Clinical Coverage Determinations
Certain medications require a coverage determination. These medications are noted on the formulary. The prescribing Practitioner is responsible for providing the necessary information to Express Scripts.
Express Scripts, Inc.
Attn: Medicare Reviews
P.O. Box 66571
St. Louis, MO 63166-6571
If Express Scripts has made an adverse determination of a medication or pharmaceutical product, you may initiate a redetermination within 60 calendar days from the date of our first decision.