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Table 7 State Utilization Policies for Oral Contraceptives Utilization Control States Utilizing Notes Limited to 3 month 90 day supply 7 CA, IL, MI, MN, MS, NH, WY CA and MI limit applies to pharmacy dispensing Limited to 6 month supply 1 CO Allow 12 month supply 11 AL, CA, IN, MO, MS, NM, OR, SC, TX, VA, WA AL, CA, MS, SC, TX, VA allowance applies to clinic dispensing only; OR applies only to family planning waiver service recipients Quantity limit, unspecified 1 AR Pharmacy benefit only 2 GA, CA CA limit applies only to extended use oral contraceptives for family planning expansion program Included on Preferred Drug List 2 MS, VT Prior Authorization 2 CA, VT CA limit applies to extended use oral contraceptives only; VT requires prior authorization for non- preferred brand with trial of preferred brand generic cialis cost
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Table 7 State Utilization Policies for Oral Contraceptives Utilization Control States Utilizing Notes Limited to 3 month 90 day supply 7 CA, IL, MI, MN, MS, NH, WY CA and MI limit applies to pharmacy dispensing Limited to 6 month supply 1 CO Allow 12 month supply 11 AL, CA, IN, MO, MS, NM, OR, SC, TX, VA, WA AL, CA, MS, SC, TX, VA allowance applies to clinic dispensing only; OR applies only to family planning waiver service recipients Quantity limit, unspecified 1 AR Pharmacy benefit only 2 GA, CA CA limit applies only to extended use oral contraceptives for family planning expansion program Included on Preferred Drug List 2 MS, VT Prior Authorization 2 CA, VT CA limit applies to extended use oral contraceptives only; VT requires prior authorization for non- preferred brand with trial of preferred brand generic cialis cost
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