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Web place your prescription(s), this form, and your payment in an envelope. Web express scripts, inc. Log in to the highmark member website at highmarkblueshield.com. Web get your written prescriptions to us by using our mail order form. Find tricare claims forms, our medical questionnaire, and.
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Do not use staples or paper clips. Web express scripts, inc. Have your doctor write a prescription. Web place your prescription(s), this form, and your payment in an envelope. Web get your written prescriptions to us by using our mail order form. Web them to express scripts online: Send your new prescription along with this completed form to: Millions trust express scripts for safety, care and convenience. Find tricare claims forms, our medical questionnaire, and. Log in to the highmark member website at highmarkblueshield.com. Web already have an account?