Emergency Prescription Assistance Program Activated due to Typhoon Bavi

Beginning 7/18/2026, the Federal Department of Health and Human Services (HHS) Administration for Strategic Preparedness and Response (ASPR) is administering the Emergency Prescription Assistance Program (EPAP) in response to Typhoon Bavi in The Commonwealth of Northern Mariana Islands (CNMI).

This communication is your pharmacy’s notice that the EPAP has been activated by HHS ASPR. Express Scripts administers this emergency prescription program on behalf of HHS and will immediately begin adjudicating claims for prescription drugs, vaccines, specific medical supplies, and limited 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 applicable sponsors and members. The EPAP is supported by HHS and intended ONLY for persons without insurance coverage who are impacted in the municipalities of Northern Islands, Saipan, Rota, Tinian and associated zip codes as defined by the federally declared disaster and who present a valid prescription or refill. All prescriptions processed using EPAP are $0 copay for the patient.

By receiving this communication, your pharmacy is already in the EPAP network. No further action is required to process claims.

EPAP Claims Processing Information

When an uninsured patient from the disaster area visits your pharmacy with a prescription or prescription bottle to obtain medication or replacement durable medical equipment, please have them call 855.793.7470.

• Express Scripts will immediately create an eligibility file if they qualify for EPAP.

• Once eligibility is set up, the pharmacist can process the claim immediately.

• Please process claims for EPAP members using the information shown below:

Claims will process as usual for members with existing pharmacy benefits coverage.

Affected ZIP Codes in CNMI

• 96950

• 96951

• 96952