Where do I get a list of the number of pills I can get at one time?
Drug Usage Restrictions (QL, PA, ST) · updated Sep 1, 2022
PA = Prior Authorization,
PA-NS = Prior Authorization New Starts,
PA-BvsD = Prior Authorization-BvsD Only (Part D vs. Part B Prior Authorization Only),
QL = Quantity Limits,
ST = Step Therapy,
ST-NS = Step Therapy New Starts,
LA = Limited Access,
MS = Mail Service Available
You can also use our online Formulary Browser to review, not only quantity limits (QL), but also other drug usage management requirements such as prior authorization (PA) and step-therapy (ST). Our Formulary Browser also shows the drug tier and cost-sharing for a 30-day supply and a 90-day mail-order supply. You can click on the cost-sharing value (or Rx$ icon by the plan name) to see the cost-sharing for all phases of coverage and pharmacy types. Here is an example for the AARP Saver Plan Formulary in Arizona.
If your prescription is for a quantity higher than your medication's quantity limit, you can request a formulary exception with your prescribing physician's assistance to have the quantity limit for your medication increased.
If your request is denied by your Medicare Part D plan, there are 5 levels of appeals that you can go through to get the quantity limit for your medication increased.