The governors of Maryland, New York, New Jersey, Connecticut and Virginia have issued states of Emergency due to winter storm Stella.
Due to these issuances, Express Scripts has implemented Emergency Refill Too Soon Procedures in the above states 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."
*Please see attached PDF for more information.