The governor of California has expanded the State of Emergency to include Los Angeles County due to wildfires. Previously, only Ventura County was covered in the State of Emergency.

Due to this issuance, Express Scripts implemented Emergency Refill Too Soon Procedures in Los Angeles and Ventura Counties 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 for more information.