Excellus Health Plan has been enforcing the use of prescription serial numbers on all Managed Medicaid prescriptions. 

Inside this issue:

In order to make sure the Pope, visitors, and Philadelphia residents remain safe, the city is planning changes that may make it difficult to get around the city during Pope Francis’s visit.

Due to Tropical Storm Erika, Prime Therapeutics has implemented its Natural Disaster Relief protocol to assist our clients and their Covered Persons in the affected areas in Florida.

The governor of Florida has issued a State of Emergency for the entire state due Tropical Storm Erika.

Due to this issuance, Express Scripts has implemented Emergency Refill Too Soon procedures in the state of Florida for Part D and Medicare Advantage plans.   

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 NCPDP 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 Part D and Medicare Advantage members in the state of Florida through September 27, 2015.

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