Specialty Quantity Limit Program

Your pharmacy benefit plan is part of the Specialty Quantity Limit Program. This program supports clinically appropriate and cost-effective coverage of specialty medications by allowing quantities of medications based on the manufacturer’s dosing guidelines. Please check the list below to see if your medications are included in the quantity limit program and note the quantity that will be covered by your prescription benefit.

If your prescription is for a quantity that is greater than the quantity covered by your benefit:

Discuss options with your physician regarding your therapy. Your doctor can write or call in the new prescription to be filled at your current pharmacy or through CVS Specialty^®.

If you need a higher quantity than the quantity limit allows:

Ask your doctor to request prior authorization for approval of a larger quantity.

If your current prescription quantity is the same or less than the covered quantity limit:

No further action from your doctor is needed.