TABLE 1.

Policy Changes to Drug-Dispensing Limits in State Medicaid Programs During the COVID-19 Pandemic

Statea	Policy change during COVID
Alabama	Pharmacists allowed to process emergency prescription refills for a 30-day supply of maintenance medications under certain circumstances.10
Alaska	Allows 68-day fills on medications otherwise limited to a 34-day supply.11
Arizona	Allows "refill too soon" and 90-day refills for medications that are not controlled substances.12
Colorado	Pharmacies can refill any prescription after 50% of the supply has lapsed. Maintenance medications can be dispensed up to a maximum of 100-day supply. Maximum allowed for nonmaintenance drugs is 30 days.13
Connecticut	Extends fills for maintenance and nonmaintenance medications for noncontrolled substances up to 90 days.14
District of Columbia	Allows a 90-day supply for maintenance medications and 30-day supply for nonmaintenance medications among fee-for-service beneficiaries only.15
Florida	Will reimburse for a 90-day supply of maintenance medications when available at the pharmacy or through mail order delivery.16
Georgia	(1) Among fee-for-service beneficiaries, early refills waived on 30-day prescriptions for maintenance medications at in-network pharmacy; and (2) a 1-time 90-day supply of a prescription medication is allowed if the member has no remaining refills and the pharmacist cannot contact the practitioner.17
Iowa	Temporarily allows up to a 90-day supply for all medications, based on the clinical prescriber’s judgment.18
Illinois	Allows a 90-day supply to be filled for insulin; reviewing potential additions to the 90-day supply list of maintenance medications.19
Indiana	Allows 90-day supply of maintenance drugs upon member request and early refills for noncontrolled substances.20
Louisiana	Members may receive early refills and 90-day supplies of certain maintenance medications, as appropriate.21
Maine	Allows an additional 34-day refill for brand medications. Members already receive up to 90-day supply of generic medications.22
Maryland	For fee-for-service members, allows a 1-time early refill of at least a 30-day supply of the participant’s medication (up to 90-day supply for maintenance medication), before the participant uses 85% of the medication.23
Massachusetts	Allows early refills and 90-day supplies of certain medications.24
Michigan	Pharmacists may dispense emergency refills of up to a 60-day supply of any noncontrolled maintenance medication if "failure to refill the drug might interrupt the patient’s ongoing care and have a significant adverse effect on the patient’s well-being."25
Minnesota	Increases the supply limit from 34-days to 90 days for drugs in certain therapeutic drug classes.26
New Hampshire	Allows a 1-time early refill override for current prescriptions.27
New Jersey	Allows early prescription refills and the dispensing of a 90-day supply of prescribed maintenance medications.28
New Mexico	Allows 90-day supply for all maintenance drugs; early refills on 30-day prescriptions if member has 2 weeks of medication on hand. Allows early refill on 90-day prescription if member has 3 weeks of medication on hand.29
New York	Allows 90-day supplies for long-term maintenance medications for individuals in quarantine, shelter in place, or those identified as high risk for COVID-19. Early refills allowed for members in quarantine or in an "outbreak."30
North Carolina	Allows early refills and for coverage of up to a 90-day supply.31
North Dakota	May allow an increase of the supply limit from 34-days to a 1-time 90-day fill.32
Virginia	Covers a maximum of a 90-day supply for all drugs excluding Schedule II drugs. A subsequent 90-day supply will only be allowed after 75% of the prescription has been used.33

^a States were included if changes to their drug supply limit rule were identified from publicly listed websites.