Pbm - Study guides, Class notes & Summaries

Chapter 4 PBMF, Exam Review Questions and answers. for-profit business - -A _______ business is an organization that generates revenue. not for profit organization - -A _________ exists to serve some public purpose. manufacturers - -_______ are businesses that use supplies from other producers to make products. wholesaler - -A business that purchases large quantities of products directly from producers and sells the products in smaller quantities to retailers is a ____________. retailer...

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...

Third-party payers that interact directly with retail pharmacies include: correct answers - Pharmacy benefit managers - Medicare prescription drug plans - Medicare advantage plans with prescription drug benefits - Medicaid Which are mechanisms used by third-party payers to control prescription costs and control utilization? correct answers - Prior authorization - Step therapy - Generic substitution - Quantity limits - Formularies Define formulary correct answers List of medications ...

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...

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...

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...

PBMF Chapter 3 Exam Questions and answers, rated A+ The ______ the competition, the _______ the price - -Lower, Higher Higher, Lower Name the type of economy where both the government and individuals make decisions about economic resources. - -Mixed Economy Name the type of economy where the government makes all the economic decisions for its citizens - -Command economy Name the type of economy where the individuals are free to make their own economic decisions - - Market Economy Nam...

PBMF Fall Semester Review, Questions and answers, graded A+ Activities provided for the satisfaction of others and consumed at the time of purchase are - wants Activities provided for the satisfaction of others and consumed at the time of purchase are - services A risk taker who uses resources in a new way to create a new product or service and start a business to earn a profit - entrepreneur Not having enough resources to satisfy every need - scarcity When making an economic choice, t...

PTCB Practice Exam 3 How much guaifenesin would you dispense for a 5-day supply if the prescription calls for "Guaifenesin 15 cc q 4 h po prn"? A.120 mL B. 180 mL C.450 mL D. 480 mL ️C.450 mL Which of the following abbreviations is not a route of administration? A. IM B. non rep C. po D. sl ️B. non rep Which of the following books would one refer to if he or she were instructed to compound a product and needed to find information on the proper process? A. Drug ...

PBMF Final Exam Questions and answers, rated A+ Wise consumers always understand their needs & wants before they buy. - -true an example of fraud would be a salesperson telling a customer, "This is the best car on the market today." - -false class-action courts help consumers resolve cases involving small amounts of money - -false good money management begins with an understanding of your current financial status - -true items of value are called liabilities - -false a credit report ...