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Question 1
Select the characteristic below that is consistent with a specialty medication. Not covered by insurance Treat a complex disease state Any injectable Needs to be refrigerated Question 2
True or False. Patients must go through a specialty pharmacy to obtain a medication that is considered a specialty medication; retail pharmacies do not stock them. True False Question 3
List three characteristics of specialty medications.
Answer:
Answer: any three of the following:
High Cost
Potential for limited or exclusive availability for distribution
Complex treatment regimen that require ongoing monitoring and patient education Treat rare diseases
Special handling, storage, or delivery requirements
Treat diseases known to have long term or severe side effects or increased fatality
Biologically derived and available in injection, infusion, or oral form
Payers may define what they consider to be a specialty medication for reimbursement and contracting purposes. Question 4
List three classes of medications that are considered specialty medications. (1 point each)
Answer:
Any three of the following:
immunomodulating drugs (biologics) or specifically interferons, monoclonal antibodies, interleukins, antivirals for Hepatitis C treatment, antiretrovirals. (other acceptable answers: anti-TNF monoclonal antibody, anti-human vascular endothelial growth factor, anti-alpha4 integrin subunit monoclonal antibody, Human recombinant IL-2 analogue, selective costimulation modulator, TNF receptor antagonist, NRTI, NNRTI, Protease inhibitor, integrase inhibitor, or fusion inhibitor) Question 5
Match the disease state with the appropriate medication used to treat it. (1 point each)
Correct!
Cancer Correct!
Multiple Sclerosis Correct!
Rheumatoid Arthritis Correct!
Crohn’s disease Aldesleukin (Proleukin)
Natalizuman (Tysabri)
Abatacept (Orencia)