CSP CSP - Certified Specialty Pharmacist Specialty Pharmacy Operations and Workflow Questions and Answers 2

Question 1

Under URAC specialty pharmacy accreditation standards, how frequently must a pharmacist-conducted clinical review occur for patients on complex specialty therapies?

Accepted Answer

Per URAC standards, at least annually with more frequent review based on clinical need

Answer

Every 90 days

Answer

At every refill

Answer

Only at initiation of therapy

Question 2

A specialty pharmacy dispenses a 30-day supply of a high-cost injectable biologic and the patient calls three days later saying it was damaged in transit. What is the BEST course of action?

Accepted Answer

Immediately replace the shipment, file a carrier claim, and document the incident

Answer

Advise the patient to use the damaged product and report the issue later

Answer

Ask the patient to return the product before replacement is considered

Answer

Inform the patient that replacement is the prescriber's responsibility

Question 3

Which of the following best describes 'white bagging' in specialty pharmacy?

Accepted Answer

Shipping a specialty drug directly to the physician office or infusion center for administration

Answer

Dispensing a specialty drug to the patient who self-administers at home

Answer

Providing drug samples to patients through a specialty pharmacy

Answer

Repackaging bulk specialty drugs into unit-dose containers

Question 4

A CSP is reviewing adherence data and finds that 30% of patients on an oral specialty oncology agent have not refilled within 7 days of their expected refill date. Which intervention is MOST appropriate?

Accepted Answer

Implement a proactive outreach program with pharmacist-led adherence counseling

Answer

Automatically dispense the next refill without patient contact

Answer

Discontinue the patients from the program and notify the prescriber

Answer

Reduce the days supply dispensed to force more frequent contact

Question 5

Which federal law governs the licensure requirement for a specialty pharmacy dispensing across state lines?

Accepted Answer

Each state's individual pharmacy practice act requiring non-resident licensure

Answer

The Drug Quality and Security Act (DQSA)

Answer

The Omnibus Budget Reconciliation Act (OBRA) of 1990

Answer

The Food, Drug, and Cosmetic Act (FD&C Act)

Question 6

What is the main advantage of a centralized clinical call center model within a large specialty pharmacy organization?

Accepted Answer

It provides consistent, standardized patient counseling and clinical monitoring at scale

Answer

It eliminates the need for pharmacist oversight of dispensing

Answer

It allows non-pharmacist staff to make clinical decisions independently

Answer

It removes the requirement for REMS certification