Public Health Emergency - Leading a Nation Prepared
EPAP Activation in Spanish
The Emergency Prescription Assistance Program (EPAP), a federal program managed by the Department of Health and Human Services, provides an efficient way for community pharmacies to process claims for prescription medications, vaccines, and limited durable medical equipment (DME) provided to individuals who are from a disaster area declared by the President and who do not have any form of health insurance coverage. Claims for individuals with private insurance, such as an individual health insurance policy or employer-sponsored coverage, public insurance, such as Medicare, Medicaid, or other third party coverage, are not eligible for payment under the EPAP.
Eligible individuals may be provided essential pharmaceutical, vaccines, and DME assistance with a written prescription. Assistance is limited to a 30-day supply for a medication to treat a medical condition, to replace maintenance prescription drugs or medical equipment lost as a direct result of an event or as a secondary result of loss or damage caused while in transit from the emergency site to the designated shelter facility at no cost to the patient.
Pharmacies must check for other forms of health insurance coverage at the point of sale to assist in the determination of eligibility. Claims will be processed for a specific period of time to be determined under an EPAP Activation.
Eligible individuals must have a new prescription from a licensed health care practitioner, a current prescription bottle, a prescription phoned in by a licensed health care practitioner, or proof of an existing prescription in order to receive a prescription fill and/or limited durable medical equipment (e.g. canes, walkers, wheelchairs, and diabetic supplies).
People who live within the defined disaster areas in Puerto Rico, and do NOT have any form of prescription insurance, should call the EPAP enrollment hotline at 1-855- 793-7470. You will be asked to provide information to enroll in the Emergency Prescription Assistance Program (EPAP) and receive no cost services outlined above. This program is paid for by Department of Health and Human Services.
All areas in Puerto Rico are part of the disaster area. People must live in Puerto Rico to be eligible for EPAP assistance. People who live in Puerto Rico but are currently displaced (for example, those currently in the continental United States) are eligible to receive assistance. EPAP is currently available through February 27, 2020. The program may be extended beyond that date.
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