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ch 14 review
| Question | Answer |
|---|---|
| Generic names are the names the manufacturer first patents. | False |
| Medicaid is a federally run program for seniors. | False |
| To use medications before they expire, new medicaton should not be place on the shelf until all the old medication has been used. | False |
| The main difference between an HMO and a PPO is that the patient pays more out of pocket for a PPO. | True |
| All pharmacies must accept all insurances. | False |
| A formulary offers alternatives medications if the first choice is not covered. | True |
| Reconstituted cytotoxic agents must be sent back to the manufacturer. | False |
| It is the responsibilty of the FDA to contact any patient who may have recieved a recalled drug from the pharmacy. | True |
| Most insurance companies will only cover brand name drugs because they are more effective than generic drugs. | False |
| Cytotoxic drugs typically come with paperwork that must be completed and returned to the manufacturer each time that a medication is given | False |
| What is a list of medications covered under insurance plans called? | Formulary |
| What party does third-party billing refer to? | Insurance company |
| List 5 insurance companies that offer HMO | Blue Cross, United Healthcare, Pacificare, Champus Tricare Program, Kaiser. |
| List 3 special features of HMOs | Primary care physician, Independent physician association, copay |
| Which insurance programs covers low-income residents? | Medicaid |
| What is the process by which all claims are processed over a computer system called? | Adjudication |
| List 6 reasons that a prescription may not be covered. | Coverage has expired, Coverage limits have been exceeded, NDC is not covered, Patient is trying to refill script too soon, The cardholders info does not match the processors info, Doctor is not the primary care physician. |
| What is the minimum amount of medication the should be maintained in the pharmacy? | Periodic automated replenishment level |
| List 3 reasons for returning drugs to the manufacturer? | Drug recalls, Damaged stock, Expired stock |
| Who is responsible for maintaining the inventory in the pharmacy? | Everyone in the pharmacy |
| What is it called if the provider allows the patient to choose a main physician rather than having to be seen by the physician on duty? | Primary care physician |
| If the provider requires a predetermined amount to be paid for office visits, this is known as a _____. | Copay |
| List the minimum information that an insurance company needs when processing a precription? | Patients name, date med is filled, pharmacy name/address, med precribed, dosage, date of birth, ID number. |
| Which book should be used to determine the price of a medication based on the manufacturer's price? | Red book |
| When ordering stock for the pharmacy a technician would normally order from what 3 places? | Centralized warehouse, wholesaler, directly from manufactorer. |
Created by:
kavinger
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