IFDA CERTIFICATION EVALUATION EXAMS
SCRIPT STUDY GUIDE WITH SOLVED
QUESTIONS
⩥ Class II recall.
Answer: Using the drug may cause temporary or medical reversible
adverse health consequences, the probability of serious adverse health
consequences is remote.
(eg medication is found to have less than the labeled amount of active
ingredient)
⩥ Class III recall.
Answer: Using the drug is not likely to cause adverse health
consequences.
(eg a bottle that contains only 80 tablets instead of the labeled 90 tablets)
⩥ NDC Code.
Answer: Manufacturer- Product- Package
⩥ U&C.
Answer: Usual and customary
⩥ OSHA.
,Answer: Occupational Safety and Health Administration;
workplace safety
⩥ Triturating.
Answer: to reduce to fine particles or powder by rubbing, grinding,
bruising, or the like; pulverize.
⩥ Formulary.
Answer: a list of prescription drugs covered by a health insurance plan
⩥ Adjudication.
Answer: the process of determining whether or not the drug will be
covered under the patient's insurance plan
⩥ HMO.
Answer: Health Maintenance Organization;
a managed care organization in which a patient must select a primary
care physician (PCP) from a network and must see or get a referral from
their physician to obtain any covered services
⩥ PPO.
Answer: Preferred Provider Organization;
,a managed care organization in which a patient can obtain services from
any physician as long as it is within network, without a prior referral
⩥ Medicare.
Answer: Government insurance plan for individuals who are 65 and
older or younger with disabilities; 4 parts;
Part A- inpatient hospital stays
Part B- doctor visits, DME, chemotherapy, diabetes supplies
Part C- Medicare Advantage Plan (private company for part A & B)
Part D- Prescription drug coverage
⩥ Medicaid.
Answer: This is a joint federal and state program that helps with medical
costs for some people with low incomes and limited resources. Medicaid
programs vary from state to state.
⩥ TRICARE.
Answer: Government insurance program for active military
⩥ CHAMPVA.
Answer: Government insurance program for veterans
⩥ Worker's Compensation.
, Answer: Insurance for workers who are injured on the job
⩥ Coordination of Benefits (COB).
Answer: Determining which insurance should be considered primary,
secondary, tertiary, etc.
⩥ Prior Authorization.
Answer: If a medication is not normally covered by an insurance, is a
particularly high dose, has significant risk potential, is being used to
treat or ameliorate off-label disease(s)/condition(s), or is not usually
recommended for a particular age or gender, the physician and/or the
pharmacy may need to acquire prior authorization in order to get the
insurance to cover the medication.
⩥ Co-payment.
Answer: a fixed amount paid for a covered healthcare service, usually
when service is provided; amount varies depending on type of health
insurance a person has.
⩥ Co-insurance.
Answer: a percentage the subscriber is required to pay of every medical
bill (usually 80/20- insurance company pays 80% and insured pays 20%)
after the deductible has been met
⩥ Deductible.
SCRIPT STUDY GUIDE WITH SOLVED
QUESTIONS
⩥ Class II recall.
Answer: Using the drug may cause temporary or medical reversible
adverse health consequences, the probability of serious adverse health
consequences is remote.
(eg medication is found to have less than the labeled amount of active
ingredient)
⩥ Class III recall.
Answer: Using the drug is not likely to cause adverse health
consequences.
(eg a bottle that contains only 80 tablets instead of the labeled 90 tablets)
⩥ NDC Code.
Answer: Manufacturer- Product- Package
⩥ U&C.
Answer: Usual and customary
⩥ OSHA.
,Answer: Occupational Safety and Health Administration;
workplace safety
⩥ Triturating.
Answer: to reduce to fine particles or powder by rubbing, grinding,
bruising, or the like; pulverize.
⩥ Formulary.
Answer: a list of prescription drugs covered by a health insurance plan
⩥ Adjudication.
Answer: the process of determining whether or not the drug will be
covered under the patient's insurance plan
⩥ HMO.
Answer: Health Maintenance Organization;
a managed care organization in which a patient must select a primary
care physician (PCP) from a network and must see or get a referral from
their physician to obtain any covered services
⩥ PPO.
Answer: Preferred Provider Organization;
,a managed care organization in which a patient can obtain services from
any physician as long as it is within network, without a prior referral
⩥ Medicare.
Answer: Government insurance plan for individuals who are 65 and
older or younger with disabilities; 4 parts;
Part A- inpatient hospital stays
Part B- doctor visits, DME, chemotherapy, diabetes supplies
Part C- Medicare Advantage Plan (private company for part A & B)
Part D- Prescription drug coverage
⩥ Medicaid.
Answer: This is a joint federal and state program that helps with medical
costs for some people with low incomes and limited resources. Medicaid
programs vary from state to state.
⩥ TRICARE.
Answer: Government insurance program for active military
⩥ CHAMPVA.
Answer: Government insurance program for veterans
⩥ Worker's Compensation.
, Answer: Insurance for workers who are injured on the job
⩥ Coordination of Benefits (COB).
Answer: Determining which insurance should be considered primary,
secondary, tertiary, etc.
⩥ Prior Authorization.
Answer: If a medication is not normally covered by an insurance, is a
particularly high dose, has significant risk potential, is being used to
treat or ameliorate off-label disease(s)/condition(s), or is not usually
recommended for a particular age or gender, the physician and/or the
pharmacy may need to acquire prior authorization in order to get the
insurance to cover the medication.
⩥ Co-payment.
Answer: a fixed amount paid for a covered healthcare service, usually
when service is provided; amount varies depending on type of health
insurance a person has.
⩥ Co-insurance.
Answer: a percentage the subscriber is required to pay of every medical
bill (usually 80/20- insurance company pays 80% and insured pays 20%)
after the deductible has been met
⩥ Deductible.
