CSP CSP - Certified Specialty Pharmacist Specialty Pharmacy Operations and Workflow Questions and Answers 1

Question 1

Which accreditation body specifically developed standards for specialty pharmacy practice in the United States?

Accepted Answer

URAC

Answer

URAC was the first accreditation body to develop specialty pharmacy-specific standards and remains a leading accreditor in the specialty pharmacy space.

Question 2

A specialty pharmacy receives a prior authorization (PA) denial for a biologic agent. What is the most appropriate FIRST step?

Accepted Answer

Initiate a peer-to-peer review request with the prescriber's office

Answer

A peer-to-peer review allows the prescriber to discuss the clinical necessity directly with the payer's medical reviewer, which is typically the most effective first step in overturning a PA denial.

Question 3

What does the term 'hub services' refer to in specialty pharmacy?

Accepted Answer

Manufacturer-sponsored programs providing patient support, benefits investigation, and PA assistance

Answer

Hub services are manufacturer-sponsored patient support programs that assist with benefits verification, prior authorization, copay assistance, and patient education for specific specialty products.

Question 4

Which metric is most commonly used to evaluate specialty pharmacy dispensing efficiency and patient safety?

Accepted Answer

Medication error rate per 1,000 prescriptions

Answer

Medication error rate per 1,000 prescriptions is a key safety metric that specialty pharmacies track to identify process breakdowns and prioritize quality improvement efforts.

Question 5

A specialty pharmacy's limited distribution drug (LDD) contract requires it to report dispensing data to the manufacturer monthly. This is BEST described as a requirement of which program type?

Accepted Answer

Limited Distribution Network (LDN) agreement

Answer

Limited Distribution Network agreements between manufacturers and select specialty pharmacies typically include data reporting obligations as a condition of participation.

CSP - Certified Specialty Pharmacist Practice Test

CSP - Certified Specialty Pharmacist Practice Test

CSP CSP - Certified Specialty Pharmacist Specialty Pharmacy Operations and Workflow Questions and Answers 1