to comply with regulations.

What should I do if I received the form in error?

If you’ve accidentally received the Express Scripts order form but are not the intended recipient, it is important to notify the sender immediately. You should refrain from disclosing any contents within the documents. Additionally, arrange for the return or destruction of the documents to maintain confidentiality as required by law.

Filling out the Express Scripts form can be straightforward, but there are some common mistakes that people often make. One frequent error is failing to fill in all the required information. It's crucial to provide complete details, including the prescriber’s name, address, and the patient's information. Missing even a single piece of information can cause delays in processing.

Another common mistake is not signing the form. The prescriber’s signature is vital. Without it, the pharmacy cannot process the order. It's easy to overlook this detail, but it’s essential for the document's validity.

People also often forget to specify brand name requirements. If a brand name drug is necessary, the prescriber must handwritten notes indicating "BRAND NECESSARY" or "BRAND MEDICALLY NECESSARY." Not doing so can lead to generic substitutes being dispensed instead of the preferred brand.

Incorrectly using the form for controlled substances can also be an issue. Specifically, CII prescriptions cannot be faxed. This mistake can lead to serious complications and delays. Ensure that the appropriate submission method is used for these types of prescriptions.

Another mistake is trying to submit multiple patients on one fax. The guidelines state that one form should be used per patient. Combining patients can create confusion and may result in orders being mixed up or not filled at all.

People sometimes forget to double-check contact information. Providing incorrect phone numbers or addresses can create barriers to communication between the pharmacy and the prescriber, potentially leading to delays in prescription fulfillment.

Finally, many people overlook including the date. This detail is crucial for tracking and processing the order correctly. Always remember to include the date to ensure everything goes smoothly.

When submitting prescriptions or medication orders through Express Scripts, several other forms and documents may be required. These documents help ensure the accurate and timely processing of prescriptions and contribute to effective communication among healthcare providers.

• Prior Authorization Form: This form is used when a prescriber seeks approval from an insurance company before a specific medication, treatment, or procedure is covered. It outlines the medical necessity for the requested treatment and may include supporting documentation.
• Prescription Drug Monitoring Program (PDMP) Report: Some states require healthcare providers to check a database that tracks prescriptions for controlled substances. The PDMP report helps to identify potential misuse or abuse of medications.
• Patient Medication Agreement: This document sets clear expectations between the patient and prescriber regarding the use of certain medications, particularly those with high potential for abuse. It typically includes information on adherence, possible side effects, and the responsibilities of both parties.
• Medication Refill Request Form: Patients or pharmacies may use this form to request refills for prescribed medications. It provides essential information such as medication name, dosage, and patient identification, helping streamline the refill process.

Having these additional forms ready can facilitate a smoother workflow when dealing with prescriptions through Express Scripts. They ensure compliance, enhance communication, and support patient care efficiency.

The Express Scripts order form serves a specific purpose in the realm of prescription management. Here is a list of 10 documents that share similar functions and features with the Express Scripts form.

• Patient Registration Form: Just like the Express Scripts form, this document collects essential patient information. It includes name, address, and contact details, ensuring that healthcare providers have accurate data for treatment purposes.
• Prescription Refill Request Form: This form allows patients or prescribers to request refills. Similar to the Express Scripts order form, it may require details such as prescription number, patient information, and medication specifics.
• Prior Authorization Request Form: This document is necessary when a healthcare provider needs approval from an insurance company for a specific treatment. Both forms require detailed medical and patient information to ensure proper processing.
• Emergency Prescription Authorization Form: In urgent situations, prescribers can use this form to authorize prescriptions rapidly. Like the Express Scripts order form, it must include vital patient and medication details.
• Medication Administration Record (MAR): This document tracks medications given to a patient, similar to how the Express Scripts form records orders for medications. Both documents are critical for ensuring proper medication administration.
• Controlled Substance Prescription Form: This form is specifically used for prescribing controlled substances. Similarity lies in the requirement for prescriber signatures and adherence to strict regulations, much like what is indicated for the Express Scripts medications.
• Health Insurance Claim Form: When submitting claims to insurance companies, this form collects comprehensive patient data and treatment details, similar to the requirements on the Express Scripts order form.
• Referral Form: Healthcare providers send patients to specialists using this form. It necessitates similar personal and medical information to assist the referral process, akin to what the Express Scripts form requires.
• Medication Order Form for Hospitals: Used within hospital settings, this document orders medications for patients. It includes similar fields, such as prescriber information and drug specifics, paralleling the structure of the Express Scripts form.
• Patient Consent Form: This document secures permission from patients for various medical treatments. Like the Express Scripts form, it often necessitates the patient's personal information and must be completed by the prescriber or medical staff.

