1.Which government insurance plans offers 4 different parts or areas of different coverage?A.Medicare- B.Medicaid
C.TRICARE
D.CHAMPVA
2.DAW/DNS stand for which of the following?A.Dispense as written B.Distribute and work C.Distribution and working D.Dispense as well 3.Which of the following third party plans requires the patient to designate a primary care physician (PCP)?A.Health maintenance organization (HMO) B.Preferred provider organization (PPO) C.Medicare Part D
D.TRICARE
4.The cost of the coverage of an insurance policy is known as which of the following?A.Deductible B.Co-payment C.Coinsurance D.Premium 5.Which of the following is another name for the cardholder of the insurance policy?A.Subscriber B.Dependent Pharmacy Billing and Reimbursement PTCB Practice Test Questions and Answers Latest 2023-2024 Rated A+ 1 / 2
C.Patient D.Third party 6.When a patient picks up a prescription in the pharmacy, he or she may be responsible for an out-of-pocket expense known as which of the following?A.Co-payment B.Premium C.Deductible D.Third party 7.The part of Medicare that covers the costs of prescriptions for Medicare patients is known as which of the following?A.Part A-COVERS IN-PATIENT , HOSPITALIZATION, B.Part B—COVERS OUT-PATIENT,MEDICAL SUPPLIES, PREVENTATIVE SERVICES C.Part C-SUPPLEMENTAL INSURANCE-COMBINED D.Part D-COVERS PRESCRIPTION, DIABETES SUPPLIES 8.Which organization oversees Medicaid and Medicare?A.Food and Drug Administration (FDA) B.Drug Enforcement Agency (DEA) C.Centers for Medicare and Medicaid Services (CMS) D.United States Pharmacopeia (USP) 9.Which of the following is a formulary?A.A list of insurance companies that offer pharmacy benefits B.List of providers that are included in an HMO C.List of approved medications in a member’s plan D.Recipe for how to make specific medications
- If a drug is not covered under a patient’s prescription plan, but the prescriber specifically
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wants the patient to have this medication, the insurance company may require which of the following?A.Formulary