The governor of Georgia has issued a State of Emergency for the following counties due to tornadoes: Atkinson, Baker, Berrien, Brooks, Calhoun, Clay, Colquitt, Cook, Crisp, Dougherty, Lowndes, Mitchell, Thomas, Turner, Wilcox and Worth.

Due to this issuance, Express Scripts has implemented Emergency Refill Too Soon Procedures in the above counties in the state of Georgia 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 Georgia counties listed above through Jan. 30, 2017.

*Please see attached PDF for more information.