Prior Authorization for Migraine Medications
August 3, 2005
Since 2002 the State Health Plan has had quantity limits in place for migraine medications, however, beginning September 1, 2005, prescriptions for these medications may have different quantity limits as indicated on the chart (PDF, 70 KB). These quantities are based on FDA-approved prescribing and safety information, clinical guidelines, and uses that are considered reasonable, safe, and effective.
For the migraine medications indicated on the chart, a member’s doctor may request a review for approval of additional quantities. A doctor may request a review by calling Medco toll free at 1-800-417-1764, 8:00 am to 9:pm, Eastern Time, Monday through Friday. If members previously received authorization for additional quantities, that approval will remain effective until the expiration date.
Letters concerning this matter were sent to all members currently using migraine medications in August.
Questions may be directed to Medco Customer Service at 1-800-336-5933.
Since 2002 the State Health Plan has had quantity limits in place for migraine medications, however, beginning September 1, 2005, prescriptions for these medications may have different quantity limits as indicated on the chart (PDF, 70 KB). These quantities are based on FDA-approved prescribing and safety information, clinical guidelines, and uses that are considered reasonable, safe, and effective.
For the migraine medications indicated on the chart, a member’s doctor may request a review for approval of additional quantities. A doctor may request a review by calling Medco toll free at 1-800-417-1764, 8:00 am to 9:pm, Eastern Time, Monday through Friday. If members previously received authorization for additional quantities, that approval will remain effective until the expiration date.
Letters concerning this matter were sent to all members currently using migraine medications in August.
Questions may be directed to Medco Customer Service at 1-800-336-5933.

