MTM Regulatory Compliance & Ethical Standards 4

Question 1

The Drug Enforcement Administration (DEA) Schedule II controlled substance regulations require that prescriptions be:

Accepted Answer

Dispensed in no more than a 30-day supply under federal law

Answer

Federal law does not mandate a 30-day supply limit for Schedule II; however, prescriptions must generally be written (or electronically prescribed where permitted) and cannot be refilled.

Question 2

In an MTM encounter, a patient discloses they are using an herbal supplement their prescriber is unaware of. What is the pharmacist's primary obligation?

Accepted Answer

Assess for drug-herb interactions, document findings, and communicate concerns to the prescriber with patient consent

Answer

MTM pharmacists must evaluate all medications including supplements, document drug-herb interactions, and collaborate with prescribers to optimize therapy.

Question 3

The OBRA '90 mandate requires pharmacists to offer counseling to Medicaid patients. Which of the following is a key component of the prospective drug utilization review (ProDUR) required under OBRA '90?

Accepted Answer

Screening for therapeutic duplication, incorrect dosage, and drug-disease contraindications before dispensing

Answer

OBRA '90's ProDUR requires pharmacists to review prescriptions before dispensing for issues such as therapeutic duplication, drug-disease contraindications, and dosage errors.

Question 4

Which ethical framework is MOST aligned with the pharmacist who makes MTM recommendations solely based on the greatest benefit for the greatest number of patients in a population health program?

Accepted Answer

Utilitarian ethics

Answer

Utilitarian ethics focuses on maximizing overall benefit for the largest number of people, which aligns with population-level decision-making.

Question 5

A CMS audit reveals that a Part D plan sponsor's MTM program enrolled patients who did not meet the required number of chronic conditions. This constitutes:

Accepted Answer

Potential fraud and abuse requiring compliance investigation and corrective action

Answer

Enrolling ineligible beneficiaries in MTM and billing for services violates CMS requirements and constitutes potential fraud and abuse subject to civil monetary penalties.

(MTM) Medication Therapy Management Board Certification Practice Test

(MTM) Medication Therapy Management Board Certification Practice Test

MTM Regulatory Compliance & Ethical Standards 4