Quantity Limits (QL)
Quantity limits (QL) are a Part D utilization management tool that caps the dose or amount of a drug a plan will cover over a given period. They are used alongside prior authorization and step therapy to manage cost and safety.
Definition
Quantity limits (QL) are a Part D utilization management tool that caps the dose or amount of a drug a plan will cover over a given period. They are used alongside prior authorization and step therapy to manage cost and safety.
Why it matters
Quantity limits can interrupt a patient's expected medication supply, so clinicians should anticipate them and pursue exceptions when clinically warranted.
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