Important Message Regarding Hurricane Sandy
Express Scripts has implemented emergency procedures for patients with lost or damaged medications due to Hurricane Sandy and require a refill before the medications would normally be refilled. These procedures will be in effect from Oct. 27, 2012 until Nov. 26, 2012.
Express Scripts is implementing Emergency Refill Too Soon Procedures in the following areas:
- District of Columbia
- New Jersey
- New York
- Rhode Island
- New Hampshire
- The West Virginia counties of: Jefferson, Brooke, Marshall, Ohio, Hancock, Wetzel, Barbour, Lewis, Upshur, Nicholas, Webster, Pocahontas, Randolph, Harrison, Tucker, Greenbrier, Preston, Doddridge, Gilmer, Braxton, Ritchie, Tyler, Taylor, Marion, Monongalia, Grant, Mineral, Hardy, Pendleton.
- The North Carolina counties of: Beaufort, Bertie, Bladen, Brunswick, Camden, Carteret, Chowan, Columbus, Craven, Cumberland, Currituck, Dare, Duplin, Edgecombe, Gates, Greene, Halifax, Harnett, Hertford, Hoke, Hyde, Johnston, Jones, Lenoir, Martin, Nash, New Hanover, Onslow, Pamlico, Pasquotank, Pender, Perquimans, Pitt, Robeson, Sampson, Tyrrell, Washington, Wayne.
Instructions for Pharmacists
Effective immediately, if a patient from the disaster areas 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 the designated disaster areas thru Nov 26, 2012.