Pharmacy Fax Service - Send Prescriptions, Refills & Prior Authorizations Online
Fax prescriptions, medication orders, and prior authorization forms to retail pharmacies, mail-order services like CVS Caremark and Express Scripts, specialty pharmacies, and compounding pharmacies. HIPAA-compliant with instant BAA - no subscription, no account, pay only on successful delivery.
When Faxing Prescriptions Makes Sense
Despite electronic prescribing, many pharmacies still accept or require faxed prescriptions in specific situations:
- Mail-order pharmacies that accept faxed prescriptions for refills
- Specialty pharmacies handling compounded or specialty medications
- Prescription transfers between pharmacies when patient-initiated
- Supporting documentation for prior authorizations or medical necessity
- Rural or independent pharmacies with limited e-prescribing capabilities
Common pharmacy fax scenarios:
Important: Always verify the pharmacy's fax number before sending. For controlled substances, Schedule II can only be faxed for hospice and long-term care facility patients. Schedule III-V can generally be faxed but require manual (wet) prescriber signature. Always verify your state's regulations.
Before You Fax to a Pharmacy
Ensure a smooth prescription fax with this quick checklist:
Verify the pharmacy accepts fax
- Call the pharmacy or check their website for fax acceptance
- Confirm the correct fax number for prescriptions
Check prescription requirements
- Schedule III-V: Can be faxed with prescriber signature
- Schedule II: Fax allowed ONLY for hospice and LTCF patients
Include required information
- Patient name, DOB, and contact
- Prescriber name, DEA/NPI (if required), and callback number
- Medication name, strength, quantity, and directions
Use HIPAA mode for PHI
- Prescriptions contain protected health information (PHI)
- HIPAA mode provides instant BAA and audit logs
HIPAA Compliance: Prescription faxes contain PHI. HIPAA Fax is $6.50 (1-10 pages) or $10.00 (11-50 pages) with instant BAA, encryption, and audit logging.
How to Fax Prescriptions with OneFaxNow
Prepare your prescription documents
- Scan or photograph the prescription clearly
- Save as PDF, JPG, PNG, or TIFF
- Ensure all text and signatures are legible
Go to HIPAA Fax and upload
- Navigate to HIPAA Fax for prescription documents
- Upload your prescription file(s)
- Limits: up to 20 MB per file and 50 pages total
Add a cover page (recommended)
Include patient name, pharmacy name, "Prescription" in subject line, and callback number. OneFaxNow can generate one for you.
Enter the pharmacy fax number
Enter the U.S. or Canada pharmacy fax number. We automatically format and validate the number.
Sign BAA and pay on success
Digitally sign the Business Associate Agreement for HIPAA compliance.
HIPAA Fax: $6.50 for 1-10 pages or $10.00 for 11-50 pages. Charged only after successful delivery.
Track delivery in real time
Monitor transmission on your Fax Status page. If the pharmacy line is busy, we retry up to 3 times. You'll receive email confirmation when delivered.
Why Use OneFaxNow for Pharmacy Faxing?
Affordable HIPAA compliance
Most fax services charge $15–50/month for HIPAA compliance. OneFaxNow HIPAA Fax is just $6.50 or $10.00—no subscription required.
No account or subscription
Send a one-time prescription fax without creating an account or signing up for monthly plans. Start immediately.
Pay only on successful delivery
Your card is authorized at checkout. If delivery fails after all retries, you're never charged—pay $0.
Automatic retries for busy lines
Pharmacy fax lines can be busy. OneFaxNow automatically retries up to 3 times. Track each attempt on your status page.
Real-time tracking & confirmation
See each step of the transmission in real time. Receive an email confirmation when your prescription is delivered.
Instant digital BAA
Sign the Business Associate Agreement digitally during checkout. No waiting for paperwork—enterprise-grade compliance in seconds.
Simple Pricing for Pharmacy Faxes
HIPAA Fax: $6.50 (1-10 pages) / $10.00 (11-50 pages) with instant BAA.
Lite HIPAA Fax
1–10 pages
Single prescription or short refill request
Standard HIPAA Fax
11–50 pages
Multiple prescriptions with supporting documentation
- U.S. & Canada fax numbers only
- Cover page counts toward total page count
- HIPAA Fax includes instant BAA and audit logs
- Pay only on successful delivery
Pharmacy Fax Questions
Can I fax controlled substance prescriptions?
Schedule II prescriptions (opioids, Adderall, Ritalin) can only be faxed for hospice patients and long-term care facility residents - in these cases, the fax serves as the original prescription. Schedule III-V controlled substances can generally be faxed with the prescriber's manual (wet) signature. All other Schedule II prescriptions require the original signed prescription or e-prescribing with DEA EPCS certification.
Is OneFaxNow HIPAA compliant for prescription faxes?
Yes. OneFaxNow provides HIPAA-compliant faxing with instant digital BAA, encryption in transit and at rest, comprehensive audit logging, and secure file deletion after transmission. Unlike most services that charge $15-50/month for HIPAA tiers, OneFaxNow HIPAA Fax is just $6.50 or $10.00 per fax - no subscription required.
How do I fax a prior authorization to an insurance company?
Download the PA form from your PBM's website (CVS Caremark, Express Scripts, OptumRx, or your state Medicaid), complete it with required clinical documentation, and fax to the number on the form. PA requests typically receive a response within 24 hours. OneFaxNow provides HIPAA-compliant transmission with audit logs for compliance documentation.
What if the pharmacy fax line is busy?
Pharmacy fax lines—especially at busy retail locations—can be frequently occupied. OneFaxNow automatically retries your fax up to three times with intelligent spacing. You'll see each attempt on your Fax Status page. If all attempts fail, you pay $0.
Can patients fax their own prescriptions?
Patients can fax non-controlled prescription copies to pharmacies for transfers or records purposes, but the pharmacy typically needs to verify with the original prescriber. For new prescriptions, the fax should generally come from the prescriber's office. Check with your pharmacy about their specific policies.
Do you support mail-order and specialty pharmacies?
Yes. OneFaxNow works with any U.S. or Canada pharmacy fax number, including mail-order pharmacies (Express Scripts, CVS Caremark, OptumRx, etc.) and specialty pharmacies. Just enter the pharmacy's fax number and we handle the transmission with full HIPAA compliance.
How long do you keep my prescription documents?
Files are securely deleted after fax transmission completes. We retain only the delivery confirmation and audit log records required for HIPAA compliance—never the prescription content itself. BAA documentation is stored securely for 7 years per HIPAA requirements.
Ready to Fax Prescriptions to Your Pharmacy?
Upload your prescription documents, enter the pharmacy fax number, and send—HIPAA compliant, no subscription, and pay only on successful delivery.