Page 31 - FPGEE Management Q&A Book
P. 31
www.pharmacyexam.com Krisman
4. Specialized network: 1. The first letter A or B normally indicates
dispensing. The second letter should be the first
It is developed to provide a specific class or type of initial of the prescriber’s last name.
drug to plan members. Examples include interferon
(a drug related to AIDS), injectables, etc. It also 2. Now add the first, third and fifth numbers, which
covers specialized services such as home infusion or is 1 + 4 + 6 = 11.
anticoagulation clinics.
3. Add the sum of the second, fourth and sixth
30.(d) All. Medicare is a health insurance program number and multiply by “2,” which is 2 + 4 + 9 = 15
for: x 2 = 30.
1. People 65 years of age and older. 4. Add this sum to the first sum, 11 + 30 = 41; the
right-most number of this sum (1) must be the ninth
2. Some people with disabilities less than 65 years number of the DEA number.
of age.
BB 1244691
3. People with End-Stage Renal Disease (permanent
kidney failure requiring dialysis or a kidney 33.(c) The Medicare Advantage program is also
transplant). known as Medicare Part C.
Medicare has two parts: 34. (b) Ambulatory care or outpatient care is
medical care provided on an outpatient basis,
1. Part A (Hospital Insurance)-Part A helps pay for including diagnosis, observation, consultation,
care in a hospital, some skilled nursing facilities, treatment, intervention, and rehabilitation services.
hospice, and some home health care. Most people This care can include advanced medical technology
do not have to pay a monthly payment (premium) and procedures even when provided outside of
for Part A because they (or a spouse) paid Medicare hospitals.
taxes while they were working.
35.(d) All. Utilities for a particular disease can be
2. Part B (Medical Insurance) - Part B helps pay for calculated by the following methods:
doctors, outpatient hospital care, and some other
medical services that Part A does not cover, such as 1. Through estimation.
the services of physical and occupational therapists, 2. Through the literature.
and some home health care. 3. Through actual measurement.
Most people get their Medicare health care Physicians, specialties, researchers or special panels
coverage in one of two ways. The costs vary can assign the utility value for a particular disease.
depending on the plan, coverage, and the services
member use. There are three instruments that help to measure
utility values. These are:
31.(b) If the expiration date on a bulk bottle of
Cephalexin is MAY 2021, the drug should not be 1. Rating scale.
used after May 31, 2021. 2. Standard gamble.
3. Time-trade off.
32.(b) The authenticity of the DEA number can be
verified by the following: Rating scale: A rating scale is a set of categories
designed to elicit information about a quantitative
or a qualitative attribute. In the social sciences,
76