Pharmacy Expedited Authorization Codes

Use the following codes for the situation that applies to your patient. If none of the situations apply, please fill out a Chronic Opioid Attestation form and fax it to Express Scripts at 877-251-5896.

Patient's prescriber has indicated "Exempt" on the prescription:

  1. Enter PA Type: 01
  2. Enter PA Number: 1111
  3. Enter SCC code: 11

Patient has a diagnosis indicating cancer treatment, hospice care, palliative care, or other end of life care:

  1. Enter PA Type: 01
  2. Enter PA Number: 1111
  3. Enter SCC code: 07

If none of the above situations apply, please complete a Chronic Opioid Attestation form and fax it to Express Scripts at 877-251-5896.