Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Express Scripts Canada before sending sensitive documents. FaxFlow is not affiliated with this organization.
Express Scripts Canada fax number
(855) 712-6329
Clinical Services
Used for: Prior Authorization Form submission for medications requiring prior approval
Fax destination details
- Department
- Clinical Services
- Purpose
- Prior Authorization Form submission for medications requiring prior approval
- Form
- Prior Authorization Form — Prior Authorization Form
- Address
- 6985 Financial Drive, Suite 300, Mississauga, ON L5N 0G3
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Complete Part A (patient) and Part B (prescribing physician) and fax the completed form to Express Scripts Canada Clinical Services at 1-855-712-6329 or mail to Express Scripts Canada Clinical Services, 6985 Financial Drive, Suite 300, Mississauga, ON L5N 0G3.
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