Quantity Restrictions on Covered Medications
There may be quantity limits on certain medicines. Quantity limits are based on the Food and Drug Administration’s (FDA) recommended dosing guidelines for each medication and are reviewed regularly by Caremark to ensure clinical appropriateness. Limits are set to ensure safety and efficacy in the treatment of various health conditions. Medicines that have limits on the quantity allowed are less than the standard, which is a thirty (30) day supply. For specific medicine limitations, please log in to www.caremark.com or call Caremark at 1-866-284-9226. Quantity limits may change periodically based on updates from the FDA’s recommended dosing guidelines.
Examples of Drug Categories with Quantity Restrictions:
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Beta-Agonists and Combinations;
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Sexual Dysfunction Agents – limited to six (6) pills/doses in a 30-day period;
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Intra-nasal Corticosteroids (Allergies);
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Mast Cell Stabilizers and Anticholinergics;
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Influenza Treatment and Prevention;
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Insomnia Agents;
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Glucose Monitors; and
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Pain Medications (including those containing Acetaminophen, Aspirin or Morphine).
