• Request for Prescription Transfer from Another Pharmacy

  • Patient's Information

  • Notice!

    X

    NOTICE!

    The fastest way to get your medication ready is to have your prescribers send electronic prescriptions directly to Esco Drug.

  •  - -
    Pick a Date
  • Pharmacy's Information

  • RX Insurance and Medical Insurance examples

  • For the RX Insurance card, they generally have the following information: RX BIN#, RX PCN#, RX GROUP#, RX MEMBER ID#.

    You can see some examples at:
    https://escopharmacy.nyc/pages/medical-insurance-example


    For Medical Insurance, you can find example at the link here:
    https://escopharmacy.nyc/pages/medical-insurance-examples.

  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Doctor's Information

  • Clear
  • Should be Empty: