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

Question 1

Which accreditation body specifically developed standards for specialty pharmacy practice in the United States?

Accepted Answer

URAC

Answer

The Joint Commission

Answer

ACHC

Answer

PCAB

Question 2

A specialty pharmacy receives a prior authorization (PA) denial for a biologic agent. What is the most appropriate FIRST step?

Accepted Answer

Initiate a peer-to-peer review request with the prescriber's office

Answer

Dispense the medication and bill later

Answer

Switch to a formulary alternative without consulting the prescriber

Answer

Submit a grievance to the state insurance commissioner

Question 3

What does the term 'hub services' refer to in specialty pharmacy?

Accepted Answer

Manufacturer-sponsored programs providing patient support, benefits investigation, and PA assistance

Answer

A centralized distribution warehouse for specialty drugs

Answer

A pharmacy software platform for managing high-cost medications

Answer

REMS coordination centers operated by the FDA

Question 4

Which metric is most commonly used to evaluate specialty pharmacy dispensing efficiency and patient safety?

Accepted Answer

Medication error rate per 1,000 prescriptions

Answer

Days on hand (DOH)

Answer

Dispense as written (DAW) rate

Answer

Net promoter score (NPS)

Question 5

A specialty pharmacy's limited distribution drug (LDD) contract requires it to report dispensing data to the manufacturer monthly. This is BEST described as a requirement of which program type?

Accepted Answer

Limited Distribution Network (LDN) agreement

Answer

REMS program

Answer

340B program

Answer

Medicaid rebate agreement

Question 6

What is the primary purpose of a cold chain audit in specialty pharmacy operations?

Accepted Answer

To ensure temperature-sensitive medications were maintained within required ranges during shipping

Answer

To verify patient insurance eligibility

Answer

To confirm that pharmacists are licensed in the patient's state

Answer

To validate that copay assistance was correctly applied