GUIDE, PRACTICE QUESTIONS AND
DETAILED ANSWERS | GRADED A+ |
GUARANTEED SUCCESS
Updated 2026 Questions and Answers | 100% Verified
Exam Prep
,NDC Code Manufacturer- Product- Package
U&C Usual and customary
OSHA Occupational Safety and Health Administration;
workplace safety
Triturating to reduce to fine particles or powder by rubbing, grinding, bruising, or the like; pulverize.
Formulary a list of prescription drugs covered by a health insurance plan
Adjudication the process of determining whether or not the drug will be covered under the patient's
insurance plan
HMO Health Maintenance Organization;
a managed care organization in which a patient must select a primary care physician
(PCP) from a network and must see or get a referral from their physician to obtain any
covered services
PPO Preferred Provider Organization;
a managed care organization in which a patient can obtain services from any physician as
long as it is within network, without a prior referral
Medicare Government insurance plan for individuals who are 65 and older or younger with
disabilities; 4 parts;
Part A- inpatient hospital stays
Part B- doctor visits, DME, chemotherapy, diabetes supplies
Part C- Medicare Advantage Plan (private company for part A & B)
Part D- Prescription drug coverage
Medicaid This is a joint federal and state program that helps with medical costs for some people
with low incomes and limited resources. Medicaid programs vary from state to state.
TRICARE Government insurance program for active military
CHAMPVA Government insurance program for veterans
, Worker's Compensation Insurance for workers who are injured on the job
Coordination of Benefits (COB) Determining which insurance should be considered primary, secondary, tertiary, etc.
Prior Authorization If a medication is not normally covered by an insurance, is a particularly high dose, has
significant risk potential, is being used to treat or ameliorate off-label
disease(s)/condition(s), or is not usually recommended for a particular age or gender, the
physician and/or the pharmacy may need to acquire prior authorization in order to get
the insurance to cover the medication.
Co-payment a fixed amount paid for a covered healthcare service, usually when service is provided;
amount varies depending on type of health insurance a person has.
Co-insurance a percentage the subscriber is required to pay of every medical bill (usually 80/20-
insurance company pays 80% and insured pays 20%) after the deductible has been met
Deductible an amount the subscriber must pay before the insurance begins to pay
Premium The periodic payment to Medicare, an insurance company, or a health care plan for
health care or prescription drug coverage
Open formulary Has no limitation to access to a medication. Open formularies are generally large.
Closed formulary a limited list of medications
Wholesaler Distributor; sells to retailers
Manufacturer manufactures/makes the product
1 tsp = _____ mL 5 mL
1 tbsp = _____ tsp 3 tsp
1 fl oz = _____ tbsp 2 tbsp
1 cup = _____ fl oz 8 fl oz