Iphc Final

Front 1

Generating data on MD prescribing and
comparing MDs to expected prescribing patterns for select drug categories is called?

Back 1

Provider Profiling

Front 2

The Medicare Drug Benefit differs from other parts of Medicare in that the patient must ________ in order to be covered.

Back 2

Opt In

Front 3

True or False
The standard (minimum) Government Benefit in 2009 has a $295 deductible and 20% coinsurance after the deductible is met.

Back 3

False- The minimum is 25% until the doughnut hole is reached in which the patient will pay 100%

Front 4

People that are eligible for Medicare Part D that don't enroll and don't have other coverage are charged a _________ penalty when they do sign up.

Back 4

1%/Month starting when they become eligible to enroll

Front 5

How many PDP's are there in Florida?

Back 5

54

Front 6

True or False
Most PDP's did not increase their monthly premiums from 2008-2009.

Back 6

False- 44 Increased premiums by an average of $11.46/month

Front 7

When is the annual enrollment period for PDP's?

Back 7

Nov.15- Dec. 31

Front 8

TrOOP stands for?

Back 8

True out of pocket costs

Front 9

What are the Quirks in the Medicare Part D system?

Back 9

TrOOP
Benzo's are not covered
Uneven monthly payments
Formulary Variations
Partners have different Plans
PDP Enrollment Period
Some PDP's go out of business

Front 10

True or False
The Cheapest Part D plan for total annual cost has been the same for the last 4 years.

Back 10

False

Front 11

True or False
The plan with the cheapest premium, has the cheapest annual cost.

Back 11

False

Front 12

True or False
Most MTM comes from a call center pharmacist.

Back 12

True- 95% from call center. 5% from community pharmacists.

Front 13

What is the criteria to be eligible for MTM?

Back 13

2-5 Chronic Disease States
5-12 Chronic Meds
>$4,000/year

Front 14

What did the Lewin group say was appropriate to pay an RPh for their time spent doing MTM?

Back 14

$2-$3 per minute

Front 15

In the hospital there is at least __ med error(s) per day.

Back 15

1

Front 16

The ______ method is usually the best way to catch medication errors.

Back 16

Observation

Front 17

What is the main dispensing error in community pharmacy?

Back 17

Wrong label instructions

Front 18

What is the major problem with the observational method?

Back 18

It's too expensive

Front 19

One person is hurt every ____ days due to an error.

Back 19

1.5

Front 20

When an error that hurts someone occurs it usually costs about?

Back 20

$1 million

Front 21

Most medication error deaths come from incorrect?

Back 21

Dose

Front 22

The fewest medication error deaths come from _______?

Back 22

Non-compliance

Front 23

True or False
Compared to mail order pharmacy, community pharmacy is less likely to make dispensing errors

Back 23

False

Front 24

True or False
Bar coding can greatly decrease the number or errors

Back 24

True

Front 25

True or False:
In Florida if a health care professional apologizes for any type of mistake that apology can be used as proof of liability in the committing the error.

Back 25

False

Front 26

True or False:
Some pharmacists are skeptical about the impact pharmacists can make upon a patient’s outcome

Back 26

True

Front 27

A "set of attitudes and behaviors believed to be appropriate to a particular occupation" is known as?

Back 27

Professionalism

Front 28

Contributing, being proactive, embracing, and promote the culture of professionalism is known as what triat of professionalism?

Back 28

Leadership

Front 29

Leadership
"As a student of pharmacy, I believe there is a need to build and reinforce a professional identity founded on integrity, ethical behavior, and honor. This development, a vital process in my education, will help to ensure than I am true to the professional relationship I establish between myself and society as I become a member of the pharmacy community. Integrity will be an essential part of my everyday life and I will pursue all academic and professional endevors with honesty and commitment to service" is known as what?

Back 29

Pledge of professionalism

Front 30

The pledge of professionalism was adopted my whom?

Back 30

University of Illinois COP pledge of professionalism in 1993

Front 31

Non judgemental, empathetic and responsiveness to the needs of the patient and their family, and maintaining appropriate boundaries refers to what trait of professionalism?

Back 31

Covenantal Relationship with Patient

Front 32

What trait of professionalism includes confronting individuals who demonstrate unprofessional behavior?

Back 32

Accountability

Front 33

Contributing to quality improvements and developing of new knowledges and practices that advance pharmaceutical care are categorized under what professionalism trait?

Back 33

Creativity and Innovation

Front 34

Demonstrating an awareness of professional norms, laws, and behavior and prioritizing responsibilities properly falls under what trait of professionalism?

Back 34

Ethically Sound Decision Making

Front 35

Dedication, upholding competent delivery of health care services, addressing lack of knowledge or skill in self or others is known as what trait of professionalism?

Back 35

Pride of Professionalism

Front 36

Demonstrating concerns for the welfare of others, using skills and knowledge to improve qualities of life, and sharing oppurtunities for recognition with others is known as what trait of professionalism?

Back 36

Service oriented

Front 37

_____________ are companies that administer drug benefit programs for employers and health insurance carriers.

Back 37

Pharmacy Benefit Managers

Front 38

How many PBM's are there today?

Back 38

About 60

Front 39

Who are the Big Three in terms of PBM's?

Back 39

Medco, CVS Caremark, Express Scripts

Front 40

What do large PBM's set up in order to increase their profits by decreasing dispensing costs?

Back 40

Mail Order Pharmacies

Front 41

True or False
Rebates must be disclosed to the PBM clients and forwarded to them unless they enter into a rebate
sharing agreement with the PBM.

Back 41

True

Front 42

What are the most common types of contracts entered into by PMB's and their clients?

Back 42

Fee for Service

Front 43

PBM's attempt to control costs using what 4 approaches?

Back 43

Contract Pricing, Benefit Design, Utilization Management, and Drug Selection.

Front 44

True or False
Rebate revenue is estimated to be between 5-25% on brand name drugs.

Back 44

True

Front 45

Pharmacy reimbursement is currently comprised of what two elements?

Back 45

AWP and Dispensing Fee

Front 46

True or False
More than 10% of physicians utilize E-Prescribing

Back 46

False- Less than 10%

Front 47

What was the initial response to RxHub?

Back 47

Many pharmacists were against it.

Front 48

The most commonly used cost sharing
approach is?

Back 48

The 3 Tiered system

Front 49

Dispensing of a drug product that contains the same active ingredient(s) and is chemically identical in strength, concentration, dosage form, and route of administration to the drug product prescribed is known as?

Back 49

Generic Substitution

Front 50

DSM stands for?

Back 50

Disease State Management