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MCMC Services, LLC – Express Scripts Appeal Program fax number
(800) 882-4715
Express Scripts Appeal Program
Used for: External review submission for prescription drug benefits via the Express Scripts Appeal Program administered by MCMC Services, LLC (external review of pharmacy benefit determinations).
Fax destination details
- Department
- Express Scripts Appeal Program
- Purpose
- External review submission for prescription drug benefits via the Express Scripts Appeal Program administered by MCMC Services, LLC (external review of pharmacy benefit determinations).
- Address
- MCMC Services, LLC – Express Scripts Appeal Program, 1451 Rockville Pike, Suite 440, Rockville, MD 20852
- Voice phone
- (617) 375-7700
- 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.
Submit an external review request by mail or fax to MCMC Services, LLC – Express Scripts Appeal Program. Mail to 1451 Rockville Pike, Suite 440, Rockville, MD 20852 or fax to 1-800-882-4715. Requests must be received within four months of the adverse determination.
Official form instructions are published as a downloadable file on the organization's website.
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