Problem: The pharmacy can fulfill another refill of the current order (10ml-10ml-11ml). However, the health plan's criteria only allow 900ml per 30 days, which will last 29 days and get them to their next appointment with Dr. Goldman. The health plan will require an Appeal/LOMN for the extra 1ml. I highly recommend an appeal/LOMN to be completed to avoid the patient eventually running out of medication. Looking for Online Tutoring?