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AHIP AHM-530 Exam - Topic 2 Question 93 Discussion

In most health plan pharmacy networks, the cost component of the reimbursement formula is based on the average wholesale price (AWP). One true statement about the AWP for prescription drugs is that
D) The AWP usually is lower than the estimated acquisition cost (EAC) for most prescription drugs
A) AWPs tend to vary widely from region to region of the United States
B) The AWP is often substantially higher than the actual price the pharmacy pays for prescription drugs
C) A health plan's contracted reimbursement to a pharmacy for prescription drugs is typically the AWP plus a percentage, such as 5%

AHIP AHM-530 Exam - Topic 2 Question 93 Discussion

Actual exam question for AHIP's AHM-530 exam
Question #: 93
Topic #: 2
[All AHM-530 Questions]

In most health plan pharmacy networks, the cost component of the reimbursement formula is based on the average wholesale price (AWP). One true statement about the AWP for prescription drugs is that

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Suggested Answer: D

by Aimee at Jul 16, 2024, 04:49 PM

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Martina
7 months ago
I thought the reimbursement was just AWP plus a flat fee, not a percentage!
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Janae
7 months ago
AWP varies a ton by region, that's for sure.
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Aron
7 months ago
Wait, are you serious? I thought AWP was supposed to reflect actual costs.
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Narcisa
7 months ago
I agree, I've seen that discrepancy a lot!
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Vanesa
8 months ago
AWP is definitely higher than what pharmacies actually pay.
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Stevie
8 months ago
I feel like I read something about the AWP being lower than the EAC, but I can't remember the details, so I'm hesitant about option D.
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Maryrose
8 months ago
I practiced a question similar to this, and I recall that pharmacies usually get reimbursed at AWP plus a percentage, which makes me lean towards option C.
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Emeline
8 months ago
I'm not entirely sure, but I think AWPs can vary by region, so option A could also be a possibility.
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Rolland
8 months ago
I remember studying that the AWP is often higher than what pharmacies actually pay, so I think option B might be correct.
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Van
8 months ago
This question is testing my knowledge of pharmacy pricing and reimbursement practices. I'll review my notes on this topic to refresh my memory and pick the best answer.
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Cecil
8 months ago
The wording of these answer choices is tricky. I need to make sure I fully understand the relationship between AWP, pharmacy costs, and reimbursement before selecting an answer.
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Flo
8 months ago
Okay, I know the AWP is often higher than what pharmacies actually pay for drugs, so I'm guessing the correct answer is B. I'll double-check the other options just to be sure.
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Colette
8 months ago
Hmm, I'm a little unsure about the details of how AWP is used in pharmacy reimbursement formulas. I'll need to think this through carefully.
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Keena
9 months ago
This seems like a straightforward question about the AWP and how it relates to pharmacy reimbursement. I'm pretty confident I can figure this out.
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Ahmed
9 months ago
The pro forma invoice is definitely the right answer here. It's the document that outlines the details of a potential sale and is used to obtain financing or approvals like letters of credit.
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Glen
9 months ago
This looks like a tricky question. I'll need to think carefully about the key aspects to consider when designing the TAA for this state-based, event-driven SUT with potential hardware and communication issues.
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Zita
9 months ago
I think B is a bit risky. Dismissal might let harmful traffic go through, but creating a rule instead sounds safer, though it depends on the logs' findings.
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Marvel
1 year ago
I heard the AWP stands for 'Always Way Pricey.' Guess that explains why pharmacists can afford those fancy white coats.
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Merlyn
1 year ago
Varying AWPs across regions? That's like a pharmacy version of the 'price is right' - spin the wheel and see what you get!
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Isaac
1 year ago
C) A health plan's contracted reimbursement to a pharmacy for prescription drugs is typically the AWP plus a percentage, such as 5%
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Olene
1 year ago
B) The AWP is often substantially higher than the actual price the pharmacy pays for prescription drugs
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Buddy
1 year ago
C) A health plan's contracted reimbursement to a pharmacy for prescription drugs is typically the AWP plus a percentage, such as 5%
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Aliza
1 year ago
A) AWPs tend to vary widely from region to region of the United States
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Merlyn
1 year ago
B) The AWP is often substantially higher than the actual price the pharmacy pays for prescription drugs
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Talia
1 year ago
A) AWPs tend to vary widely from region to region of the United States
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Estrella
1 year ago
Ah, the old AWP game. Health plans are really getting the short end of the stick on this one. Gotta love those 5% markups!
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Apolonia
1 year ago
I'm pretty sure the AWP is lower than the EAC for most drugs. Pharmacies must be raking it in with those inflated prices.
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Talia
1 year ago
D) The AWP usually is lower than the estimated acquisition cost (EAC) for most prescription drugs
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Nana
1 year ago
C) A health plan's contracted reimbursement to a pharmacy for prescription drugs is typically the AWP plus a percentage, such as 5%
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Clement
1 year ago
B) The AWP is often substantially higher than the actual price the pharmacy pays for prescription drugs
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Tiera
1 year ago
A) AWPs tend to vary widely from region to region of the United States
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Lorean
1 year ago
The AWP is definitely higher than the actual price the pharmacy pays. That's how they make their profit margins!
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Joanne
1 year ago
User 2
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Tonette
1 year ago
User 1
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Dallas
1 year ago
I'm not sure, but I think it's C
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Gail
1 year ago
I agree with Jess, the AWP is often higher than the actual price
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Jess
1 year ago
I think the answer is B
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