MCPPO ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED
A+
◍ What are the three stages of the design and construction process for public
construction projects in MA.
Answer: Planning, Design, and Construction
◍ Procurement in pharmacy.
Answer: The process of acquiring medications and products for a pharmacy
at the best possible cost and terms
◍ Primary goal of procurement.
Answer: Maintain medication supply while controlling acquisition costs to
preserve profit margins
◍ Why procurement is critical in community pharmacy.
Answer: Drug acquisition cost directly impacts profitability especially with
declining reimbursement
◍ MCCPDC full name.
Answer: Mark Cuban Cost Plus Drug Company
◍ MCCPDC pricing model.
Answer: Cost of drug plus fixed markup plus pharmacy fee plus shipping
◍ MCCPDC transparency model.
Answer: Publishes acquisition cost markup and pharmacy fee openly to
consumers
◍ Traditional drug pricing model.
Answer: Uses PBMs rebates spread pricing and confidential negotiations
◍ PBMs role in procurement.
, Answer: Negotiate drug prices manage formularies and determine
reimbursement rates
◍ What does the design stage result in?.
Answer: A complete set of plans and specifications describing the project to
be built.
◍ Spread pricing.
Answer: When a PBM charges the payer more than it reimburses the
pharmacy and keeps the difference
◍ How MCCPDC disrupts the traditional model.
Answer: Eliminates PBMs and provides direct transparent pricing to
consumers
◍ What happens after a set of plans and specifications is complete?.
Answer: Bids are solicited on the completed design, and the selected
contractor completes the construction stage.
◍ Who is always responsible and accountable for the project?.
Answer: Public Owner (Awarding Authority)
◍ Before contracting for design services in connection with a public building
contract estimated to cost $1.5 million or more, your jurisdiction is required
to do what?.
Answer: Contract with or assign an Owner's Project Manager (OPM)
◍ Serves as your jurisdiction's agent during the planning, design, and
implementation of the construction work..
Answer: OPM
◍ Independent of the project designer, general contractor, or any
subcontractor..
Answer: OPM
◍ I you elect to contract for the services of an OPM, what are you required to
do?.
Answer: Use a qualifications-based selection process, which means that the
, OPM must be competitively selected on the basis of qualifications, without
price competition.
◍ Limitations of MCCPDC.
Answer: Limited formulary mail order only and not ideal for urgent
medications
◍ Potential benefit of MCCPDC for patients.
Answer: Lower out of pocket costs especially for generics
◍ Procurement strategy for independent pharmacies.
Answer: Negotiate with wholesalers monitor generic price fluctuations and
use secondary suppliers when beneficial
◍ Can you assign an employee to serve as OPM?.
Answer: Yes, if the employee meets or exceeds the requirements and has
building construction and supervision experience relating to projects of
similar size and scope of complexity.
◍ TrumpRx concept.
Answer: Proposal focused on reducing drug prices by promoting
transparency direct negotiation and reducing middlemen
◍ What is a study?.
Answer: A pre-design document that:-Confirms and explains the owner's
requirements-Identifies and evaluates alternative solutions-Recommends
and defines a solution
◍ Common theme between MCCPDC and TrumpRx.
Answer: Reduce middlemen increase price transparency and lower drug
costs
◍ Purpose is to identify the owner's needs and determine the most appropriate
and cost effective solution to meeting the needs..
Answer: Study
◍ Risk of alternative procurement models.
Answer: May disrupt existing reimbursement systems and pharmacy
QUESTIONS WITH ANSWERS GRADED
A+
◍ What are the three stages of the design and construction process for public
construction projects in MA.
Answer: Planning, Design, and Construction
◍ Procurement in pharmacy.
Answer: The process of acquiring medications and products for a pharmacy
at the best possible cost and terms
◍ Primary goal of procurement.
Answer: Maintain medication supply while controlling acquisition costs to
preserve profit margins
◍ Why procurement is critical in community pharmacy.
Answer: Drug acquisition cost directly impacts profitability especially with
declining reimbursement
◍ MCCPDC full name.
Answer: Mark Cuban Cost Plus Drug Company
◍ MCCPDC pricing model.
Answer: Cost of drug plus fixed markup plus pharmacy fee plus shipping
◍ MCCPDC transparency model.
Answer: Publishes acquisition cost markup and pharmacy fee openly to
consumers
◍ Traditional drug pricing model.
Answer: Uses PBMs rebates spread pricing and confidential negotiations
◍ PBMs role in procurement.
, Answer: Negotiate drug prices manage formularies and determine
reimbursement rates
◍ What does the design stage result in?.
Answer: A complete set of plans and specifications describing the project to
be built.
◍ Spread pricing.
Answer: When a PBM charges the payer more than it reimburses the
pharmacy and keeps the difference
◍ How MCCPDC disrupts the traditional model.
Answer: Eliminates PBMs and provides direct transparent pricing to
consumers
◍ What happens after a set of plans and specifications is complete?.
Answer: Bids are solicited on the completed design, and the selected
contractor completes the construction stage.
◍ Who is always responsible and accountable for the project?.
Answer: Public Owner (Awarding Authority)
◍ Before contracting for design services in connection with a public building
contract estimated to cost $1.5 million or more, your jurisdiction is required
to do what?.
Answer: Contract with or assign an Owner's Project Manager (OPM)
◍ Serves as your jurisdiction's agent during the planning, design, and
implementation of the construction work..
Answer: OPM
◍ Independent of the project designer, general contractor, or any
subcontractor..
Answer: OPM
◍ I you elect to contract for the services of an OPM, what are you required to
do?.
Answer: Use a qualifications-based selection process, which means that the
, OPM must be competitively selected on the basis of qualifications, without
price competition.
◍ Limitations of MCCPDC.
Answer: Limited formulary mail order only and not ideal for urgent
medications
◍ Potential benefit of MCCPDC for patients.
Answer: Lower out of pocket costs especially for generics
◍ Procurement strategy for independent pharmacies.
Answer: Negotiate with wholesalers monitor generic price fluctuations and
use secondary suppliers when beneficial
◍ Can you assign an employee to serve as OPM?.
Answer: Yes, if the employee meets or exceeds the requirements and has
building construction and supervision experience relating to projects of
similar size and scope of complexity.
◍ TrumpRx concept.
Answer: Proposal focused on reducing drug prices by promoting
transparency direct negotiation and reducing middlemen
◍ What is a study?.
Answer: A pre-design document that:-Confirms and explains the owner's
requirements-Identifies and evaluates alternative solutions-Recommends
and defines a solution
◍ Common theme between MCCPDC and TrumpRx.
Answer: Reduce middlemen increase price transparency and lower drug
costs
◍ Purpose is to identify the owner's needs and determine the most appropriate
and cost effective solution to meeting the needs..
Answer: Study
◍ Risk of alternative procurement models.
Answer: May disrupt existing reimbursement systems and pharmacy
