All PlansPrior AuthMedium impact
ADHD and Narcolepsy Medications Subject to Quantity Limits
CareFirst BlueCross BlueShield·Family Medicine, Internal Medicine, Pediatrics +2 more·Pharmacy
Effective date
Aug 1, 2019
We identified it
Jun 20, 2026
Summary
Effective August 1, 2019, ADHD and narcolepsy medications are subject to quantity limits due to their Schedule II classification. If patients need higher quantities, providers must request prior authorization through the online Provider Portal.
Action Required
By August 1, 2019: Billing team must update prior authorization tracking for ADHD and narcolepsy medications exceeding quantity limits. Providers should use the CareFirst Provider Portal to submit prior authorization requests when higher quantities are medically necessary. Front desk staff should alert providers when patients request refills that may exceed limits.