CHAPTER 13 PHARMACY BILLING AND
INVENTORY MANAGEMENT | STUDY
GUIDE, PRACTICE QUESTIONS AND
DETAILED ANSWERS | GRADED A+ |
GUARANTEED SUCCESS
Updated 2026 Questions and Answers | 100% Verified
Exam Prep
,The types of drugs typically included in a formulary are: B
A) New drugs
B) Generic drugs and common branded drugs for which no
generic is available in the drug class
C) Uncommon drugs
D) Extremely expensive drugs
In third-party billing, the third party is the: C
A) Pharmacy
B) Patient
C) Insurance company
D) All of the above
Which of the following is not a type of health insurance plan in A
use today?
A) POS
B) HMO
C) PPO
D) Medicare
Which of the following is not aspecial feature of an HMO? D
A) Primary care physician
B) Independent physicians' association
C) Copayment
D) Worker's compensation
Which of the following is not a difference between HMOs and B
PPOs?
A) A PPO plan has no requirements for a PCP
B) PPO plans have a copayment
C) PPO plans have a deductible
D) All of the above are differences
The amount a patient must pay before the copay starts is C
called the :
A) Share of cost
B) Penalty period
C) Deductible
D) Grace period
, Which of the following is not a government-run insurance C
program?
A) Medicare
B) Medicaid
C) Long-term disability
D) Worker's compensation
Which group is not covered by Medicare? A
A) Healthy infants
B) Disabled patients
C) Seniors
D) Dialysis patients
The insurance company decides the amount of coverage per D
medication based on:
A) AWP
B) Copay
C) DAW
D) A and B
Which of the following is not a reason for the insurance B
company to reject a claim?
A) Coverage has expired
B) Use of generic drug
C) Refill to soon
D) NDC not covered
Sometimes insurance companies refill medications early D
because:
A) The patient lost the medication
B) The patient is going on a vacation
C) The physician told the patient to increase the dosage
D) All of the above
INVENTORY MANAGEMENT | STUDY
GUIDE, PRACTICE QUESTIONS AND
DETAILED ANSWERS | GRADED A+ |
GUARANTEED SUCCESS
Updated 2026 Questions and Answers | 100% Verified
Exam Prep
,The types of drugs typically included in a formulary are: B
A) New drugs
B) Generic drugs and common branded drugs for which no
generic is available in the drug class
C) Uncommon drugs
D) Extremely expensive drugs
In third-party billing, the third party is the: C
A) Pharmacy
B) Patient
C) Insurance company
D) All of the above
Which of the following is not a type of health insurance plan in A
use today?
A) POS
B) HMO
C) PPO
D) Medicare
Which of the following is not aspecial feature of an HMO? D
A) Primary care physician
B) Independent physicians' association
C) Copayment
D) Worker's compensation
Which of the following is not a difference between HMOs and B
PPOs?
A) A PPO plan has no requirements for a PCP
B) PPO plans have a copayment
C) PPO plans have a deductible
D) All of the above are differences
The amount a patient must pay before the copay starts is C
called the :
A) Share of cost
B) Penalty period
C) Deductible
D) Grace period
, Which of the following is not a government-run insurance C
program?
A) Medicare
B) Medicaid
C) Long-term disability
D) Worker's compensation
Which group is not covered by Medicare? A
A) Healthy infants
B) Disabled patients
C) Seniors
D) Dialysis patients
The insurance company decides the amount of coverage per D
medication based on:
A) AWP
B) Copay
C) DAW
D) A and B
Which of the following is not a reason for the insurance B
company to reject a claim?
A) Coverage has expired
B) Use of generic drug
C) Refill to soon
D) NDC not covered
Sometimes insurance companies refill medications early D
because:
A) The patient lost the medication
B) The patient is going on a vacation
C) The physician told the patient to increase the dosage
D) All of the above
