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MCMC Services, LLC – Express Scripts Appeal Program fax number

(800) 882-4715

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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

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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.

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