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This restriction requires that specific clinical criteria be met prior to the approval of the prescription. QL Quantity Limits Drugs that have quantity limits associated with each prescription. This restriction typically limits the quantity of the drug that will be covered. ST Step Therapy Drugs that have step therapy associated with each prescription. This restriction typically requires that certain criteria be met prior to approval for the prescription.

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The reason is that when Nexium is taken newr food, it is less available to the body. So yes, it is important to take the medication as recommended. Jen Marsico, RPhQ: I'm taking Nexium 40 mg once daily.