What is the purpose of quantity limits (QLs) in a drug plan?

The purpose of quantity limits (QLs) in a drug plan is primarily to restrict the dispensing of drugs to prevent abuse or overuse. This approach helps ensure that medications are used appropriately and safely, particularly for those substances that have a high potential for misuse or that may cause harm if used in excess.

By implementing quantity limits, insurance plans can monitor and control how much of a particular medication a patient can receive within a specific timeframe. This not only aids in reducing the risk of dependency on certain medications but also promotes responsible usage among patients, fostering better health outcomes. Quantity limits can help protect both the patient and the healthcare system by ensuring that medications are prescribed and consumed in a way that aligns with medical guidelines and standards of care.