Beginning August 19, 2016, the Federal Department of Health and Human Services (HHS) Assistant Secretary for Preparedness and Response (ASPR) is implementing a new Emergency Prescription Assistance Program (EPAP) in response to the flooding in Louisiana.

Express Scripts administers this emergency prescription benefits program on behalf of HHS and will immediately begin adjudicating claims for prescription drugs, vaccines, specific medical supplies and durable medical equipment (DME) for patients impacted by the disaster.

This program differs from the state-declared emergencies that trigger Express Scripts’ refill-too-soon procedures for Medicare Part D sponsors and members. The EPAP is supported by HHS and intended ONLY for persons without insurance coverage who are impacted by a federally declared disaster and who present a valid prescription.

On June 1, 2016 the Centers for Medicare & Medicaid Services (CMS) issued an informational bulletin about Medicaid benefits available for the prevention, detection, and response to the Zika virus. Zika can cause severe birth defects in unborn children whose mothers are infected while pregnant. Because there is not a vaccine to prevent the disease or medicine to treat it, it is important for women to use repellent to protect themselves and unborn babies. Starting August 12, 2016, Sendero Health Plans will cover select mosquito repellents for its IdealCare clients. The following information describes the benefit details, including eligibility, benefit specifics and claims processing, and information about Zika virus.

CareSource Community Transition Program (CTP) Effective August 1, 2016, CVS Caremark® will begin to administer the prescription benefits for CareSource CTP. This program will only cover Naloxone Emergency Kits. RXBIN: 004336 RXPCN: ADV RXGRP: RX0799 Member ID Format: 12 digits, numeric only Person Code: Required