2014 - Ba - Readiness Quiz 4 - Ga/Df
- 1.A non-preferred generic drug is identified as which tier level in most plans?
- A.
Tier 1
- B.
Tier 2
- C.
Tier 3
- D.
Tier 4
- 2.A non-preferred brand drug is identified as which tier level in most plans?
- A.
Tier 1
- B.
Tier 2
- C.
Tier 3
- D.
Tier 4
- 3.Which of the following descriptions would best describe a drug restriction?
- A.
Cost
- B.
Tier level
- C.
Non-network Pharmacy
- D.
Step therapy
- 4.What step would you take if a drug is identified as non-covered?
- A.
Re-verify the drug with the customer
- B.
Check for the correct spelling of the drug
- C.
Check drug on Medicare.gov
- D.
All of the above
- 5.Which of the following would be identified as a deductible for a PDP?
- A.
A standard amount you pay based on a tier level
- B.
A fixed amount that must be paid before the plan pays
- C.
A percentage of the cost that must be paid to the pharmacy
- D.
Deductibles for PDP are not required
- 6.Prescription drug plans do not require a deductible to be paid for mail orders.
- A.
True
- B.
False
- 7.Which pharmacy would you expect to get a lower cost for covered drugs?
- A.
Network Pharmacy
- B.
Long Term Care Pharmacy
- C.
Preferred Network Pharmacy
- D.
There is no difference in costs on Medicare PDP’s
- 8.No special consideration is needed on selecting a plan for someone who is in a nursing home.
- A.
True
- B.
False
- 9.Certain drugs are covered in some plans but not others. A customer demands to know why his drug is not covered. Which of the following would you tell the customer?
- A.
Some carriers cannot afford to cover the drug
- B.
Some carriers do not want the risk of providing the drug
- C.
The drug is not listed in the formulary
- D.
All of the above
- 10.OTC (over the counter) drugs are important to the health of a customer. It is important to collect this information so the customer will have a fair comparison of their total monthly drug cost.
- A.
True
- B.
False
- 11.When searching for a PCP number for a Humana MAPD, what resources should you use? (Check all that apply)
- A.
NPI Registry
- B.
Humana Physician Finder
- C.
Call the doctor’s office
- D.
Type in the doctor’s name and phone number
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