Child Health Plus Formulary — Quantity Limits
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Defines quantity limits for medications on Independent Health's 2026 Child Health Plus formulary and explains how limits apply to packaged items and fills; affects members and pharmacies dispensing formulary drugs.
No material clinical or coverage changes in this revision.
Formulary Quantity Limits
example quantity limit entries
Quantity limit examples from the formulary (not exhaustive):
selected additional limits
Additional specific limits:
Quantity Expressions and Specific Code Limits
| Quantity Limit examples (EA/ML/fills) | Document lists quantity limits using units such as EA (each), ML, fills per period for many drugs (e.g., clozapine, epinephrine auto-injectors, tobramycin). |
Contact and Operational Guidance
Contact Member Services for quantity-limit questions
If you have questions about quantity limits, contact Independent Health Member Services at (716) 250-7183 or 1-833-891-9372, Monday–Friday 8 a.m. to 8 p.m.; TTY users call 711. The formulary may change at any time and you will receive notice when necessary.
- Member Services: (716) 250-7183
- Toll-free: 1-833-891-9372
- TTY: 711
- Hours: Monday–Friday, 8 a.m. to 8 p.m.
- Formulary changes will be communicated as needed
Key Definitions and Rules
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