what is a prescription drug plan in the US?

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I have health insurance through company A (for going to the doctors, etc). I have pharmacy insurance through company B. This is all through my employer.

My doctor wants to put me on medication C, it needs preapproval and Company B declined. But they mentioned they weren’t my insurance, they just manage my pharma plan. What does this mean? What is the difference? I asked them who my pharma insurance provider was if it wasn’t them, but they said they didn’t know.

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