Home Providers Pharmacy


We're here to help you, no matter what you need.

What do you need?
Contact information
Please have ready...
  • Reimbursement research and claim status (payment information including check # and date)
  • Reject Code Assistance for Exception Claim Errors & Patient Benefit Errors
  • Download 835 Authorization Form to submit at Esiprovider.com
  • Pricing Appeal for AWP or MAC
  • Provider Manual
  • Claim Reversals
  • Payer Sheets
  • Pharmacy name
  • NCPDP or NABP #
  • Address (city, state, zip)
  • Phone number
  • Contact name
  • Member name and ID
  • Dispense date
  • Drug name and NDC #
  • Submit an application to join our pharmacy networks (new pharmacies or changes in ownership)
  • Request a change in your PSAO/GPO status. Please allow up to 60 days to process your request.
  • Re-credentialing notifications for renewal
  • Demographic changes (change of address, contact information, and change of affiliation)
  • Request EFT – 835 Electronic Remits (Upload form from PRC website)

To request a missing 835 Reconciliation report or inquire about a remit set up or status please email remittance@express-scripts.com.

  • Pharmacy name
  • NCPDP or NABP #
  • Address (city, state, zip)
  • Phone number
  • Contact name
  • Check status of credentialing and contracting process
  • Change in PSAO/GPO questions before applying on ESIProvider.com
  • Return missing items requested during the contracting and credentialing process or fax to 1 (866) 515-3482.
  • For additional questions and clarification before submitting any applications.
Email Express Scripts' Network Contracting and Credentialing teams (for Commercial Retail Networks and Medicare Part D)
  • Pharmacy name
  • NCPDP or NABP #
  • Address (city, state, zip)
  • Phone number
  • Contact name
  • Return signed documentation for contracting and credentialing only or fax to 1 (877) 391-6213. Please allow up to 30 business days to process your request.
Completed documentation
Express Scripts Pharmacy Help Desk
If you need more assistance, call the Express Scripts Pharmacy Help Desk at available 24/7 for Medicare Part D and transitioned Commercial plans.
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