Express Scripts: Emergency Override for Refill Too Soon Due to Storm Goliath

Effective: Immediately

Author: Kerri Williams/Wednesday, January 6, 2016/Categories: APCI Choice

The governors of Alabama, Illinois, Georgia, Missouri, New Mexico and Texas have declared States of Emergency due to Storm Goliath.

Due to this issuance, Express Scripts has implemented Emergency Refill Too Soon procedures in the states of Alabama, Illinois, Georgia, Missouri, New Mexico and Texas for Part D and Medicare Advantage plans.

Effective immediately, if a patient from the disaster area attempts to fill a prescription for lost or damaged medication resulting from the disaster, and the claim rejects with NCPDP Reject 79 "Refill Too Soon," the pharmacy should enter override code 91100000001 in NCPDP vD.0 field 462-EV "Prior Auth Number Submitted."

Please download attached PDF file for more information.

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