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U.S. Department of Health and Human Services

How can patients get assistance under EPAP?

The Emergency Prescription Assistance Program (EPAP) was created to help people who don’t have health insurance continue to use certain prescription drugs, specific medical supplies, vaccines and certain medical equipment, including canes, walkers, wheelchairs and crutches.  If you have health insurance, such as an individual health insurance policy or employer-sponsored coverage, public insurance, such as Medicare, Medicaid, or other third party coverage, you are not eligible to receive assistance under EPAP.

Eligible patients can replace certain prescription drugs, specific medical supplies, vaccines and certain pieces of medical equipment if they were:

  • lost it during a disaster
  • not refilled before to a disaster
  • lost your while evacuating or at an evacuation location
  • lost as the direct result of the disaster

Patients will receive an initial 30-day supply of most prescription drugs or specific medical suppliesPrescriptions may be renewed every 30 days for as long as EPAP is active.   If you rely on medical supplies, you can get additional supplies every 30 days for as long as EPAP is active. DME is typically only provided once, but if it is lost or stolen after it has been issued, it may be replaced.  Vaccines are typically a single course of treatment and do not need to be refilled.

Follow these steps to request assistance under EPAP:

  • Confirm that EPAP has been activated in your area:  Claims can only be processed during the time and at the location specified in the EPAP activation.  To find out whether EPAP has been activated at this time in your area, check the list of current EPAP activations.  Please note that the areas are subject to change. 
  • Verify your eligibility for assistance:  EPAP coverage is only available to individuals who do not have other drug and/or DME coverage.  Claims submitted will the checked for possible Other Payer coverage. If Other Payer coverage exists, claims are not eligible for payment under EPAP.
  • Find out if your prescription and/or DME is covered under EPAP:  EPAP only covers certain prescription drugs, specific medical supplies, vaccines and limited durable medical equipment (DME).  Your healthcare provider or pharmacy will be able to tell you if your items are covered.  You can learn what types of items are covered by consulting EPAP Formulary.  To learn if your medication or DME is covered, call Express Scripts at 855-793-7470.  Please note that enrolled pharmacies must dispense the generic form of medication unless otherwise indicated as Brand Medically Necessary (BMN) or Dispense as Written (DAW) by your licensed health care practitioner.  The formulary follows the Medicare Part D guidelines and designated durable medical equipment.  However, it excludes the following items, regardless of whether covered under Medicare Part D: 1) cosmetic agents; 2) contraceptives; 3) fertility agents; 4) erectile dysfunction drugs and products; 5) weight loss medications; and 6) over-the-counter (OTC) medications.
  • Locate an enrolled pharmacy:  Claims can only be processed by a pharmacy that has enrolled in EPAP.  Check our list of enrolled pharmacies to find a location near you.
  • Provide the pharmacy with your medical information:  In order to receive prescription drugs, you must have one at least of the following 1) a new prescription from a licensed health care practitioner; 2) a current prescription bottle; 3) a prescription phoned in by a licensed health care practitioner; or 4) proof of an existing prescription. In order to receive replacement DME, certain medical supplies, or vaccines that do not routinely require a prescription, please have your healthcare provider contact the pharmacy.
If you have questions regarding access to care under EPAP during a disaster, contact us at 855-793-7470

  • This page last reviewed: October 05, 2017