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Pharmacy Appeals

You may file an appealAn appeal is a request for reconsideration. if you disagree with a decision on your pharmacy benefit. This includes if the following is denied:

  • Your pharmacy claim,
  • Your request for medical necessity, or
  • Prior authorization

Your appeal must:

  • Be in writing and signed,
  • State specifically why you disagree,
  • Include a copy of the claim decision, and
  • Be postmarked or received by Express Scripts within a deadline of 90 calendar days from the date of the decision to:

Express Scripts, Inc.
P.O. Box 60903
Phoenix, AZ 85082-0903

You may submit more documentation to support your appeal. If you are still waiting for more documentation before the deadline, don’t miss the deadline. Submit your appeal with a statement that more documentation will be submitted at a later date (include expected date). 

When we receive your request, we will review the decisions related to your entire course of treatment.

Last Updated 6/18/2014

contact Your Contacts
Express Scripts, Inc.

Stateside: 1-877-363-1303
Overseas: 1-866-275-4732
(where toll-free service is established)

www.express-scripts.com/tricare


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