PHARMACY PRACTICE CHAPTER 8 EXAM QUESTIONS AND ANSWERS
Which of the following is not a reason why drug costs continue to escalate?
a. increase in pharmacy tech salaries
b. fewer brand name drugs coming off patent
c. manufacturers boosting AWPs of brand and generic drugs
d. increase in innovative and expensive drugs - CORRECT ANSWER✅✅a. increase in pharmacy tech
salaries
Most prescription costs in US are covered by
a. cash
b. third-party health insurance
c. Medicaid
d. Medicare Part D - CORRECT ANSWER✅✅b. third-party health insurance
Healthcare insurance programs run jointly by government to subsidize the cost for eligible disabled, low-
income, part-time, and unemployable state citizens of any age is called
a. Workers' Compensation
b. Medicaid
c. Medicare Part C
d. Medicare Part D - CORRECT ANSWER✅✅b. Medicaid
Copayment is best defined as a(n)
a. out of pocket payment for office visits only
b. set percentage of total cost of any service provided
c. flat out of pocket fee for each service provided
d. monthly premium for drug insurance coverage - CORRECT ANSWER✅✅c. flat out of pocket fee for
each service provided
PBM is
, a. processor of claims
b. drug wholesaler
c. military insurance plan
d. employer - CORRECT ANSWER✅✅a. processor of claims
Average price that PBM's reimburse a pharmacy is called
a. usual and customary charge
b. AWP
c. discount price
d. markup price - CORRECT ANSWER✅✅b. AWP
Submitting prescription claim to insurance is done by
a. telephoning insurance company
b. charging a patient's Flex card
c. using online adjudication
d. completing a universal claim form - CORRECT ANSWER✅✅c. using online adjudication
If an insurance company has 3 different copays for each class of medication, then its payment structure
is
a. average wholesale price
b. tiered copay
c. dual copay
d. out of pocket - CORRECT ANSWER✅✅b. tiered copay
Establishment of healthcare exchanges was mandated by
a. Drug Security Act
b. Affordable Care Act
c. Social Security Amendments
d. Medicare Modernization Act - CORRECT ANSWER✅✅b. Affordable Care Act
Which of the following is not a reason why drug costs continue to escalate?
a. increase in pharmacy tech salaries
b. fewer brand name drugs coming off patent
c. manufacturers boosting AWPs of brand and generic drugs
d. increase in innovative and expensive drugs - CORRECT ANSWER✅✅a. increase in pharmacy tech
salaries
Most prescription costs in US are covered by
a. cash
b. third-party health insurance
c. Medicaid
d. Medicare Part D - CORRECT ANSWER✅✅b. third-party health insurance
Healthcare insurance programs run jointly by government to subsidize the cost for eligible disabled, low-
income, part-time, and unemployable state citizens of any age is called
a. Workers' Compensation
b. Medicaid
c. Medicare Part C
d. Medicare Part D - CORRECT ANSWER✅✅b. Medicaid
Copayment is best defined as a(n)
a. out of pocket payment for office visits only
b. set percentage of total cost of any service provided
c. flat out of pocket fee for each service provided
d. monthly premium for drug insurance coverage - CORRECT ANSWER✅✅c. flat out of pocket fee for
each service provided
PBM is
, a. processor of claims
b. drug wholesaler
c. military insurance plan
d. employer - CORRECT ANSWER✅✅a. processor of claims
Average price that PBM's reimburse a pharmacy is called
a. usual and customary charge
b. AWP
c. discount price
d. markup price - CORRECT ANSWER✅✅b. AWP
Submitting prescription claim to insurance is done by
a. telephoning insurance company
b. charging a patient's Flex card
c. using online adjudication
d. completing a universal claim form - CORRECT ANSWER✅✅c. using online adjudication
If an insurance company has 3 different copays for each class of medication, then its payment structure
is
a. average wholesale price
b. tiered copay
c. dual copay
d. out of pocket - CORRECT ANSWER✅✅b. tiered copay
Establishment of healthcare exchanges was mandated by
a. Drug Security Act
b. Affordable Care Act
c. Social Security Amendments
d. Medicare Modernization Act - CORRECT ANSWER✅✅b. Affordable Care Act
