Physician Resources

Better Patient Outcomes, Together

You deserve a simpler pharmacy experience and Express Scripts is investing in the technology needed to make that happen. By working with you and your office staff through the Electronic Health Record (EHR), we can provide patient-specific information at the moment it’s needed, resulting in improved patient savings and care.

ePrescribing

Electronic prescribing (ePrescribing) is the norm for more than 80% of U.S. prescribers because it’s secure, accessible, and efficient within the EHR workflow.

ePrescribing enhancements will eliminate labor-intensive processes and reduce back-and-forth phone calls between your office and pharmacies. Now you can:

  • Renew prescriptions
  • Cancel prescriptions
  • Answer pharmacy clarification questions

If your EHR doesn’t offer this functionality, contact your vendor to request RxRenewal, RxCancel and RxChange offered by Express Scripts. Click here for contact information for the most common EHR vendors.

Click here for our ePrescribing NCPDP IDs and addresses.

Click here for more information on ePrescribing to Accredo, an Express Scripts specialty pharmacy.

Clinical Direct Messaging

Back-and-forth communications between you and Express Scripts can now be integrated within your EHR workflow, eliminating the need for faxing and mailing. Clinical Direct Messaging gives you real-time notifications for:

  • Patient safety concerns, such as drug-drug interactions, overutilization, therapy duplication and more
  • Adherence gaps for patients who are late to fill important therapies, like diabetes medications
  • Opportunities to move patients from more expensive, non-preferred products to preferred products
  • Opportunities to move patients from 30-day to 90-day prescriptions to improve adherence.

If you’re not receiving clinical direct messages from Express Scripts, contact your EHR vendor to check your Health Information Service Provider connection to the Direct Trust.

Electronic Prior Authorization (ePA)

Spend more time with patients and less time phoning and faxing. Now all Express Scripts pharmacy benefit prior authorizations (PAs) may be processed electronically. By using ePA, you’ll see these benefits and more:

  • Proactively request new PAs
  • Renew existing PAs before they expire
  • Only answer necessary PA questions, unlike all questions included on fax forms
  • Attach clinical documentation with guidance as to when it is required

To learn more, click here or start using the ePA feature through your EHR.

For more information on prior authorizations for Accredo, an Express Scripts specialty pharmacy, click here.

Real Time Benefit Check

You need visibility into each patient’s drug coverage and cost in real time, not after your patient tries filling his prescription at the pharmacy. You can now receive that information during the prescribing process. You’ll see:

  • Formulary (drugs covered under patient’s plan)
  • Preferred alternative medications with pricing (brand vs. generic)
  • Patient’s cost at each channel (retail, home delivery, or specialty pharmacy)
  • Coverage information (prior authorization, step therapy requirements and quantity limits)

Prescribing clinically equivalent therapies that better align with patient benefits makes it easier for patients to do the right thing when it comes to taking medication and ultimately increases adherence.

If your EHR doesn’t offer Real Time Benefit Check, contact your vendor to make a request. Click here for contact information for the most common EHR vendors.

Formulary Management

Express Scripts’ National Preferred Formulary is the most widely used drug list in the U.S., providing prescription drug coverage guidelines for 25 million Americans.

Our unique approach to formulary management is guided by an independent panel of clinical experts. It calls for a focus solely on clinical factors first. Financial considerations only come into play if a medication isn’t clinically necessary on a formulary. This results in a clinically sound, cost-effective formulary.

For more information on the 2018 National Preferred Formulary, click here.

Prescribers can view an Express Scripts member’s formulary details in their EHR when a positive eligibility match has occurred. The EHR is able to identify and display the correct formulary details for the member. This helps the prescriber make the most appropriate clinical decision that aligns with the member’s benefit plan.

Drug Recalls

Click here for a list of drug recalls managed by the U.S. Food & Drug Administration.

Need more information about these Physician Resources?

Call our Prescriber Assistance line, 888.327.9791, 24 hours a day, 7 days a week.