1.
The resolution of prescription coverage through the communication of the pharamacy computer with the third party computer
A. 
B. 
C. 
D. 
2.
The portion of the price of medication that the patient is requried to pay
A. 
B. 
C. 
D. 
3.
The maximum price per tablet (or tother dispensing unit) an insurer or PBM will pay for a given product
A. 
B. 
Maximum allowable cost (MAC)
C. 
D. 
4.
A federal-state program, administered by the states, providing health care for the needy
A. 
B. 
C. 
Midication therapy management services (MTMS)
D. 
5.
A cost-sharing agreement bettween the insurer and the insured
A. 
B. 
C. 
D. 
6.
Co-pays that have two prices: one for generic and one for brand medications
A. 
B. 
C. 
D. 
7.
A set amount that must be paid by the patient for each benefit period before the insurer will cover additional expenses
A. 
Current procedural terminology codes (CPT CODES)
B. 
C. 
D. 
8.
A network of providers for which costs are covered inside but not outside of the network
A. 
B. 
Medication Therapy Management Services ( MTMS )
C. 
National Provider Identifier (NPI)
D. 
9.
A federal program providing health care to people with certain disabilities over age 65
A. 
B. 
C. 
D. 
10.
Service provided to some Medicare beneficiaries who are enrolled in Mediare Part D and who are taking multiple medicatons or have certain diseases
A. 
Medication Therapy Management Services (MTMS)
B. 
National Provider Identifier (NPI)
C. 
D. 
11.
The code assigned recognized health care providers; needed to bill MTMS
A. 
B. 
C. 
D. 
12.
The standard from used by health care proviers to apply for a National Provider Identifier (NPO)
A. 
B. 
C. 
D. 
13.
A list of medications that are covered by a third party plan
A. 
B. 
C. 
D. 
14.
Companies that administer drug benefit programs
A. 
Pharmacy benefit managers
B. 
C. 
Prescription Drug Plans PDPs
D. 
15.
A standard paper claim from accepted by many insurers
A. 
B. 
C. 
D. 
16.
The maximum amount of payment for a given prescription, determined by the insurer to be usual and customary (and reasonable) price
A. 
B. 
C. 
D. 
17.
Manufacturer sponsored prescription drug programs for the needy
A. 
B. 
Prescription drug benefit cards
C. 
Patient assistance programs
D. 
18.
Cards that contain third party billing information for prescription drug purchases
A. 
Prescription drug plans (pdps)
B. 
Prescription drug benefit cards
C. 
D. 
19.
A network of providers where costs outside the network may be partially reimbursed and the patient's primary care physician need not be a member
A. 
B. 
C. 
D. 
20.
An employer compensation program for employees accidentally injured on the job
A. 
B. 
C. 
D. 
21.
Third party programs for Medicare Part D.
A. 
Prescription drug benefit cards
B. 
Prescription drug plans pdps
C. 
D. 
22.
Categories of medications that are covered by a third party plan
A. 
B. 
C. 
D. 
23.
Companies that administer drug benefit programs are called
A. 
Pharmacy benefit managers
B. 
C. 
D. 
24.
Another party, besides the patient or the pharmacy, that pays some or all of the cost of the medication is a(an)
A. 
B. 
C. 
D. 
25.
AN AGREEMENT FOR COST-SHARING BETWEEN THE INSURER AND THE INSURED IS CALLEDD
A. 
B. 
C. 
D.