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Express Scripts fax number

(608) 741-5483

Medicare Part D Claims

Used for: Medicare Part D prescription drug claim submission

Fax destination details

Department
Medicare Part D Claims
Purpose
Medicare Part D prescription drug claim submission
Form
Medicare Part D Prescription Drug Claim Form — Medicare Part D Prescription Drug Claim Form
Address
Express Scripts ATTN: Medicare Part D, P.O. Box 14718, Lexington, KY 40512-4718

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Instructions for Medicare Part D Prescription Drug Claim Form: print clearly; you may submit by mail or fax; include all requested information; claims may be submitted up to 36 months from the date of service; attach receipts as required. Submit to Express Scripts at P.O. Box 14718, Lexington, KY 40512-4718 or fax to 1-608-741-5483.

Official form instructions are published as a downloadable file on the organization's website.

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