Complete your order: You can pay by e-check, check, money order, or credit card . Make checks and money orders payable to Medco Health Solutions, Inc., and ...
Complete your order: You can pay by e-check, check, money order, or credit card . Make checks and money orders payable to Express Scripts, and write your ...
Download and print a home delivery form by clicking the "print home delivery form" link on the Forms page. Mail the completed form and your prescription slip( s) to the address ... medcohealth® - Log in or register now to manage your health .
Medco Pharmacy®. MAIL-ORDER FORM. The Medco Pharmacy is part of the. Express Scripts family of pharmacies. 1 Member Information Please verify or ...
Order by mail: Send your order form and the written prescription provided by your doctor to: ... Order by fax: Have your doctor fax your order form and your written ...
Medco Pharmacy®. *6101*. MAIL-ORDER FORM. Member information: Please verify or provide Member information below. 1. FOLD HERE. FOLD HERE.
If you currently have UnitedHealthcare pharmacy benefits administered by Medco, OptumRx™ Mail. Service Pharmacy will be the mail order pharmacy for new business after January 1, 2012, ... Mail the new prescription and order form to the.
Medication Order Form. Mail this form to: Please use blue or black ink, capital letters, and fill in both sides of this form. Shipping Address. Refills - Order by Web, ...