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The Emergency Prescription Assistance Program (EPAP) is a federal initiative managed by the Department of Health and Human Services. It provides an efficient way for community pharmacies to process claims for prescription medications, vaccines, limited medical supplies, and durable medical equipment (DME) for individuals from disaster areas declared by the President. This program is specifically designed for those without any form of health insurance coverage. Claims from individuals with private insurance, such as individual health insurance policies or employer-sponsored coverage, as well as public insurance like Medicare or Medicaid, are not eligible for payment under EPAP.
From October 4, 2024 through May 31, 2025, the U.S. Department of Health and Human Services (HHS) Administration for Strategic Preparedness and Response (ASPR) implemented EPAP in response to devastation caused by Hurricane Helene in the State of North Carolina.
Express Scripts administers this emergency prescription program on behalf of HHS and adjudicated claims for prescription drugs, vaccines, specific medical supplies and limited durable medical equipment (DME) for patients impacted by the disaster.
EPAP was activated in North Carolina in response to Hurricane Helene in the following counties:
AlexanderAlleghanyAsheAveryBuncombeBurkeCaldwell
CatawbaClayClevelandGastonHaywoodHendersonJackson
LincolnMaconMadisonMcDowellMitchellPolkRutherford
TransylvaniaWataugaWilkesYancey
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The Emergency Prescription Assistance Program
