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Complete the order form and send to express scripts along. Complete the order form and send to express scripts®. Express scripts facsimile machines are secure and in compliance with hipaa privacy standards. For fastest service ask your doctor to submit prescriptions electronically to express scripts® pharmacy. Complete the order form and send to express scripts®.
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For fastest service ask your doctor to submit prescriptions electronically to express scripts® pharmacy. Express scripts facsimile machines are secure and in compliance with hipaa privacy standards. Complete the order form and send to express scripts®. Complete the order form and send to express scripts®. The provision of the information requested in this form is for your patient's benefit.
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Complete the order form and send to express scripts®. Complete the order form and send to express scripts®. The provision of the information requested in this form is for your patient's benefit. For fastest service ask your doctor to submit prescriptions electronically to express scripts® pharmacy. Express scripts facsimile machines are secure and in compliance with hipaa privacy standards.
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Complete the order form and send to express scripts along. Complete the order form and send to express scripts®. The provision of the information requested in this form is for your patient's benefit. Complete the order form and send to express scripts®. For fastest service ask your doctor to submit prescriptions electronically to express scripts® pharmacy.
The Provision Of The Information Requested In This Form Is For Your Patient's Benefit.
Complete the order form and send to express scripts®. Complete the order form and send to express scripts®. Express scripts facsimile machines are secure and in compliance with hipaa privacy standards. Complete the order form and send to express scripts along.