Quantity Limitations. Effective January 1, 2015, PEF may impose quantity limits on the drugs contained in the Urology Therapeutic Category per the Catamaran Standard Non Specialty Quantity Limit List January 2014 (updated 12/19/2013). Any additions or deletions to this list shall be mutually agreed upon by the Joint Committee on Health Benefits. A three-step appeal process will be available to enrollees and their doctors to appeal the dispensing limits. An educational program developed by the Joint Committee on Health Benefits will be provided to explain the dispensing limits to enrollees.
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Sources: Collective Bargaining Agreement, Collective Bargaining Agreement, Collective Bargaining Agreement