Program changes in October 2013 introduced monthly limits on many drugs as well as an effort to require the prescribing and dispensing of certain maintenance drugs for children and adults in three-month supplies. The three-month supply only counts one time in the month in which it is filled. In most cases, adults are limited to five drugs per month, four of which may be brand name drugs. Children and nursing home patients are exempted. Antipsychotic drugs or drugs for HIV or seizures are also exempt from the program.
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