CNPR Managed Care & Reimbursement 3

Question 1

A High Deductible Health Plan (HDHP) is often paired with which savings vehicle?

Accepted Answer

Health Savings Account (HSA)

Answer

HDHPs are designed to be paired with Health Savings Accounts (HSAs), which allow employees to save pre-tax dollars to pay for qualified medical expenses including prescription drugs.

Question 2

Wholesale Acquisition Cost (WAC) is best described as:

Accepted Answer

The manufacturer's list price for a drug sold to wholesalers or direct purchasers

Answer

WAC is the manufacturer's published list price for a drug at the first point of sale (to wholesalers or direct purchasers), before any discounts or rebates are applied.

Question 3

Co-insurance differs from a co-pay in that co-insurance is:

Accepted Answer

A percentage of the drug's cost shared between the patient and the insurer

Answer

Co-insurance is a percentage of the drug's total cost (e.g., 20%) that the patient pays, meaning the patient's expense varies based on the drug's price, unlike a flat co-pay.

Question 4

Group Purchasing Organizations (GPOs) primarily help hospitals and health systems by:

Accepted Answer

Negotiating contracts and pricing with manufacturers to leverage collective buying power

Answer

GPOs aggregate the purchasing power of multiple hospitals and health systems to negotiate lower prices and better contract terms with drug manufacturers and distributors.

Question 5

Patient Assistance Programs (PAPs) offered by pharmaceutical manufacturers are intended to:

Accepted Answer

Help uninsured or underinsured patients access medications they cannot otherwise afford

Answer

PAPs provide free or low-cost medications to eligible patients who are uninsured, underinsured, or otherwise unable to afford their prescribed treatments, improving access and adherence.

(CNPR) Certified National Pharmaceutical Representative Practice Test

(CNPR) Certified National Pharmaceutical Representative Practice Test

CNPR Managed Care & Reimbursement 3