That is not unusual.. A lot of folk have Nitro but have never used it.When we put this on FEX toolkit,Moo came up level. Trans standard.
I have most always written these Trans. LBL used to be standard but it's now modified with them.
Thing is she could have gone to the urologist 3 1/2 years ago and he issued 1 script maybe 1 or 2 times and Betty Lou forgot about it.
That's definitely treatment.
I was with a 69 year old woman today that had a heart attack and stent in 2017. She tells me she's taking a baby aspirin and a blood pressure med. I submitted for Immediate benefit.
After E app submission to Am Am the decision engine comes back and asks about Nitro,counter-offered ROP.
When I ask her about it,she's like oh yeah I have it but I've never used it.
DonP talks about this in his posts about contestable claims.