| Specialty Quantity Limit Entyvio 2269 H P2018 |
| Specialty Quantity Limit Fasenra 2468 H P2019a |
| Specialty Quantity Limit Firdapse 2828 H P2018 |
| Specialty Quantity Limit Follitropins 2047 H P2019 |
| Specialty Quantity Limit Hepatitis C Medications 2184 H P2018a |
| Specialty Quantity Limit Hepatitis C Medications 2184 H P2018a |
| Specialty Quantity Limit Idhifa P2017 |
| Specialty Quantity Limit Ingrezza 1733 H P2019 |
| Specialty Quantity Limit Kineret 1745 H P2019 |
| Specialty Quantity Limit Lorbrena 2790 H P2019 |
| Specialty Quantity Limit Multiple Sclerosis Medications 1798 H… |
| Specialty Quantity Limit Multiple Sclerosis Medications P2018b |
| Specialty Quantity Limit Nerlynx 2179 H P2019b |
| Specialty Quantity Limit Neulasta and pegfilgrastim biosimilars… |
| Specialty Quantity Limit Neulasta and pegfilgrastim biosimilars… |
| Specialty Quantity Limit Neulasta Fulphila Udenyca P2018a |
| Specialty Quantity Limit Neulasta Fulphila Udenyca P2018a |
| Specialty Quantity Limit Northera 2263 H P2019 |
| Specialty Quantity Limit Nubeqa 3148 H P2019 |
| Specialty Quantity Limit Nucala 2467 H P2019b |
