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. In most cases, adults are limited to five drugs per month, four of which may be brand name drugs. Three-month maintenance supply drugs do not count towards the prescription limit. Children and nursing home patients are exempted from the prescription limit. Antipsychotic drugs, drugs for HIV, and drugs for seizures are also exempt from the prescription limit program.
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