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REQUEST FOR MEDICARE PRESCRIPTION DRUG COVERAGE DETERMINATION This form may be sent to us by mail or fax Address Fax Number Express Scripts Inc. 1-877-526-2307 8640 Evans Road B401-03 St. Louis MO 63134 You may also ask us for a coverage determination by phone at 1-800-338-6180 TTY users can call 1-800899-2114 8 am to 6 pm 7 days a week or through our website at www. anthem.com/medicare. Who May Make a Request Your prescriber may ask us for a cov...

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What is 8003386180?

8003386180 is a specific form or identification number used within a regulatory or tax context, though its exact nature can depend on the jurisdiction.

Who is required to file 8003386180?

Individuals or entities that meet certain criteria set by the governing body related to 8003386180 are required to file this form.

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The purpose of 8003386180 is to collect specific information for regulatory compliance, taxation, or reporting purposes as mandated by the relevant authority.

What information must be reported on 8003386180?

The information that must be reported on 8003386180 generally includes personal or business identification details, financial data, and any other information deemed necessary by the filing requirements.