You can check the following limits for Azure Monitor SMS Delivery. Azure Monitor might throttle SMS alerts to prevent excessive charges. Check your Action Group configuration for any notification throttling limits set for SMS.
https://learn.microsoft.com/en-us/azure/azure-monitor/service-limits
Action Groups have "Dedupe" and "Coalesce" settings for notifications. Dedupe combines similar alerts into one message, while Coalesce groups multiple alerts within a timeframe.
for more information
https://learn.microsoft.com/en-us/azure/defender-for-cloud/configure-email-notifications