Pharmacy Technician
Certification
(2026 Expert-Verified Final
Exam Q & A )
Latest Updated Version
(A+ Guaranteed )
, A Health Maintenance Organization (HMO) requires a in-network pharmacies; generic drugs
patient to use ____ and either recommends or requires the
use of ____.
Patients in a Preferred Provider Organization (PPO) can in-network or out-of-network pharmacies
use ____.
The 4 parts of Medicare are: Part A (hospital insurance), prescription drug insurance
Part B (medical insurance), Part C (Medicare Advantage
Plan that is private insurance), and Part D
(______________________).
What government entity runs Medicaid? state governments
When a patient presents an insurance card, the adjudication
information is entered into the computer, and a claim is
sent to the insurance company for payment or rejection.
The process of the insurance company accepting or
rejecting a claim is called ____.
The process in which a drug requires further review to prior authorization
determine if it is covered is called ____.
The codes used to bill different medical conditions are ICD codes
called ____.
Who is contracted by insurance companies to process the PBM or Pharmacy Benefits Manager
claims for the insurance company's members?
What is a flexible spending account? an account through a patient's employer where patients can use pre-tax dollars for
medical expenses
The term used to describe the services provided by a long-term care
pharmacy to patients in an assisted living facility or a
nursing home is called ____.
Patients with more than one third-party payer will utilize coordination of benefits / COB
this process for the benefits of both plans to be used.
The block-rate payment collected from patients for their copay
share of the prescription cost is called a ____.
Which of these is usually not found on a patient's date of birth
prescription card?
Which would not be considered a dependent of the child age 27 and above, who does not have access to other health insurance
employee who purchased the insurance?
2026