| Specialty Quantity Limit Dupixent 1692 H P2019a |
| Specialty Quantity Limit Elelyso 1696 H P2019 |
| Specialty Quantity Limit Enbrel 2268 H P2019a |
| Specialty Quantity Limit Endari P2017 |
| Specialty Quantity Limit Epidiolex P2018 |
| Specialty Quantity Limit Erivedge P2018 |
| Specialty Quantity Limit Erleada P2018 |
| Specialty Quantity Limit Esbriet 3205 H P2019 |
| Specialty Quantity Limit Evenity 3026 H P2019 |
| Specialty Quantity Limit Follitropins P2018a |
| Specialty Quantity Limit Forteo Bonsity 2377 H P2019 |
| Specialty Quantity Limit Galafold 2651 H P2019 |
| Specialty Quantity Limit Gattex 2245 H P2018 |
| Specialty Quantity Limit Gilotrif 1753 H P2019 |
| Specialty Quantity Limit Haegarda 2993 H P2019 |
| Specialty Quantity Limit Hepatitis C Medications 2184 H P2018a |
| Specialty Quantity Limit Hepatitis C Medications 2184 H P2018a |
| Specialty Quantity Limit Hepatitis C Medications 2184 H P2018a |
| Specialty Quantity Limit Hepatitis C Medications 2184 H P2018a |
| Specialty Quantity Limit Hetlioz P2018 |
