PTCB HEALTHCARE PROGRAMS AND TERMS UPDATED EXAM 2025|
99 QUESTIONS WITH ACCURATE SOLUTIONS
1. Explain how Health Maintenance Organizations (HMOs) incentivize
patients to maintain their health.
By offering high deductibles and large co-pays
By providing small co-pays and minimal to no deductibles
By restricting access to healthcare providers
By requiring patients to pay upfront for all services
2. Explain the primary purpose of Medicare Part B in the
context of healthcare coverage.
To provide comprehensive coverage for all medical
expenses To cover only inpatient hospital services
To offer coverage for outpatient services and physician visits
To manage prescription drug benefits
3. Which is TRUE of the average wholesale price (AWP) of a
medication: The cost assigned to the product by the
manufacturer
Served as basis for rx drug reimbursement
Higher than the true cost ('actual acquisition cost') to the
pharmacy
, All the above
4. Explain the significance of the DAW 6 code in pharmacy
operations and how it impacts the dispensing of medications.
It allows pharmacists to substitute medications without patient
consent.
It indicates that the prescription must be filled exactly as written,
overriding any generic options.
, It is used to track medication inventory in pharmacies.
It signifies that the medication is not covered by any insurance
plan.
5. A patient presents a prescription with DAW 6. If the pharmacy has
a generic version of the medication available, what should the
pharmacist do, and why?
Dispense the generic version to save costs for the patient.
Contact the physician to confirm the prescription before
dispensing.
Fill the prescription with the brand name medication as per
DAW 6 instructions.
Inform the patient that the medication is not available.
6. What is the primary purpose of online adjudication in
pharmacy operations?
To manage inventory levels in pharmacies
To submit prescription claims electronically for
payment processing
To provide patient counseling on medication
usage To conduct clinical trials for new
medications
7. What does DAW 1 signify in the context of prescription
medications? A code for generic substitution
, A code indicating no substitution allowed
A code used when a prescriber requests a brand name product
to be dispensed
A code for over-the-counter medications
8. What is the primary purpose of Prior Authorization in the
context of prescription medications?
99 QUESTIONS WITH ACCURATE SOLUTIONS
1. Explain how Health Maintenance Organizations (HMOs) incentivize
patients to maintain their health.
By offering high deductibles and large co-pays
By providing small co-pays and minimal to no deductibles
By restricting access to healthcare providers
By requiring patients to pay upfront for all services
2. Explain the primary purpose of Medicare Part B in the
context of healthcare coverage.
To provide comprehensive coverage for all medical
expenses To cover only inpatient hospital services
To offer coverage for outpatient services and physician visits
To manage prescription drug benefits
3. Which is TRUE of the average wholesale price (AWP) of a
medication: The cost assigned to the product by the
manufacturer
Served as basis for rx drug reimbursement
Higher than the true cost ('actual acquisition cost') to the
pharmacy
, All the above
4. Explain the significance of the DAW 6 code in pharmacy
operations and how it impacts the dispensing of medications.
It allows pharmacists to substitute medications without patient
consent.
It indicates that the prescription must be filled exactly as written,
overriding any generic options.
, It is used to track medication inventory in pharmacies.
It signifies that the medication is not covered by any insurance
plan.
5. A patient presents a prescription with DAW 6. If the pharmacy has
a generic version of the medication available, what should the
pharmacist do, and why?
Dispense the generic version to save costs for the patient.
Contact the physician to confirm the prescription before
dispensing.
Fill the prescription with the brand name medication as per
DAW 6 instructions.
Inform the patient that the medication is not available.
6. What is the primary purpose of online adjudication in
pharmacy operations?
To manage inventory levels in pharmacies
To submit prescription claims electronically for
payment processing
To provide patient counseling on medication
usage To conduct clinical trials for new
medications
7. What does DAW 1 signify in the context of prescription
medications? A code for generic substitution
, A code indicating no substitution allowed
A code used when a prescriber requests a brand name product
to be dispensed
A code for over-the-counter medications
8. What is the primary purpose of Prior Authorization in the
context of prescription medications?
