The Medical Assistance Fee-For-Service drug quantity limit guidelines are based on FDA recommended dosing and are endorsed by the Pharmacy and Therapeutics Committee. Prescriptions that exceed the established limits will be reviewed by the Medical Director to ensure medical necessity. Prescriptions that exceed the Quantity Limit will require a prior approval before the prescription is filled. If approval is given by the Medical Director an authorization number will be provided to the prescribing practitioner.
Quantity Limits/Daily Dose Limits (List is alphabetical by Brand Name)