CorVel Corp
As previously communicated on July 18, 2016, effective August 28, 2016, CorVel Tennessee claimants will receive new pharmacy benefit insurance cards to comply with the state adoption of the ODG Formulary. All processing information is identical, except for the new Rx Group number of RX2853. If your claimant does not present their new pharmacy card, please use Rx Group number RX2853 when processing. For all questions, please contact CorVel at 1-800-563-8438.

Merck is now offering the Merck Vaccine Customer Center, with dedicated account representatives to help support your pharmacy's vaccination efforts.

On August 15, Blue Cross Blue Shield of Louisiana initiated Emergency Refill Too Soon (RTS) Override procedures for Medicare, Commercial and Exchange members affected by flooding in the state. Pharmacies were instructed that if a member from the disaster area attempts to fill a prescription for lost or damaged medication, and the claim rejects with NCPDP reject 79 "Refill Too Soon," the pharmacist should enter override code 91100000001 in NCPDP vD.0 field 462-EV "Prior Auth Number Submitted". As details of this disaster continue to unfold, Express Scripts is further alerting network pharmacies on behalf of BCBSLA that our contract language governing member copayments will not prevent pharmacists from working with patients to defer the payment of copays, or if deemed appropriate by the pharmacy, waiving copays during this emergency. Please use your professional judgment to serve members impacted by this disaster.

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.