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Express Scripts Audit  Form

Express Scripts Audit Form

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A* Photocopy of the original prescriber-generated prescription front and back which must be dated and if a fax must have a header identifying the prescriber and the original fax date b. An original letter on prescriber s letterhead or on a prescriber s prescription blank that includes all information required on a valid prescription including specific directions c* Electronic prescriptions and electronically transferred prescriptions may be accepted as prescriber-generated documentation as long...
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