Pbms - Guides d'étude, Notes de cours & Résumés

1. How are drugs sorted into therapeutic groups and classes? A. first by the conditions that they are used to treat. and then by their mechanisms of action B. first by their mechanisms of action. and then by their therapeutic effects C. first by their side effects. and then by their therapeutic effects D. first by their toxicity. and then by their effectiveness 2. Bone marrow transplants... A. require that the patient first undergo chemotherapy or radiation to kill the diseased...

HOM 5307 Exam 2 What technique is used by many pharmaceutical companies with health plans and PBMs to increase formulary access and utilization of specific products? A- Rebates for preferred formulary position B- Health economic data, including a growing number of head-to-head clinical trials C- Member copayment coupons to offset copayment D- All the above - D- all of the above T/F Recent legislation encourages separate lifetime limits for behavioral care. - false T/F The...

Define direct and indirect remuneration fees (DIR) fees and describe why they are controversial DIR fees are fees that pharmacies may see PBMs share outside of the administration fees that are generally collected after the point of sale - can be controversial because they often create a net loss for the dispensing pharmacy when the claim is processed thru Medicare part D What are the economic impacts of DIR fees on pharmacy reimbursement and overall revenue? DIR fees can create a loss in...

What is an ongoing amount paid by an individual to maintain insurance coverage? Select one: Co-insurance Deductible Formulary Premium - Answer Premium A joint government program that helps with medical costs for those who fall under the national poverty level is called what? Select one: Medicaid Medicare TRICARE Preferred Provider Organization - Answer Medicaid PBMs are: Select one: Organizations who regulate controlled substances Third-party providers who act on behalf of...

ExCPT Practice Exam Questions and Answers Already Passed Which of the following may be performed only by a pharmacist? Accepting a return call from a prescriber's office clarifying a prescription. All of the following duties may be performed by a pharmacy technician EXCEPT Selecting an OTC product for a patient. A patient brings in two new prescriptions from two different doctors. One prescription is for ibuprofen 800 mg, 1 tablet po and another prescription is for Anaprox DS, 1 tablet bid wh...

EXCPT STUDY GUIDE COMPLETE ANSWERS True or false: accepting a return call from a prescriber's office clarifying a prescription is something to be performed by only pharmacist technicians? False, this should only be done by pharmacits. True or false: selecting an OTC product for a patient is a duty that should be performed by a pharmacy technician. False A patient brings in two new prescriptions from two different doctors. One prescription is for ibuprofen 800 mg, 1 tablet po t.i.d. ...

Which risk-handling techniques are being used by a firm that decides to not produce a dangerous chemical, to purchase insurance with a $10,000 deductible on its assets and to install a fire sprinkler system throughout the plant? - correct answer Avoidance, retention, insurance and control A healthcare organization is contemplating a possible investment in a new technology and is conducting a return on investment (ROI) analysis. Which of the following are typically used to define the returns...

Het vak word opgedeeld in 2, dit deel gaat over de veiligheid.

Which of the following may be performed only by a pharmacist? correct answers Accepting a return call from a prescriber's office clarifying a prescription. All of the following duties may be performed by a pharmacy technician EXCEPT correct answers Selecting an OTC product for a patient. A patient brings in two new prescriptions from two different doctors. One prescription is for ibuprofen 800 mg, 1 tablet po and another prescription is for Anaprox DS, 1 tablet bid what should the technic...

Define direct and indirect remuneration fees (DIR) fees and describe why they are controversial DIR fees are fees that pharmacies may see PBMs share outside of the administration fees that are generally collected after the point of sale - can be controversial because they often create a net loss for the dispensing pharmacy when the claim is processed thru Medicare part D What are the economic impacts of DIR fees on pharmacy reimbursement and overall revenue? DIR fees can create a loss in...