Quantity limitations are in place for the drugs listed below. When a drug has a quantity limit, the amount of medication per prescription is limited to a specified amount per 30 days. These limitations may be in place due to safety issues or because the use of a dose higher than what is recommended has been shown to result in minimal additional benefit to the patient. Requests for increased quantities are only approved when the guidelines below are met. Quantity limit guidelines are developed and approved by a panel of practicing physicians and pharmacists.
Click on the drug name below to view the specific quantity limit guideline.
Commercial & Medicare Guidelines:
ED Agents QL
Long Acting Opioid Agonist Agents QL
Zipsor ST and QL
Commercial -Only Guidelines:
Nucynta_Nucynta ER QL (Commercial Only)
Suboxone QL (Commercial Only)
Nucynta QL (Medicare Only)
Provigil QL (Medicare Only)
Short Acting Opioids QL
Short Acting Opioid Combo Products QL