Crucial Exams

AAMA CMA Practice Question

A patient with a new prescription is at the medical office. The prescription is for a non-formulary medication that requires prior authorization. What is the most appropriate next step for the medical assistant to ensure the medication is covered and dispensed to the patient?

  • Initiate the prior authorization process with the insurance company for the prescribed medication.

  • Schedule a follow-up appointment for the patient to discuss alternative treatments.

  • Inform the patient that the medication is non-formulary and advise them to pay the full cost out-of-pocket.

  • Contact the healthcare provider to immediately change the prescription to a formulary medication.

AAMA CMA
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