From: Medicaid prescription limits: policy trends and comparative impact on utilization
State | Cap policy type | Policy start date | Policy end date | Overall prescription limit | Branded prescription limit |
---|---|---|---|---|---|
Number of drugs (maximum number of exceptions) per member per month unless otherwise noted | |||||
Alabama | Brand | 7/1/2004 | 12/31/2007 | - | 4 (10) |
Alabama | Brand | 1/1/2008 | After 1/1/2011 | - | 5 (10) |
Arkansas | Overall | Before 12/31/2000 | After 1/1/2011 | 3 (3) | - |
California | Overall | Before 12/31/2000 | After 1/1/2011 | 6 | - |
Colorado | Overall | 4/1/2003 | 6/2/2003 | 8 | - |
Delaware | Overall | 1/1/2005 | 5/18/2009 | 15 | - |
Delaware | Overall | 5/19/2009 | After 1/1/2011 | 13 | - |
Florida | Brand | Before 12/31/2000 | 6/30/2005 | - | 4 |
Georgia | Overall | Before 12/31/2000 | Oct-Dec 07e | 5f | Â |
Illinois | Brand | 10/1/2005 | After 1/1/2011 | - | 3 |
Kansas | Brand | 4/1/2003 | After 1/1/2011 | - | 5 |
Kentucky | Brand | 4/19/2005 | 2/28/2006 | - | 3 |
Kentucky | Both | 3/1/2006 | After 1/1/2011 | 4 | 3 |
Louisiana | Overall | 3/3/2003 | 4/30/2009 | 8 | - |
Louisiana | Overall | 5/1/2009 | 11/30/2010 | 5 | - |
Louisiana | Overall | 12/1/2010 | After 1/1/2011 | 4 | - |
Mainea | Brand | 11/2/2004c | 6/30/2007 | - | 5 |
Maine | Brand | 7/1/2007 | After 1/1/2011 | - | 4 |
Mississippi | Overall | Before 12/31/2000 | 5/30/2002 | 10 | - |
Mississippi | Overall | 6/1/2002 | 6/30/2005 | 5 (1) | - |
Mississippi | Both | 7/1/2005 | After 1/1/2011 | 5 | 2 |
New York | Overall | Before 12/31/2000 | 8/31/2010 | 40/43 annuallyg | - |
New York | Overall | 9/1/2010d | After 1/1/2011 | Clinicalh | - |
North Carolina | Overall | Before 12/31/2000 | 5/30/2006 | 6 | - |
North Carolina | Overall | 6/1/2006 | After 1/1/2011 | 8 (3) | - |
Oklahoma | Overall | Before 12/31/2000 | 12/31/2003 | 3 | - |
Oklahoma | Both | 1/1/2004 | 12/31/2009 | 6 | 3 |
Oklahoma | Both | 1/1/2010 | After 1/1/2011 | 6 | 2 |
Oregon | Overall | 2/1/2004 | After 1/1/2011 | 15i | - |
Pennsylvaniaa | Overall | Before 12/31/2000 | After 1/1/2011 | 6 | - |
South Carolina | Overall | Before 12/31/2000 | 7/19/2010 | 4 (6) | - |
South Carolina | Overall | 7/20/2010 | After 1/1/2011 | 4 (4) | - |
Tennessee | Both | 8/1/2005 | After 1/1/2011 | 5 | 2 |
Texas | Overall | Before 12/31/2000 | After 1/1/2011 | 3 | - |
Utahb | Overall | 1/1/2002 | Between 2005-2010e | 7 | - |
Utaha,b | Overall | 7/1/2002 | After 1/1/2011 | 7 | - |
Washington | Brand | 2/1/2002 | 6/30/2007 | - | 4 |
West Virginia | Overall | Before 12/31/2000 | 7/14/2002 | 10 | - |
West Virginiaa | Overall | March 2007c | After 1/1/2011 | 4 | - |