Apharmacy claims that the average medication costs $32 but it could differ as much as $8. write and solve an absolute value inequality to determine the range of medication costs at this pharmacy.
|x − 32| ≥ 8; the medication costs range from $24 to $40
|x − 32| ≥ 8; the medications cost less than $24 or greater than $40.
|x − 32| ≤ 8; the medication costs range from $24 to $40
|x − 32| ≤8; the medications cost less than $24 or greater than $40.

 It looks like you're supposed to pick a combination of two answers: 
an absolute-value inequality, and 
a sentence describing the meaning of that inequality. 

We've got two choices for each, and therefore four possible combinations of choices. 

First, let's tackle the sentence description. We're told that 
"it [the cost] could differ [from the average of $32] as much as $8." 
That sets a maximum value for the difference; it's UP TO $8. 
If the cost is less than average, it could be as little as 
$32 - $8 = $24 
and if the cost is more than average, it could be as much as 
$32 + $8 = $40. 
So the medication costs range from $24 to $40, and we want an answer that states that. 

Now for the inequalities: 
|x - 32| describes the SIZE of the difference. Using the absolute-value function means we don't distinguish between 
x - 32 
and 
32 - x 
as far as our interests are concerned; we eliminate the sign from the subtraction and just look at the size of the difference. 

But in the case we're looking at, we've got a MAXIMUM value for the difference; it can't be more than 8. The inequality 
|x - 32| ≥ 8 
says the difference is 8 or MORE, so we don't want that. Instead, we want 
|x - 32| ≤ 8 
which says the difference is anywhere from 0 to 8. 

Combining these conclusions, we see we're looking for this  
|x - 32| ≤ 8; The medication costs range from $24 to $40 
which is the third one listed.