Express Scripts - Emergency override for ‘Refill Too Soon’ due to winter weather in North Carolina

Author: Erica Lawrence/Friday, January 26, 2018/Categories: APCI Choice

The governor of North Carolina issued a State of Emergency for the entire state due to severe winter weather.

Due to this issuance, Express Scripts implemented Emergency Refill Too Soon Procedures in North Carolina for Highmark Health plans only.

Effective immediately, if a Highmark Health Plan 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.

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