Which of the following statements is NOT true about drug utilization management (UM) rules?

The statement about medication with a utilization management rule cannot be obtained by the member is not true because, while there are specific rules in place for certain medications, it does not imply that access to those medications is entirely barred. In fact, members often have the opportunity to request exceptions or appeal decisions regarding medication coverage. Utilization management is designed to ensure appropriate use of medications while still allowing access to necessary treatments under certain conditions, such as obtaining prior authorizations or meeting specific criteria.

By contrast, it is accurate to say that members can ask for exceptions to coverage rules, that prior authorization, quantity limits, and step therapy are established UM rules, and that UM rules are disclosed to consumers. Each of these reflects the foundational principles of transparency and patient engagement in medication management strategies.