Commercial Weekly Quiz 07/24 - 07/30

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True or False: A Commercial plan can have both Retail 90 and Maintenance Choice.
False
True
What is the utilization rate for plan code 371 on the HMSA 2016 Benefit Grid V3?
66%
70%
90%
67%
For plan code 381 on the HMSA 2016 Benefit Grid V3, is the member able to get a 60DS of ADVAIR if they've never used the plan before?
Yes, there are no restrictions with filling through MOR for a 60DS.
No, they have to fill at Times first, then they can get a 60DS.
No, they're only able to get a 15DS through MOR.
Yes, as long as they've never filled at a retail pharmacy first.
Yes, but they have to get a 15DS then a 60DS refill.
Task Category: RX Verification Task Type: Rx Copy Queue: Rx verification - CCRPH
What is an RM Task to return the original prescription?
What is an RM Task to have the prescription verified for accuracy?
What is an RM Task for a copy of the prescription?
What is an RM Task to verify and transfer the prescription?
What is an RM Task for Two (2) and (3) above?
All of the above.
None of the above.
Speed Racer has a Power of Attorney (POA) over his brother, RacerX. RacerX perished one week ago in an accident during a cross-country race from New York to California. RacerX is survived by Speed, Trixie, Pops and Chim-Chim. RacerX received a number of refills by mail approximately two days before the start of the race, but never had a chance to open them. Speed is trying to wind up RacerX's affairs and has called to find out about RacerX's total out of pocket expenses, drug spend and the details about those accumulators. Since Speed has a POA, you can:
Address his questions about everything.
Address his questions only as to the unopened medications.
Address his questions only as to the amounts paid toward the accumulators.
Not address his questions only as to the amounts paid toward the accumulators.
Provide him with answers for questions Two (2) and Three (3) above.
Do nothing.
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