Log In Register MENU Forms Individual Request for Electronic Protected Health Information To access your electronic data, please download this form. Complete the form and send it to privacy@express-scripts.com. Individual Request Electronic PHI Third Party Request for Electronic Protected Health Information To make a bulk request for electronic data, please download this form. Complete the form and send it to privacy@express-scripts.com. Third Party Request Electronic PHI Healthcare Professionals Medicare Part D Accredo Log In Inside RX Site Map Terms of Use Privacy Notice of Privacy Practices Drug Recalls Disposal of Medications About Express Scripts Accessibility Forms Help Pharmacy Blog Non-discrimination العربية 繁體中文 Français Deutsch Creole Ayisyen Italiano 日本語 한국어 فارسی Język polski Português Русский Español Tagalog Tiếng Việt Your prescription may be processed by any pharmacy within our family of Express Scripts mail-order pharmacies. © 2021 Express Scripts Holding Company. All Rights Reserved. 1 Express Way, St. Louis, MO 63121