The presence of a tiered structure in a patient’s insurance coverage means there may be:
coverage under Medicaid
a higher total copay on all medications
no prescriptions coverage under the plan
higher copays for some medications than others under the plan
higher copays for some medications than others under the plan
Medicare Part D pays for an enrolled patient’s:
(1 Point)
hospital bed charge
prescription drugs
physician charge
all of the above
rx drugs
medicare part A are for inpatient.
medicare part B is for durable medical equipment.
medicare part D is specifically for RX drugs.
The process of verifying insurance coverage and determining the amount a patient must pay for their medication is known as:
(1 Point)
reconciliation
adjudication
capitation
none of the above
adjudication
reconciliation is when a pharmD or technician go over a current medication list with the patient.
adjudication is when a claim is submitted to an insurance provider or PBM to verify coverage or determine what the pt owes for a copay.
capitation is a fixed set amt the provider gets paid regardless how many services is done or how many times the patient comes in. a payment model.
A BIN number is a 6 digit number used to:
(1 Point)
identify the prescribing physician
identify the insurance cardholder
identify the PBM to bill a prescription to
identify the dependent number
identify the PBM to bill a prescription to
A DAW code of “1” indicates that:
(1 Point)
the patient requested a brand name product be used
the prescriber requested that a brand name product be used
the pharmacist requested brand name product be used
a generic product may be used if one is available
the prescriber requested that a brand name product be used
DAW 1: the prescriber requested the brand.
DAW 2: the patient requested a brand name product be used. Which is used when the prescriber allows substitution, but the patient specifically requests the brand-name version.
DAW 3: the pharmacist requested brand name product be used. where the pharmacist determines the brand product should be dispensed even though substitution is permitted.
DAW 0: a generic product may be used if one is available.
Any drugs returned from a customer to a retail pharmacy should be:
marked with an “X” on the label and placed back into pharmacy stock
reported to the DEA
discarded in the appropriate means
none of the above
discarded in the appropriate means
Schedule 2 drugs which are to be returned for destruction should always be:
(1 Point)
preceded by a completed DEA form 222, copies 1 & 2
followed by a completed DEA form 222, copies 1 & 2
reported to the state police
none of the above
preceded by a completed DEA form 222, copies 1 & 2
An advantage to using a collection company to return expired controlled drugs vs. the DEA is:
(1 Point)
the collection service is less expensive to use
the DEA seldom grants return authorization
the collection companies will work with manufacturers to try to obtain credit for surrendered drugs
all of the above
the collection companies will work with manufacturers to try to obtain credit for surrendered drugs
When accepting returns of unit dose medications from inpatient nursing units, the drug:
(1 Point)
must be discarded by appropriate means
may be placed back into the pharmacy’s inventory and reused
should be repackaged in new unit dose wrappings
should be sent to the DEA
may be placed back into the pharmacy’s inventory and reused
When a bulk drug is returned from an inpatient nursing area, the drug:
(1 Point)
must be discarded by the appropriate means
may be placed back into the pharmacy’s inventory and reused
should be repackaged and dispensed again
should be sent to the DEA
must be discarded by the appropriate means
Regarding syringes which statement is true?
(1 Point)
a needle cap should always be replaced prior to discarding a syringe in a biohazard sharps bin
syringes may not be used to measure volumes greater than 10ml
the higher the gauge, the thinner the needle
in order to correctly seat the needle on the syringe, you must grasp the needle tightly between the thumb and forefinger
the higher the gauge, the thinner the needle
Which of the following is correct regarding a HEPA filter?
(1 Point)
the filter should be cleaned by washing it with 70% isopropyl alcohol at least weekly
a good way to monitor it’s condition is with a flow rate meter
it cannot remove particles any smaller than 0.3 microns
all of the above are correct
a good way to monitor it’s condition is with a flow rate meter
filter used in an IV line will have an ability to remove particles as small as:
(1 Point)
0.10 microns
0.22 microns
0.33 microns
0.50 microns
0.22 microns
The acronym HEPA stands for:
(1 Point)
High Energy Poisonous Air filter
High Efficiency Particulate Air filter
Half Energy Particle Air filter
none of the above
High Efficiency Particulate Air filter
refers to an efficiency standard for air filters that are designed to remove at least 99.97% of dust, pollen, mold, bacteria, and any airborne particles with a size of 0.3 microns.
Coring” can be reduced by:
(1 Point)
wiping the stopper with alochol
working in a laminar flow hood
using a smaller syringe
holding the syringe on a 45-degree angle with the bevel up when inserting the needle
holding the syringe on a 45-degree angle with the bevel up when inserting the needle
Drugs which have no significant differences in rate and extent of absorption are called:
(1 Point)
therapeutically equivalent
pharmaceutical alternatives
bioequivalent
DESI drugs
bioequivalent
It is possible for two drugs to be:
(1 Point)
pharmaceutical but not therapeutic equivalents
therapeutic but not pharmaceutical equivalents
therapeutic equivalents but not bioequivalent drugs
all of the above are possible
pharmaceutical but not therapeutic equivalents
In order to be a therapeutic equivalent a drug alternative must be:
I. pharmaceutical equivalents
II. bioequivalent
III. DESI drugs
IV. synthetic drugs
(1 Point)
I only
I and II only
I, II, III only
I, II, III, and IV
I and II only
In a bioequivalence study an applicant drug can display differences within the range of _________ and still be deemed to be bioequivalent.
(1 Point)
-10%/+10%
-20%/+15%
-20%/+30%
-20%/+25%
-20%/+25%
A drug with an orange book rating of “AT” is rated to be a(n):
(1 Point)
equivalent tablet
non-equivalent tablet
equivalent topical product
non-equivalent topical product
equivalent topical product
Pharmacokinetics concerns the way:
(1 Point)
a drug affects the body
a drug affects other drugs
the body affects a drug
all of the above
Pharmacokinetics includes the factors of:
I. absorption
II. elimination
III. advertising
IV. distribution
V. manufacturing
(1 Point)
I only
I and II only
I, II, and III only
I, II, and IV only
all of the above
I, II, and IV only
Choose the answer in the correct order:
(1 Point)
distribution –> absorption –> elimination –> metabolism
metabolism –> absorption –> distribution –> elimination
absorption –> distribution –> metabolism –> elimination
absorption –> metabolism –> distribution –> elimination
absorption –> distribution –> metabolism –> elimination
