Quantity Dispensing Limits (QL) Table

Posted: August 3, 2007

Quantity Dispensing Limits (QL)
Class	Agents affected	Dispensing Limit per month
Triptans	Amerge® (naratriptan) Axert® (almotriptan) Frova® (frovatriptan) Imitrex® (sumatriptan) Maxalt® (rizatriptan) Relpax® (eletriptan) Zomig® (zolmitriptan)	18 total units per month 12 total nasal inhalation units per month 4 total injection kits per month
Aldosterone Antagonist	Inspira™ (eplerenone)	25 mg [68 tablets] 50 mg [34 tablets]
Non-benzodiazepine hypnotics	Ambien® (zolpidem) Ambien CR® Sonata® (zaleplon) Rozerem (ramelteon) Lunesta (eszopiclone)	5 mg [30 tablets]; 10 mg [60 tablets] 30 tablets 60 tablets 30 tablets 30 tablets
Other	Lyrica (pregabalin)	25 mg, 50 mg, 75 mg, 100 mg, 150 mg, 200 mg, 225 mg [90 tablets] 300 mg [60 tablets)

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