Final Exam iClicker Questions

Question 1

T/F: Interventions by clinical pharmacists at Cummins have resulted in a significant cost savings for metformin

Answer 1

True

Question 2

T/F: The percentage of diabetes patients at Cummins with a HgbA1c < 8% is significantly greater than the national average

Answer 2

True

Question 3

Which of the following drug categories consumes the largest dollar amount of drug expenditures for pediatric patients covered by Indiana Medicaid?
A. Antibiotics
B. Drugs for diabetes
C. Drugs for behavioral health
D. Drugs for inflammatory diseases

Answer 3

C. Drugs for behavioral health

Question 4

Which of the following drug categories will likely consume the largest dollar amount of drug expenditures for Indiana Medicaid moving forward?
A. specialty meds
B. generic meds
C. traditional brand name meds
D. biosimilars

Answer 4

A. specialty meds

Question 5

The industry standard for sharing healthcare costs between employers and employees is now which of the following?
A. employer 85% - employee 15%
B. 80% - 20%
C. 75% - 25%
D. 70% - 30%

Answer 5

C. 75% - 25%

Question 6

T/F: Purdue employees have to meet their deductible each year before any preventative medical service or medication is covered

Answer 6

False

Question 7

Which of the following is true about self-insured health plans?
A. usually offered by smaller employees
B. the insurance company assumes the risk for health coverage
C. must comply with all state-mandated benefits
D. allows for more customization of plans

Answer 7

D. allows for more customization of plans

Question 8

Employers typically pay ___ of the total annual salary each year for employee benefits.
A. 5-10%
B. 15-20%
C. 25-30%
D. 35-40%
E. 45-50%

Answer 8

C. 25-30%

Question 9

T/F: The veteran population served by VA health care providers is younger and more diverse than in the previous decades

Answer 9

True

Question 10

Most prescriptions in the VA system are processed in which of the following locations?
A. VA hospitals
B. primary community-based care clinics
C. VA mail order facilities
D. local community pharmacies

Answer 10

C. VA mail order facilities

Question 11

T/F: Prior authorizations in the VA system are approved or denied by which of the following?
A. physicians
B. pharmacists at individual VA facilities
C. pharmacists at a national call center
D. contracted personnel at the VA home office

Answer 11

B. pharmacists at individual VA facilities

Question 12

T/F: Pharmacists in primary and specialty care clinics at VA facilities, with appropriate credentialing, can prescribe and adjust medications as a mid-level practitioner

Answer 12

True

Question 13

T/F: The government impacts all aspects of the pharmaceutical supply chain via regulations

Answer 13

True

Question 14

Which of the following classifications of drugs has been hit hardest by the drug shortage crisis?
A. generic injectables
B. generic non-injectables
C. branded non-contract
D. branded contract

Answer 14

A. generic injectables

Question 15

Based on the best aggregate data, the causes of drug shortages in 2023 in the US is which of the following?
A. manufacturing issues
B. supply/demand issues
C. business decision
D. raw material issue
E. unknown/mfg would not provide information

Answer 15

B. supply/demand issues

Question 16

T/F: Manufacturers of brand name products typically reduce the price of their drug product during the 6-month period prior to the end of their products market exclusivity

Answer 16

False

Question 17

T/F: Lower-income patient populations are more vulnerable to the impacts of climate change than higher income populations

Answer 17

True

Question 18

Potential impacts of climate change on healthcare include all but which one of the following?
A. spread of vector-borne diseases
B. increased cold-related diseases
C. worsening of air quality
D. food insecurity and malnutrition
E. waterborne diseases

Answer 18

B. increased cold-related diseases

**increased heat-related diseases impact climate change on healthcare

Question 19

A rare disease in the US is defined as less than ___ cases?
A. 50,000
B. 100,000
C. 200,000
D. 1 million

Answer 19

C. 200,000

Question 20

T/F: The Orphan Drug Act incentivized the development of drugs to treat rare diseases

Answer 20

True

Question 21

T/F: The road to diagnosis for most patients with diseases is usually 6-12 months

Answer 21

False

Question 22

T/F: The data necessary to determine the effectiveness of drug therapy for rare diseases is easy to collect via EHRs and claims data

Answer 22

False

Question 23

Which of the following is not consistent with most specialty medications?
A. requires special handling
B. high cost medication
C. meds for small populations and rare diseases
D. easy reimbursement mechanism

Answer 23

D. easy reimbursement mechanism

Question 24

T/F: Specialty medications now account for > 50% of the drug spent in the US

Answer 24

True

Question 25

T/F: The FDA determines if a specialty medication will be available via an open or a controlled distribution model

Answer 25

False

Question 26

T/F: Walgreens has both centralized specialty pharmacies (Telehealth-based) and community-based walk-in specialty pharmacies

Answer 26

True

Question 27

T/F: Specialty pharmacies typically employ more pharmacists and technicians than the typical community pharmacy

Answer 27

True

Question 28

T/F: Patients on Medicare and Medicaid can use Co-Pay cards to help defray some of their costs associated with specialty medications

Answer 28

False