A quantity limit restricts how much of a medication your plan will cover over a given time, such as a maximum number of pills per month. The limits are usually based on standard dosing, but they can conflict with what your prescriber has determined you need. When they do, your provider can request an exception explaining the higher quantity.
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Disclaimer: This definition is provided for general educational purposes only and is not legal, medical, or insurance advice. Insurance rules, deadlines, and terminology vary by plan, state, and over time. Always check your own plan documents and confirm current details before acting.