According to the sources provided, it is unclear whether Vascepa auto refills can be adjusted.

The first source, Drug Patent Watch [1], provides information on the patent status and expiration date of Vascepa but does not mention anything about the auto refill option.

The second source, Cigna [2], is a guide for members who want to use home delivery pharmacy services. It mentions that Cigna's home delivery pharmacy offers automatic refills for prescription medications, but it does not specify whether Vascepa auto refills can be adjusted.

The third source, Vascepa's official website [3], provides information on how to save money on Vascepa prescriptions but does not mention anything about the auto refill option.

Therefore, it is recommended that individuals who are interested in adjusting their Vascepa auto refills should contact their pharmacy or healthcare provider for more information.

Sources:
[1] https://www.drugpatentwatch.com/p/tradename/VASCEPA
[2] https://www.cigna.com/individuals-families/member-guide/home-delivery-pharmacy
[3] https://www.vascepa.com/getting-started/vascepa-savings/