The governors of Missouri and Oklahoma have issued States of Emergency for all counties due to flooding.

Due to this issuance, Express Scripts has implemented Emergency Refill Too Soon Procedures for all counties in Missouri and Oklahoma 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 all counties of Missouri and Oklahoma through May 29, 2017.

Pharmacies should contact the Pharmacy Help Desk for additional assistance in overriding RTS rejects.

*Please see attached PDF for more information.