Quantity Limits

Quantity limits are based upon FDA guidelines, published clinical recommendations, such as the Journal of the American Medical Association (JAMA), as well as manufacturer packaging and labeling instructions. Limits are intended to encourage appropriate dosing. Exceptions are generally limited to chronic conditions that necessitate a quantity greater than "normal." These limits are not intended to restrict access to quantities of medications where limits would not be considered functional or appropriate. The P&T Committee recommends the following medications be limited to a defined quantity.

List of Products Subject to Quantity Limits

Drug Name Therapy Class Limit
Actiq (fentanyl oral transmucosal) Narcotic Analgesic 120 units per month (4 per day)
Actonel 35 mg Osteoporosis 4 tabs per 28 days
Actonel 75 mg Osteoporosis 2 tablets per 30 days
Actonel 150 mg Osteoporosis 1 tablet per 30 days
Acular / Acular LS Ophthalmic NSAID 2 (10 mL) bottles / month
Acuvail Ophthalmic NSAID 64 units per 180 days
Advair Diskus/HFA Asthma/COPD 1 device per month
Aerobid, Aerobid-M Asthma/COPD 3 device per month
Alvesco Asthma/COPD 2 device per month
Alora Hormone Replacement Therapy 8 patches per 28 days
Alrex Ophthalmic Steroid 3 (5 mL) bottles / month
Altabax Antibiotics-topical 1 tube per month
Amerge Acute Migraine Therapy 18 tablets/month
Anzemet Nausea and Vomiting 1 tablet per month
Aranesp Hematopoietic Agent 28 day supply per dispensing
Asmanex 110 mcg Asthma/COPD 1 device per month
Asmanex 220 mcg Asthma/COPD 3 devices per month
Astelin Allergy (Intranasal) 2 (30 mL) devices per month
Astepro Allergy (Intranasal) 2 (30 mL) devices per month
Avinza 120mg Narcotic Analgesic 60 capsules/month (2 per day)
Avinza 30mg, 45mg, 60mg, 75mg, 90mg Narcotic Analgesic 30 capsules/month (1 per day)
Avonex Multiple Sclerosis 4 injections per month
Axert Acute Migraine Therapy 12 tablets/month
Azasite Ophthalmic antibiotic 1 (2.5mL) bottle/month
Azmacort Asthma/COPD 2 devices/month
Beconase AQ Allergy (Intranasal) 2 (25 gm) devices per month
Blood Glucose Testing Strips  (all brands and generics) Diabetic Testing Supplies 150 test strips/month
Boniva 150 mg Osteoporosis 1 tablet per 30 days
Catapres-TTS -1 Blood Pressure 5 patches/month
Catapres-TTS -2, -3 Blood Pressure 10 patches/month
Cesamet Nausea and Vomiting 20 capsules per co-pay
Cialis 2.5mg, 5mg Sexual Dysfunction 30 tablets per month
Cialis 10mg, 20mg Sexual Dysfunction 8 tablets per month
Ciloxan ophthalmic ointment Ophthalmic Antibiotic 1 tube (3.5 gm) / 15 days
Climara Hormone Replacement Therapy 4 patches per 28 days
Climara Pro Hormone Replacement Therapy 4 patches per 28 days
Combipatch Hormone Replacement Therapy 8 patches per 28 days
Diflucan (fluconazole) 150 mg Antifungal 1 tablet per co-pay
Duragesic (fentanyl TD) 12.5mcg, 25mcg, 50mcg Narcotic Analgesic 15 patches per month
Duragesic (fentanyl TD) 75mcg, 100mcg Narcotic Analgesic 30 patches per month
Elestat Ophthalmic Antiallergic 2 (5 mL) bottles/30 days
Emend (combo pack) 125mg-80mg Nausea and Vomiting 1 pack per month
Emend 80 mg & 125 mg Nausea and Vomiting 3 capsules per month
Enbrel Anti-TNF Agent 8 doses per month
Epogen Hematopoietic Agent 28 day supply per dispensing
Estraderm Hormone Replacement Therapy 8 patches per 28 days
Estradiol TD patch weekly Hormone Replacement Therapy 4 patches per 28 days
Estrasorb Hormone Replacement Therapy 56 packets per 28 days
Estrogel Hormone Replacement Therapy 1 bottle (93 gm) per month
