The Primary Care NP Prescribes an Inhaled Corticosteroid for a Patient

question 5

Multiple Choice

The primary care NP prescribes an inhaled corticosteroid for a patient who has asthma.The third-party payer for this patient denies coverage for the brand that comes in the specific strength the NP prescribes.The NP should:

• A) provide pharmaceutical company samples of the medication for the patient.
• B) inform the patient that the drug must be paid for out of pocket because it is not covered.
• C) order the closest formulary-approved approximation of the drug and monitor effectiveness.
• D) write a letter of medical necessity to the insurer to explain the need for this particular medication.