What are quantity level limits?
Quantity level limits are designed to allow a sufficient supply of medication based on FDA recommendations and endorsement from the FutureScripts Pharmacy and Therapeutics Committee. The first type of quantity edit is based on a 30-day supply of a medication per fill. Examples of quantity level limits per fill include Avonex® (one kit/four injections), Betaseron® (15 vials), Copaxone® (32 vials), Rebif® (12 injections), sedative-hypnotic drugs such as Sonata® (14 capsules) and Ambien® (14 tablets), and oral narcotic drugs such as OxyContin® (90 units), Percodan® (180 units), and Percocet® (180 units). If the prescription exceeds the quantity limit, the pharmacist will fill for the allowed supply and then the plan participant must follow up with his or her physician regarding future prescriptions. The prescribing physician may request a quantity limit override if the plan participant’s therapy requires a larger daily dose of medication.
