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April 2020

New quantity limits coming for migraine medication

Starting July 1, 2020, Blue Cross Blue Shield of Michigan and Blue Care Network will have new quantity limits for the migraine medications listed below. The new quantity limits follow U.S. Food and Drug Administration-approved dosing guidelines to help prevent unsafe use.

Drug Table

Members who are currently taking one of these medications may continue to receive it but must request approval if the use exceeds the new quantity limit.

We’ll notify affected members of these changes and encourage them to talk with their providers about treatment options. Also, we’ll tell them to talk with their providers about this change if they:

  • Take a greater quantity than listed
  • Need to increase the quantity
  • Aren’t sure about the quantity they take

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2019 American Medical Association. All rights reserved.