Exam Study Guide 2026 – Actual Questions
with Verified Answers & Detailed Explanations
Wholesaler -answer ✅✅✅Sells medications to the pharmacies and health
systems/hospitals
Community pharmacy -answer ✅✅✅Cares for patients and dispenses medications
Pharmacy Benefits Manager (PBM) -answer ✅✅✅Processes coverage, determines
reimbursement price, and reimburses pharmacies
Open network -answer ✅✅✅Network where every pharmacy participates at equal
copays for the patient
Preferred network -answer ✅✅✅Network where every pharmacy participates, but
some pharmacies are 'preferred' and have lower copays
Narrow network -answer ✅✅✅Network where some pharmacies are excluded from the
network entirely
Adherence -answer ✅✅✅Patients take the medications as prescribed by their
physicians; drives improved clinical outcomes which lowers healthcare costs and
decreases utilization
Center for Medicare and Medicaid Services (CMS) -answer ✅✅✅The largest payer
who controls the quality measures that are the center of pay for performance contracts
Medicare Part A -answer ✅✅✅Health coverage (inpatient and/or hospital coverage)
Medicare Part B -answer ✅✅✅Outpatient medical coverage including durable medical
equipment coverage and some medications coverage
Medicare Part C -answer ✅✅✅Includes both A and B with or without D coverage,
referred to as "Medicare Advantage"