The Following Statements Are About the Inclusion of Unified Pharmacy

question 123

Multiple Choice

The following statements are about the inclusion of unified pharmacy benefits in health plan healthcare packages. Select the answer choice containing the correct statement.

• A) When pharmacy benefits management is incorporated into an health plan's operations as a unified benefit, the health plan establishes pharmacy networks, but a pharmacy benefits management (PBM) company manages their operations.
• B) Under a unified pharmacy benefit, an health plan cannot use mail-order services to provide drugs to its members.
• C) Compared to programs that do not manage pharmacy benefits in-house, unified pharmacy benefits programs typically give health plans more control over patient access to prescription drugs.
• D) Compared to programs that do not manage pharmacy benefits in-house, unified pharmacy benefits programs make drug therapy interventions for plan members more difficult.

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Definitions:

Enforce

To compel observance of or obedience to a law, rule, or obligation through legal authority or force.

Instrument

A formal legal document that evidences an agreement, right, or obligation.

Authorized Representative

An individual who has been formally empowered to act on behalf of another person or organization.

Negotiated

The process through which parties discuss and reach a mutual agreement on the terms of a deal or contract.