The governor of Alabama has issued a State of Emergency to include all counties in the state of Alabama. 
 
Due to this issuance, Express Scripts has implemented Emergency Refill Too Soon Procedures in the above counties in the state of Alabama for Part D and Medicare Advantage plans. Commercial and Health Plans may also implement Emergency Refill Too Soon Procedures, at their discretion.     
 
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.”   
 
This override code should be used to process claims only for affected members in the Alabama counties through Feb. 3, 2017. 
 
Pharmacies should contact the Pharmacy Help Desk for additional assistance in overriding RTS rejects.  

Please see attached for more information.