Complete this form to submit a prescription by mail to Express Scripts to the address listed on the claim form.
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Department of Human Resource Management
For inquiries or to schedule an appointment, contact us.
4315 S 2700 W
Suite 2100
Salt Lake City, Utah
84184
Suite 2100
Salt Lake City, Utah
84184
Phone: (801) 957-9380
Fax: (385) 465-6053
TDD: (801) 965-1248
Fax: (385) 465-6053
TDD: (801) 965-1248
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