What term is a list of prescription medications that a drug plan will pay for?

• A. Drug Formulary
• B. Claim
• C. Complaint
• D. Balance Billing

Answer: (A)

A drug formulary is the list of prescription medications that a drug plan will pay for. This list helps the plan manage costs and guide coverage, often grouping drugs into tiers that affect copayments or coinsurance. formulary changes can happen over time, so members should stay aware of any updates to which drugs are covered. The other terms describe different concepts: a claim is a request for payment, a complaint is a formal grievance, and balance billing occurs when a provider charges the patient for the difference between their charge and what the insurer allows.