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. The paragraph below contains two pairs of terms enclosed in parentheses. Determine which term in each pair correctly completes the paragraph. Then select the answer choice containing the two terms that you have chosen. Greenhouses prescription drug reimbursement policy indicates that the plan formulary is classified as (open / closed), and that compliance by patients and providers is (mandatory / voluntary).

Question

Quizplus · Accepted Answer

According to the paragraph, the pharmacist informed Ms. Stanley that the prescribed drug was not in the plan formulary, indicating that the plan formulary is closed. Additionally, the paragraph states that compliance by patients and providers is mandatory to the plan formulary, indicating that the correct term is mandatory. Therefore, the correct answer is C) closed / mandatory.

Adele Stanley, a Member of the Greenhouse Health Plan, Recently