Express Scripts: Emergency Override for "Refill Too Soon" due to Tropical Storm in Florida

Effective: Immediately

Author: Kerri Williams/Friday, September 2, 2016/Categories: APCI Choice

The governor of Florida has extended the State of Emergency to include the following counties: Escambia, Santa Rosa, Okaloosa, Walton, Holmes, Washington, Manatee, Osceola, and Sarasota.

These counties are in addition to the original counties included in the declaration: Alachua, Baker, Bay, Bradford, Brevard, Calhoun, Citrus, Clay, Columbia, Dixie, Duval, Flagler, Franklin, Gadsden, Gilchrist, Gulf, Hamilton, Hernando, Hillsborough, Jackson, Jefferson, Lafayette, Lake, Leon, Levy, Liberty, Madison, Marion, Nassau, Orange, Pasco, Pinellas, Polk, Putnam, Seminole, St. Johns, Sumter, Suwannee, Taylor, Union, Volusia and Wakulla.

Due to this issuance, Express Scripts has implemented Emergency Refill Too Soon Procedures in the state of Florida 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 a Reject 79 "Refill Too Soon," the pharmacy should enter override code 91100000001 in NCPDP vD.0 field 462-EV "Prior Auth Number Submitted."

Please see attached PDF file for more information.

Comments are only visible to subscribers.