Financial IssuesChapter 14

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In 1985 the average prescription price was approximately $10. By 2011 what

did the average prescription price become?

$120

$84

$75

$150

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Yes No(Hint: see page 372 of The Pharmacy

Technician 5E)

Pharmacies must sign contracts with a company that

administers drug benefit programs called

Pharmacy management corporation

Pharmacy manager care system

Pharmacy benefit manager

Pharmacy script manager

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Yes No(Hint: see page 372 of The Pharmacy

Technician 5E)

Besides the patient, who pays some or all of the cost of

medications?

Physicians

HMOs

Coinsurance

Third-party billing

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Yes No(Hint: see page 373 of The Pharmacy

Technician 5E)

Who is responsible for the medication deductible amount?

Medical office

Insurer

Patient

Insurance company

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Yes No(Hint: see page 374 of The Pharmacy Technician

5E)

Managed care programs only include

HMOs

POS

PPOs

All of the above

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Yes No(Hint: see page 375 of The Pharmacy Technician

5E)

The largest public health insurance plans in the United

States are

Patient assistance programs

Workers’ compensation

AARP

Medicare and Medicaid

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Yes No(Hint: see page 376 of The Pharmacy Technician

5E)

Whose responsibility is it in the pharmacy to obtain the patient,

prescription, and billing information?

Physician

Pharmacy technician

Computer manager

Third-party billing manager

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Yes No(Hint: see page 378 of The Pharmacy Technician

5E)

Which information is NOT required for prescription online

claim processing?

Marital status

DAW indicator

Group number

National drug code (NDC)

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Yes No(Hint: see page 379 of The Pharmacy

Technician 5E)

What is the standard form used by health-care providers to bill for

services?

Universal claim form (UCF)

HCFA 1500

National claim form (NCF)

CMS-1500 form

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Yes No(Hint: see page 383 of The Pharmacy

Technician 5E)

Which part of Medicare provides opportunities for pharmacists to provide

Medication Therapy Management service?

Part A

Part B

Part C

Part D

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Yes No(Hint: see page 384 of The Pharmacy

Technician 5E)

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