When filling out the Express Scripts form, consider the following guidelines:

• Do ensure all fields are completed accurately, including prescriber and patient information.
• Do write 'BRAND NECESSARY' if a brand name product is needed.
• Don't resend the prescription once faxed, as it may delay processing.
• Don't submit prescriptions for CII drugs via fax, as this is prohibited.

Understanding the Express Scripts form can be crucial for prescribers and patients alike. However, there are several common misconceptions surrounding its use. Here are some key points to clarify:

• Myth 1: Prescriptions can be faxed by anyone.

Only a prescriber's office is authorized to submit fax prescriptions to Express Scripts. This means patients cannot send their own prescriptions directly.

• Myth 2: You can fax in controlled substances.

CII prescriptions, which are for certain controlled substances, cannot be faxed. It’s important to follow the specific rules for these types of prescriptions.

• Myth 3: You need to resend the prescription if you don't hear back quickly.

It can take up to 72 hours for your prescription to be entered into the system. Resending or calling can actually delay the process.

• Myth 4: Only one patient’s prescription can be faxed at a time.

While it’s advisable to use one form per patient, some providers might think it's necessary to combine multiple patients on a single form. Each patient should have their own submission to avoid confusion.

• Myth 5: Any format can be used for filling in the form.

It’s essential to fill in all requested information accurately and completely. Omitting details can result in delays or errors in processing.

• Myth 6: Sending the form via regular email is acceptable.

Prescriptions must be faxed to Express Scripts and cannot be sent via email due to confidentiality and security concerns.

• Myth 7: The prescriber must always specify “brand necessary” for all medications.

It is only required if a brand-name product is to be dispensed. The prescriber must handwrite 'BRAND NECESSARY' or 'BRAND MEDICALLY NECESSARY' on the form for those cases.

• Myth 8: You don’t need to keep copies of submitted forms.

It is advisable to keep copies of all submitted forms for your records. This can be helpful in case of discrepancies or follow-up needs.

• Myth 9: All information submitted is public.

The contents of this form are confidential and protected health information. Disclosure to unauthorized individuals is strictly prohibited.

By clarifying these misconceptions, prescribers and their offices can ensure smoother operations when using the Express Scripts form, making the prescription process more efficient for patients.

When using the Express Scripts form, careful attention to detail is essential. Here are the key takeaways to ensure a smooth process:

• Submit Only Once: After faxing the prescription, allow up to 72 hours for it to be processed. Resending it will only cause delays.
• Prescriber Submission: Only authorized prescriber's offices may submit the fax prescriptions.
• No CII Prescriptions: Controlled substances classified as Schedule II (CII) cannot be faxed using this form.
• Complete Information: Fill in all required fields on the form. Missing information can result in processing issues.
• Specific Instructions for Brands: If a brand-name product is necessary, the prescriber must write 'BRAND NECESSARY' or 'BRAND MEDICALLY NECESSARY' clearly on the form.
• One Form Per Patient: Each patient requires a separate fax form. Do not combine patients on one form.
• Confidentiality is Crucial: Be aware that the information contained is sensitive and should be handled in accordance with privacy regulations.
• Provider Signature Required: Ensure the prescriber prints and signs the form. This validates the prescription.
• Use Correct Contact Information: Double-check that the prescriber’s and patient’s contact information is accurate to avoid delays.
• Immediate Notification in Error: If you receive the information in error, notify the sender immediately for proper handling of confidential materials.

Understanding these key points can help expedite the prescription process while ensuring compliance with necessary regulations.