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Specialty Pharm Final Exam Questions and Answers | Latest Update $12.49   Add to cart

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Specialty Pharm Final Exam Questions and Answers | Latest Update

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A prescriber calls your pharmacy asking for a recommendation on a HCV treatment for a new patient. Before you make a recommendation, what HCV clinical factors would you need to know? List them. - Genotype of HCV (determines treatment) -Baseline lab tests performed (RNA level, liver staging)...

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  • September 27, 2024
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2024/ 2025 | © copyright | This work may not be copied for profit gain Excel!

Specialty Pharm Final Exam Questions and
Answers | Latest Update
A prescriber calls your pharmacy asking for a recommendation on a HCV treatment for a

new patient. Before you make a recommendation, what HCV clinical factors would you

need to know? List them.


✓ - Genotype of HCV (determines treatment)

✓ -Baseline lab tests performed (RNA level, liver staging)

✓ -Treatment history (naive vs experienced)

✓ -Any co-infections

✓ -Allergies

✓ -DDIs




What are some important clinical factors to include on an HCV prescription order sent to a

specialty pharmacy?


✓ -Genotype and subtype

✓ -Cirrhosis status

✓ -Treatment history

✓ -Viral load

✓ -Renal and liver functions

✓ -BBW for Hepatitis B

-Med list

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,2024/ 2025 | © copyright | This work may not be copied for profit gain Excel!
-Patient info and insurance




Dr prescribes a non-formulary HCV product for a patient. Harvoni and Epclusa are covered.

You see in the patient's chart that the patient has HCV genotype 3. What medication and

treatment duration would you recommend to the Dr's office and why?


✓ -Epclusa 100mg/400mg 1 tab PO QD for 12 weeks

-Epclusa is approved for genotype 3 (Harvoni is for types 1, 4, 5, 6)


-Epclusa is safe for patients with normal renal function (contraindicated in renal failure)


-Patient is treatment naive


-Take w/ or w/out food, antacid interactions




You receive a new approval for Mavyret for 12 weeks through a patient's commercial

insurance. However, their copay is $250/month, which is unaffordable to the patient. What

financial assistance could you offer the patient, and what would the estimated out-of-pocket

cost be each month?


✓ -Copay cards

-Estimated no more than $5/month OOP




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, 2024/ 2025 | © copyright | This work may not be copied for profit gain Excel!
A Medicare Part D patient calls the pharmacy to ask about patient assistance programs for

his new Vosevi prescription. Would it be appropriate to sign him up for a copay card? Why

or why not? What alternative is available if he can't use a copay card?


✓ -Cannot use copay card because Med D is federally funded

-PAN can be offered, also grants




You are calling a patient to introduce your pharmacy and the patient's new medication:

Mavyret. How would you counsel the patient about this new medication?


✓ -Must take 3 tablets by mouth AT THE SAME TIME once daily with food

-Take at the same time daily


-Take full course of therapy


-Side effects: headache, fatigue, nausea


-Cannot use medication with severe liver disease (decompensated cirrhosis)


-Do not double up doses


-Missed dose info: if it has been <18hrs, take it; if >18hrs, wait until next scheduled dose


-Store at room temp in safe, dry place




A patient calls your pharmacy wanting to take an OTC calcium carbonate to treat heartburn

she is experiencing. You notice the patient is half-way through her 12 week course of

Epclusa. How would you counsel the patient to take an antacid in relation to the Epclusa?

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