Question

Kiley received a bill for her prescription medication from her doctor. The bill was the full price for the medication. Jordan received his bill for the same medication Kiley has, but it came from a different doctor. His bill was fully covered. Both Kiley and Jordan have the same type of insurance. Which most likely explains why one would be charged in full and the other would not? Kiley’s pharmacy charged her a dispensing fee. Kiley’s doctor did not prescribe a formulary drug. Jordan’s doctor sought prior authorization. Jordan’s pharmacy did not use a Pharmacy Benefit Manager.

Answer 1

Jordan's doctor sought prior authorization.

Step-by-step explanation:

Jordan's doctor sought prior authorization. some drugs aren't covered buy the insurance company unless they receive prior authorization.