PBM Study guides, Class notes & Summaries

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...

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...

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...

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...

Giant Eagle Pharmacy Technician Qualification Exam Questions And Answers Graded A+ online adjudication resolution of coverage through communications of the pharmacy and insurer computers formulary a list of medications an insurance company pays for or charges less to the customer co-pay the amount a customer has to pay when getting a prescription filled on an insurance card pharmacy benefit managers (PBM) companies that administer drug benefits maximum allowable cost (MAC) the max...

The term "LASER" is an acronym for: - correct answer light amplification by stimulated emission of radiation The very first therapeutic laser (of any class) received 510k market clearance from the United States Food and Drug Administration (FDA) in _____.And the first class 4 therapy laser gained FDA clearance in _____. - correct answer 2002 , 2003 In the late 1960's he made the observation that the hair of shaved mice grew back more rapidly after exposure to low power laser light. ...

Samenvatting van het vak Internationale marketing - Capita Selecta gegeven in leerjaar 4 van de opleiding Business Studies. Het document is een combinatie van notities gedurende colleges en werkcolleges. Deze samenvatting omvat alle theorie voor het tentamen.

In 2015, an accounting gimmick gave Ireland a 26% growth rate in GDP. What does this event reflect about the nature of GDP? If the measurement of economic activity evolves, GDP can change. Essential Economic Indicators Economic Growth, Inflation, Unemployment, Business Confidence, Housing Here is the most important economic data for New Zealand and Switzerland. Which economy did better year-over-year (YOY) in the fourth quarter of 2018 compared to the fourth quarter of 2017? Use ...

PBMF Ch. 11, Exam Questions and answers, rated A+ Bait and Switch - the practice of advertising one product with the intent of persuading customers to buy a more expensive item when they arrive in the store break-even point - The point at which revenue from sales equals the costs. Bulk-breaking - the process of separating a large quantity of goods into smaller quantities for resale Bundling - combines two or more services or products for one price. can reduce the overall price when com...

CPMSM - Study Guide Material Questions and Answers Latest Updated What are four models of HMOs? Staff Model Group Model Network Model Independent Practice Association (IPA) What are the four types of committees? Standing Ad hoc Task force Continuous quality improvement team How many medical staff members comprise a Bylaws Committee? 5 At least five active medical staff How many medical staff members comprise a Credentials Committee? 5 At least five active ...