Estring Hormone Replacement Therapy 1 device per 3 months (3 co-pays)
Femring Hormone Replacement Therapy 1 device per 3 months (3 co-pays)
Fentora Narcotic Analgesic 120 units per month (4 per day)
Flovent Diskus 250mcg Asthma/COPD 240 blisters/month
Flovent Diskus 50mcg, 100mcg Asthma/COPD 120 blisters/month
Flovent HFA Asthma/COPD 2 devices/month
Foradil Asthma/COPD 60 caps/month
Forteo Osteoporosis 24 months of therapy
Fortical (calcitonin) nasal spray Osteoporosis 3.7 mL per month
Fosamax (alendronate) 35 mg and 70 mg Osteoporosis 4 tablets per 28 days
Fosamax Oral Solution Osteoporosis 375 mL per month
Fosamax Plus D 70/2800 and 70/5600 Osteoporosis 4 tablets per 28 days
Frova Acute Migraine Therapy 18 tablets/month
Gelnique Gel Genitourinary 30 sachets/month (1 sachet daily)
Helidac Ulcer therapy 1 kit per year
Humira Anti-TNF Agent 1 package per 28 days
Imitrex (sumatriptan) 25mg, 50mg, 100mg Acute Migraine Therapy 18 tablets/month
Imitrex (sumatriptan) Injections Acute Migraine Therapy 4 kits/month
Imitrex (sumatriptan) Nasal Spray Acute Migraine Therapy 12 devices (2 packages) per month
Iquix Ophthalmic Antibiotic 1 (5 mL) bottle / 15 days
Kadian Narcotic Analgesic 60 capsules/month (2 per day)
Ketek Antibotics-Other 20 dosage units per 30 days
ketorolac COX-1 Inhibitor, NSAID 20 tablets per month
Kytril (granisetron) Nausea and Vomiting 2 tablets per month
Levitra Sexual Dysfunction 8 tablets per month
Lidoderm Anesthetic Patch 3 boxes (90 patches) per month  (3 patches per day)
Livostin Ophthalmic Antiallergic 2 (5mL) bottles/month
Lumigan Glaucoma 1 (2.5 mL) bottle/month
Lupron Depot 11.25 & 22.5 Cancer 1 unit per 90 days
Luveris Infertility 14 vials per co-pay
Maxalt & Maxalt MLT Acute Migraine Therapy 18 tablets/month
Menostar Osteoporosis 4 patches per 28 days
Miacalcin (calcitonin) nasal spray Osteoprosis 3.7 mL per month
Migranal Acute Migraine Therapy 8 units (1 kit) per month
MS contin (morphine sulfate ER) 15mg, 30mg, 60mg, 100mg Narcotic Analgesic 120 tablets/month (4 per day)
MS contin (morphine sulfate ER) 200mg Narcotic Analgesic 90 tablets/month (3 per day)
Nasacort AQ Allergy (Intranasal) 1 (16.5 gm) device per month
Nasonex Allergy (Intranasal) 2 (17 gm) devices per month
Natacyn Ophthalmic Antibiotic 1 (15 mL) bottle / 15 days
Neulasta Hematopoietic Agent 28 day supply per dispensing
Neupogen Hematopoietic Agent 28 day supply per dispensing
Nevanac Ophthalmic NSAID 2 (3 mL) bottles/year
Nucynta 50mg, 75mg Narcotic Analgesic 180 tablets/month (6 per day)
Nucynta 100mg Narcotic Analgesic 210 tablets/month (7 per day)
Ocufen (flurbiprofen) Ophthalmic NSAID 1 (2.5 mL) bottle/15 days
Omnaris Allergy (Intranasal) 1 device (12.5 gm) per month
Onsolis Narcotic Analgesic 120 units per month (4 per day)
Opana Narcotic Analgesic 180 tablets/month (6 per day)
Opana ER Narcotic Analgesic 120 units per month (4 per day)
Optivar Ophthalmic Antiallergic 2 (5mL) bottles/30 days
Oramorph SR Narcotic Analgesic 120 units per month (4 per day)
Oxycontin Narcotic Analgesic 270 tablets per month
Oxytrol Genitourinary 8 patches per 28 days
Pataday Ophthalmic Antiallergic 2 (2.5mL) bottles/30 days
Patanase Allergy (Intranasal) 1 (30.5mL) bottles/month
Patanol Ophthalmic Antiallergic 2 (5mL) bottles/30 days
Pegasys Hepatitis C 4 vials / 28 days
Pegasys Kit Hepatitis C 1 kit / 28 days
Plan B One-Step Emergency Contraceptive 1 tablet per Rx
Prevacid NapraPAC analgesic/anti-ulcer combination 1 box (84 units) per month
ProAir HFA Asthma/COPD 2 devices per month
