Anthem BCBS Rx quantity limit override

I might have to switch to an Anthem PPO in CA where my specialty med has a quantity limit. It’s a very expensive medication ($15k) if I had to pay for the amount over the QL OOP.

Has anyone gotten approval and coverage for a specialty medication above the quantity limit? The medication already requires prior authorization just for the med within the QL.

submitted by /u/Diligent-Ad9552
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I might have to switch to an Anthem PPO in CA where my specialty med has a quantity limit. It’s a very expensive medication ($15k) if I had to pay for the amount over the QL OOP. Has anyone gotten approval and coverage for a specialty medication above the quantity limit? The medication already requires prior authorization just for the med within the QL.
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