Quantity Limit Check
Whether a prescription fits a plan quantity limit.
Open the tool → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Units taken per dose
- 2
- Doses per day
- 1
- Strength of one unit
- 20 mg
- Plan quantity limit in units
- 30
- Days the limit covers
- 30
- Another available strength
- 40 mg
Result: Exceeds the limit by 30 units per 30 days at 20 mg, but fits at 40 mg: 30 of 30 units.
The tool opens with these values already filled in. Replace them with your own.
What you enter
- Units taken per dose
- Doses per day
- Strength of one unit
- Plan quantity limit in units
- Days the limit covers
- Another available strength
How this is calculated
Citation
42 CFR 423.578(b): a dose restriction, including the dosage form, that limits the number of doses covered is handled as a Part D formulary exception. The plan's limit is entered by the reader. Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.