Pre-IPPE Exam 2 Community Pharmacy questions
well answered to pass already passed
1. Total payment received from pharmacy Prescription payment
from TPP = Product
cost + dis- pensing
fee - patient cost
share
2. Cost sharing mechanisms: Copayment: Patient
pays fixed amount
Co-Insurance: Patient
pays fixed percentage
Deductible: Patient pays
a specified amount of
the cost per coverage
period. Insurance will
then pay af- ter the first
charges are reached.
Maximum payment
amount: third party
pay- er will only pay
up to a stated max
amount for a patient's
prescription dur- ing
the plan year. Once
patient reaches max,
they must pay out of
pocket
3. Six aims of high quality healthcare system 1. safe (avoiding injuries
to
1/
16
,Pre-IPPE Exam 2 Community Pharmacy questions
well answered to pass already passed
ptns)
2. ettective
(provide ser- vice
based on EBM)
3. eflcient (avoiding
2/
16
, Pre-IPPE Exam 2 Community Pharmacy questions
well answered to pass already passed
waste)
4. timely (avoid
waste)
5. patient centered
(care for patients that
is re- sponsive to their
individual needs)
6. Equitable
(provide care that does
not vary in qual- ity)
4. What is access? Ability to obtain
healthcare
5. What is access influenced by? 1. Ability to pay
2. Availability of
accessible care
6. Who is eligible for medicare? - Patients older than 65
-Or has severe
conditions like End
Stage Renal Dis- ease
-Medicare Advantage
Op- tion:
Has more restrictions
but lower premiums
or out of pocket costs
for medical services
7. Who is eligible for medicaid? -Based on income
-Drug benefits are
includ- ed
3/
16
well answered to pass already passed
1. Total payment received from pharmacy Prescription payment
from TPP = Product
cost + dis- pensing
fee - patient cost
share
2. Cost sharing mechanisms: Copayment: Patient
pays fixed amount
Co-Insurance: Patient
pays fixed percentage
Deductible: Patient pays
a specified amount of
the cost per coverage
period. Insurance will
then pay af- ter the first
charges are reached.
Maximum payment
amount: third party
pay- er will only pay
up to a stated max
amount for a patient's
prescription dur- ing
the plan year. Once
patient reaches max,
they must pay out of
3. Six aims of high quality healthcare system 1. safe (avoiding injuries
to
1/
16
,Pre-IPPE Exam 2 Community Pharmacy questions
well answered to pass already passed
ptns)
2. ettective
(provide ser- vice
based on EBM)
3. eflcient (avoiding
2/
16
, Pre-IPPE Exam 2 Community Pharmacy questions
well answered to pass already passed
waste)
4. timely (avoid
waste)
5. patient centered
(care for patients that
is re- sponsive to their
individual needs)
6. Equitable
(provide care that does
not vary in qual- ity)
4. What is access? Ability to obtain
healthcare
5. What is access influenced by? 1. Ability to pay
2. Availability of
accessible care
6. Who is eligible for medicare? - Patients older than 65
-Or has severe
conditions like End
Stage Renal Dis- ease
-Medicare Advantage
Op- tion:
Has more restrictions
but lower premiums
or out of pocket costs
for medical services
7. Who is eligible for medicaid? -Based on income
-Drug benefits are
includ- ed
3/
16
