PHARMACY LAW FINAL EXAM
1. Which of the following best describes the purpose of the federal Anti-Kickback
Statute?
Answer To prohibit financial incentives for referrals involving federally reimbursed healthcare services.
2. In the Pfizer for All and Lilly Direct programs, what potential legal concern
are senators raising?
Answer Possible violations of anti-kickback laws due to financial ties between drug companies, prescribers,
and pharmacies.
3. The AMMO law primarily exists to
Answer Prohibit mandatory mail order pharmacy requirements imposed by health plans.
4. Which of the following is a key difference between the Anti-Kickback Statute
and AMMO laws?Answer Anti-Kickback is a federal law; AMMO laws are state-specific.
5. Which of the following elements could make Pfizer's collaboration with tele-
health providers and Alto Pharmacy a legal concern?Answer They may create a closed
network that financially incentivizes prescribing Pfizer drugs.
,6. What is one reason direct-to-consumer selling by drug manufacturers may
raise ethical or legal concerns?Answer It might influence prescriber behavior through exclusive
partnerships.
7. Which of the following is true regarding specialty medications?
Answer They often require special handling and may only be available through mail order
8. What is a legitimate reason for a health plan to require mail order for certain
drugs?
Answer The medication is a specialty drug requiring special storage.
9. Which of the following would NOT be considered "steering"?
Answer A doctor recommends a compounding pharmacy because no local pharmacies prepare that
medication.
10. A pharmacist tells a patient, "We can fill your prescription here and it's $5
cheaper, but your insurance will only pay for it if you use a mail order pharma-
cy."This situation may raise concerns about
Answer Steering due to insurance policy limitations
,11. When is it generally not considered steering for a provider to recommend a
specific pharmacy?
Answer When the medication is only made by a specific compounding pharmacy.
12. Eli Lilly's LillyDirect platform allows patients to access medications through
telehealth and digital pharmacy services like Amazon Pharmacy, with built-in
savings programs. From a pharmacy law perspective, what is a potential con-
cern with this model?
Answer It may create a conflict of interest if prescribing and dispensing are closely tied to the drug
manufacturer.
, 13. Anti-kickback laws, like the Federal Anti-Kickback Statute (AKS)
Answer prohibit ottering or receiving "remuneration" (anything of value) to induce or reward referrals for
services or items reimbursed by federal healthcare programs like Medicare and Medicaid.
14. Prohibited Conduct
The AKS prohibits anyone from
covered by federal healthcare pro-
grams.
Answer soliciting, ottering, giving, or receiving remuneration in exchange for referrals for services or items
15. Purpose of antikickback laws?
Answer The law aims to prevent financial incentives from influencing medical decisions and to protect
federal healthcare programs from fraud and abuse.
16. "Remuneration"
Answer includes anything of value, not just cash, such as free rent, expensive meals, or excessive
compensation.
17. Pfizer's direct-to-consumer (DTC) diabetes program, "PfizerForAll," could po-
1. Which of the following best describes the purpose of the federal Anti-Kickback
Statute?
Answer To prohibit financial incentives for referrals involving federally reimbursed healthcare services.
2. In the Pfizer for All and Lilly Direct programs, what potential legal concern
are senators raising?
Answer Possible violations of anti-kickback laws due to financial ties between drug companies, prescribers,
and pharmacies.
3. The AMMO law primarily exists to
Answer Prohibit mandatory mail order pharmacy requirements imposed by health plans.
4. Which of the following is a key difference between the Anti-Kickback Statute
and AMMO laws?Answer Anti-Kickback is a federal law; AMMO laws are state-specific.
5. Which of the following elements could make Pfizer's collaboration with tele-
health providers and Alto Pharmacy a legal concern?Answer They may create a closed
network that financially incentivizes prescribing Pfizer drugs.
,6. What is one reason direct-to-consumer selling by drug manufacturers may
raise ethical or legal concerns?Answer It might influence prescriber behavior through exclusive
partnerships.
7. Which of the following is true regarding specialty medications?
Answer They often require special handling and may only be available through mail order
8. What is a legitimate reason for a health plan to require mail order for certain
drugs?
Answer The medication is a specialty drug requiring special storage.
9. Which of the following would NOT be considered "steering"?
Answer A doctor recommends a compounding pharmacy because no local pharmacies prepare that
medication.
10. A pharmacist tells a patient, "We can fill your prescription here and it's $5
cheaper, but your insurance will only pay for it if you use a mail order pharma-
cy."This situation may raise concerns about
Answer Steering due to insurance policy limitations
,11. When is it generally not considered steering for a provider to recommend a
specific pharmacy?
Answer When the medication is only made by a specific compounding pharmacy.
12. Eli Lilly's LillyDirect platform allows patients to access medications through
telehealth and digital pharmacy services like Amazon Pharmacy, with built-in
savings programs. From a pharmacy law perspective, what is a potential con-
cern with this model?
Answer It may create a conflict of interest if prescribing and dispensing are closely tied to the drug
manufacturer.
, 13. Anti-kickback laws, like the Federal Anti-Kickback Statute (AKS)
Answer prohibit ottering or receiving "remuneration" (anything of value) to induce or reward referrals for
services or items reimbursed by federal healthcare programs like Medicare and Medicaid.
14. Prohibited Conduct
The AKS prohibits anyone from
covered by federal healthcare pro-
grams.
Answer soliciting, ottering, giving, or receiving remuneration in exchange for referrals for services or items
15. Purpose of antikickback laws?
Answer The law aims to prevent financial incentives from influencing medical decisions and to protect
federal healthcare programs from fraud and abuse.
16. "Remuneration"
Answer includes anything of value, not just cash, such as free rent, expensive meals, or excessive
compensation.
17. Pfizer's direct-to-consumer (DTC) diabetes program, "PfizerForAll," could po-
