PTCB COMPREHENSIVE TEST BANK 2026
COMPLETE QUESTIONS ANSWERS
VERIFIED
● medicare part A. Answer: a federally funded health care program that
pays for a patient's inpatient hospital care, skilled nursing care, hospice
care, and home health care
● medicare part B. Answer: a federally funded health care program that
provides a patient with coverage for physician visits, outpatient care,
physical therapy, and occupational therapy.
● medicare part D. Answer: a federally funded health care program that
provides a patient with coverage for select prescription medications,
medical supplies, insulin, and vaccinations.
● Medicaid. Answer: a federal program based on income as well as other
circumstances. eligibility is determined on a month by month basis. it
generally covers doctors visits, emergency care, hospital care,
vaccinations, prescriptions, vision, hearing, and preventative care for
children
● average wholesale price. Answer: the average price that wholesalers
sell a medication
, ● actual acquisition cost. Answer: actual cost a pharmacy paid for a
medication
● formulary. Answer: a list of medications approved for use or
reimbursement under a prescription plan.
● open formulary. Answer: a variety of several medications in each
therapeutic classification
● closed formulary. Answer: a very limited number of medications
available in each therapeutic classification, and sometimes no
medications in certain classifications.
● restricted formulary. Answer: a selective, limited, partially closed
formulary in which some non-formulary medications are available.
● online adjudication. Answer: the process by which a pharmacy
submits prescription claims electronically to a third party provider when
filling a prescription to ensure accurate copayments and timely payment.
it allows the pharmacy to verify a patient's eligibility and to determine
the plan name, patient identification, and group number from Medicare.
COMPLETE QUESTIONS ANSWERS
VERIFIED
● medicare part A. Answer: a federally funded health care program that
pays for a patient's inpatient hospital care, skilled nursing care, hospice
care, and home health care
● medicare part B. Answer: a federally funded health care program that
provides a patient with coverage for physician visits, outpatient care,
physical therapy, and occupational therapy.
● medicare part D. Answer: a federally funded health care program that
provides a patient with coverage for select prescription medications,
medical supplies, insulin, and vaccinations.
● Medicaid. Answer: a federal program based on income as well as other
circumstances. eligibility is determined on a month by month basis. it
generally covers doctors visits, emergency care, hospital care,
vaccinations, prescriptions, vision, hearing, and preventative care for
children
● average wholesale price. Answer: the average price that wholesalers
sell a medication
, ● actual acquisition cost. Answer: actual cost a pharmacy paid for a
medication
● formulary. Answer: a list of medications approved for use or
reimbursement under a prescription plan.
● open formulary. Answer: a variety of several medications in each
therapeutic classification
● closed formulary. Answer: a very limited number of medications
available in each therapeutic classification, and sometimes no
medications in certain classifications.
● restricted formulary. Answer: a selective, limited, partially closed
formulary in which some non-formulary medications are available.
● online adjudication. Answer: the process by which a pharmacy
submits prescription claims electronically to a third party provider when
filling a prescription to ensure accurate copayments and timely payment.
it allows the pharmacy to verify a patient's eligibility and to determine
the plan name, patient identification, and group number from Medicare.
