Question

Which of the following steps may a Part D sponsor adopt for beneficiaries who are at risk of misusing or abusing frequently abused drugs?

I. Identifying at risk individuals by using criteria that includes the number of opioid prescriptions the beneficiary has and the number of prescribers who have written those prescriptions.
II. Locking an at-risk beneficiary into one pharmacy.
III. Locking an at-risk beneficiary into one prescriber.
IV. Increasing deductibles and copays for at-risk beneficiaries.

Choose one answer.
a. I only
b. I, II and III only
c. I and II only
d. I, II, III, and IV

Answer 1

A Part D sponsor may adopt several steps for beneficiaries who are at risk of misusing or abusing frequently abused drugs, including identifying at-risk individuals, locking them into one pharmacy, and increasing deductibles and copays.

Step-by-step explanation:

The steps that a Part D sponsor may adopt for beneficiaries who are at risk of misusing or abusing frequently abused drugs are as follows:

1. Identifying at-risk individuals based on criteria that include the number of opioid prescriptions the beneficiary has and the number of prescribers who have written those prescriptions. This helps identify individuals who may be receiving excessive opioid medication.
2. Locking an at-risk beneficiary into one pharmacy. This allows for closer monitoring of their prescriptions and helps prevent multiple pharmacies from filling their prescriptions.
3. Increasing deductibles and copays for at-risk beneficiaries. This serves as a deterrent for overusing or misusing prescription drugs.