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HIPAA Information

Business Associate Agreement

Download agreement forms or addendums to fulfill HIPAA requirements for business associates.

Authorization form for the release of prescription records

Requests for the release of prescription records to a third party, such as an insurance company or a lawyer, may be submitted through the form above.

Release to Disclose Protected Health Information to Vendor, Broker or Consultant

Plan Sponsors must complete this form to allow Express Scripts to transfer claims data to a Flexible Spending Account or Disease Management vendor, broker or consultant.

PDF files require Adobe Acrobat Reader.

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