Quantity limit

Definition

A formulary cap on how much can be dispensed per fill, usually per 28 or 30 days. For GLP-1s it typically means one pen or one vial per 28 days regardless of what was prescribed, and it is one of the most common triggers for an appeal.

Prior-auth criteria →

GLP Watchdog writes these definitions from FDA labels and peer-reviewed PubMed literature. Not one of them is an AI-generated summary.

Other terms under insurance

• PBM (Pharmacy Benefit Manager)
• Copay accumulator
• Specialty pharmacy
• Mail-order pharmacy
• Bridge therapy
• Patient assistance program (PAP)
• Manufacturer coupon
• Deductible
• Coinsurance

Where the evidence lives

• Prior-auth criteria
• The full GLP-1 glossary (149 terms, 8 categories)
• Research articles — written from primary sources
• Tools and calculators
• Compare GLP-1 telehealth providers