Procrit Hematopoietic Agent 28 day supply per dispensing
Proventil HFA Asthma/COPD 2 devices/month
Prozac Weekly SSRI Antidepressant 4 capsules per month
Pulmicort Asthma/COPD 2 devices per month
Quixin Ophthalmic Antibiotic 1 (5 mL) bottle / 15 days
QVAR 40mcg Asthma/COPD 2 devices per month
QVAR 80mcg Asthma/COPD 3 devices per month
Regenecare Gel Wound Care 1 copay per package
Regranex Wound care 2 (15 gm) tubes/month
Relenza Influenza Antiviral 20 blisters per month
Relpax Acute Migraine Therapy 12 tablets/month
Restasis Ophthalmic-other 60 units per 30 days
Revlimid Cancer 28 day supply per dispensing
Rhinocort Aqua Allergy (Intranasal) 2 (8.6 gm) devices per month
Sancuso Nausea and vomiting 1 patch per copay
Savella Titration Pack Fibromyalgia 1 pack per Rx
Seasonale (Seasonique) Contraception 1 package per 91 days (3 copays)
Serevent Diskus Asthma/COPD 1 device per month
Soriatane Kit 10mg Psoriasis 1 kit/month
Soriatane Kit 25mg Psoriasis 2 kit/month
Spiriva Asthma/COPD 30 capsules/month
Stadol NS (butorphanol) Narcotic Analgesic Nasal Spray 4 (2.5ml) pumps per month
Suboxone Narcotic Antagonist 93 tablets/month (3 per day)
Subutex 2mg Narcotic Antagonist 16 tablets per month
Subutex 8mg Narcotic Antagonist 8 tablets per month
Symbicort Asthma/COPD 1 device per month
Tamiflu 30mg Influenza Antiviral 20 capsules per month
Tamiflu 45mg, 75mg Influenza Antiviral 10 capsules per month
Tamiflu for oral supsension Influenza Antiviral 75 mL per month
Travatan and Travatan Z Glaucoma 1 (2.5 mL) bottle/month
Treximet Acute Migraine therapy 9 tablets/month
Ultracet (tramadol/acetaminophen) Pain Medication 40 tablets per prescription
Ventolin HFA Asthma/COPD 2 devices/month
Veramyst Allergy (Intranasal) 1 (10 gm) device/month
Veregen External Genital Warts 16 weeks of therapy per year
Viagra Sexual Dysfunction 8 tablets per month
Vigamox Ophthalmic Antibiotic 1 (3 mL) bottle/15 days
Viroptic (trifluridine) Ophthalmic Antiviral 1 (7.5 mL) bottle/15 days
Vivelle Hormone Replacement Therapy 8 patches per 28 days
Vivelle-Dot Hormone Replacement Therapy 8 patches per 28 days
Voltaren (diclofenac) Op. Sol. Ophthalmic NSAID 1 (5 mL) bottle/15 days
Xalatan Glaucoma 1 (2.5 mL) bottle/month
Xibrom Sol. Ophthalmic NSAID 2 (5 mL) bottles/year
Xopenex HFA "D" Asthma/COPD 2 devices/month
Xyrem Narcolepsy/Cataplexy 540 mL per month
Zofran (ondansetron) 2mg, 4mg, 8mg, 24 mg Nausea and Vomiting 18 tablets per month
Zofran (ondansetron) ODT  2mg, 4mg, 8mg Nausea and Vomiting 18 tablets per month
Zofran (ondansetron) Oral Sol. Nausea and Vomiting 200 mL per month
Zomig & Zomig ZMT 2.5mg tablets Acute Migraine Therapy 18 tablets/month
Zomig & Zomig ZMT 5mg tablets Acute Migraine Therapy 9 tablets/month
Zomig Nasal Spray Acute Migraine Therapy 12 devices (2 packages) per month
Zymar Ophthalmic Antibiotic 1 (5 mL) bottle/15 days

Last Updated: Sunday, November 01, 2009

Any product listed in this information does not imply coverage. Plan booklets will provide specific benefit and coverage details. NOTE: This is only a partial listing, and not all products on this list may be covered by your prescription benefits plan. Your specific benefit plan's guidelines regarding quantity limits will apply. If you have any questions about product status or if the product you're considering does not appear in this listing, please call the number on the back of your ID card. We're available to assist you 24-hours a day, seven days a week.

Printed on: Friday, November 20, 2009