MHCP (either FFS or Managed Care) has paid for the previous two fills in excess of the quantity limit AND.Stabilization on the current regimen is defined as having the prescription filled at least two times in the past 90 days AND The patient has been stabilized on the current regimen.Quantity limit overrides for test strips will be approved if: Changing to a preferred product combination (e.g., meter and strip) would create undue hardship for the recipient.
Recipient is unable to change to a preferred product combination (e.g., meter and strip) due to a cognitive or developmental disability OR. Preferred product is not compatible with insulin pump recipient is using OR. 
Patient is currently using an insulin pump that needs specific product compatibility to accurately dose insulin OR. The patient (not a caregiver) must be the one using the products OR Patient is legally blind or has reduced visual acuity so that they are unable to see the numbers on ALL of the preferred products and the requested product has a feature that enables the patient to use the product that is not available on any of the preferred products. Therapeutic area - Diabetic Testing Supplies Approval criteria for nonpreferred products
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