Pbm Study guides, Class notes & Summaries

PBMF Fall Semester Exam Review Rated 100% Correct!!

With the Pharmacy Benefit Manager (PBM) migration to Express Scripts effective 1/1/2024, existing members can continue to use their current ID card 1/1/2024 and beyond. - Answer-False - With the PBM migration to Express Scripts effective 1/1/2024, all existing members will receive a new ID card containing new pharmacy processing information and must use their new ID card starting 1/1/2024. Wellcare's _____ plan is designed for Low-Income Subsidy members. Question 29Select one:a. Classic b...

Alaska Pharmacy Law Questions and Answers 100% Pass The board of pharmacy in AK is permitted to regulate the sale of nonprescription drugs, T/f? False Facility licenses issued by the AK BOP are not transferable or assignable, T/f? True A pharmacy outside of the state of AK is allowed to ship medications into the state of Alaska to patients, T/f? True; they must be registered though Pharmacist in AK are able to dispense and adminster opioid OD drugs, T/f? True When dispensing a brand name me...

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Define direct and indirect remuneration fees (DIR) fees and describe why they are controversial DIR fees are fees that pharmacies may see PBMs share outside of the administration fees that are generally collected after the point of sale - can be controversial because they often create a net loss for the dispensing pharmacy when the claim is processed thru Medicare part D What are the economic impacts of DIR fees on pharmacy reimbursement and overall revenue? DIR fees can create a loss in...

Pharmaceuticals - medicines and vaccines for human and animal use. products may have a brand name or be generic, and they may be prescription or OTC Diagnostic - equipment and supplies used in screening, detecting, and monitoring disease. can range from simple home testing kits to sophisticated imaging technologies Medical devices - advanced instrumentation and appliances used for medical therapy, such as joint replacements, implantable defibrillators, and pacemakers. Also includes drug d...

online adjudication - Answer-resolution of coverage through communications of the pharmacy and insurer computers formulary - Answer-a list of medications an insurance company pays for or charges less to the customer co-pay - Answer-the amount a customer has to pay when getting a prescription filled on an insurance card pharmacy benefit managers (PBM) - Answer-companies that administer drug benefits maximum allowable cost (MAC) - Answer-the maximum price per unit the insurer will pay for a...

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PHARMACY TECHNICIAN STUDY GUIDE Correct answers latest update What does a Health maintenance Organization (HMO) require patients to use? a) out of network pharmacies b) in network pharmacies c) in network pharmacies and generic drugs d)generic drugs in network pharmacies and generic drugs Patients in a Preferred Provider Organization (PPO) can use ________ a) mail order pharmacies only b) in network or out of network pharmacies c) out of network pharmacies only d) in network p...

Giant Eagle pharmacy technician qualification final exam 2024 online adjudication - CORRECT ANSWER-resolution of coverage through communications of the pharmacy and insurer computers formulary - CORRECT ANSWER-a list of medications an insurance company pays for or charges less to the customer co-pay - CORRECT ANSWER-the amount a customer has to pay when getting a prescription filled on an insurance card pharmacy benefit managers (PBM) - CORRECT ANSWER-companies that administer drug...