AHIP Exam AHM-540 Topic 5 Question 103 Discussion

Actual exam question for AHIP's AHM-540 exam

Question #: 103
Topic #: 5

Adele Stanley, a member of the Greenhouse Health Plan, recently went to a network pharmacy to have a prescription filled. The pharmacist informed Ms. Stanley that the prescribed drug was not in the plan formulary and that reimbursement for the drug was not available except in extraordinary circumstances. The pharmacist asked Ms. Stanley if she would accept a generic substitute.

If Ms. Stanley agrees to the generic substitution, she will receive a drug that

Ahas not been tested for safety and efficacy in large clinical trials B. is available without a prescription at a reasonable cost

Chas been classified by the Food and Drug Administration (FDA) as safe, but that has not been proven fully effective

Dcontains active ingredients that are identical to those of the prescribed brand-name drug

Show Suggested Answer

Suggested Answer: D

by Sheron at Nov 18, 2024, 10:54 AM

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Vivienne

13 days ago

Ha! I'd tell the pharmacist, 'Sorry, I don't do generic substitutes. I need the real deal, even if it's not covered.' Gotta look out for your health, you know?

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Goldie

15 days ago

Hmm, I'd be a bit wary of a generic that hasn't been proven fully effective. Safety is important, but effectiveness is crucial too. I'd want to do some more research before deciding.

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Verda

23 days ago

True, but it's more cost-effective and contains identical active ingredients to the brand-name drug.

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Jospeh

28 days ago

But what if the generic drug hasn't been tested for safety and efficacy in large clinical trials?

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Catalina

1 months ago

D is the obvious choice here. The generic has to contain the same active ingredients as the brand-name drug, right? I don't understand why the other options are even considered.

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Verda

1 months ago

I think Ms. Stanley should accept the generic substitution.

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Glendora

1 months ago

Wait, so the plan doesn't cover the prescribed drug? That seems a bit sketchy. I'd want to make sure the generic is truly equivalent before agreeing to it.

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