Which two parts of Medicare are most relevant to pharmacy technicians?

Study for the NHA Pharmacy Technician Test. Practice with flashcards and multiple choice questions, each question accompanied by hints and detailed explanations. Get exam-ready today!

Medicare Part B and Part D are the two most relevant components for pharmacy technicians, as they directly relate to outpatient services and prescription medications.

Part B covers medically necessary services that are not part of part A, which includes some prescription medications administered in a medical setting, outpatient care, and preventive services. Pharmacy technicians often encounter medications that are covered by Part B, as they work in environments that handle prescriptions and medical products that patients will receive in conjunction with their Part B coverage.

Part D specifically addresses prescription drug coverage, which is pivotal for pharmacy technicians since it encompasses a wide range of medications that patients obtain at retail pharmacies or through mail-order services. Pharmacy technicians need to be familiar with formulary lists, prior authorization processes, and the differences in coverage plans under Part D to effectively assist patients and healthcare providers.

Understanding how both parts function is vital for pharmacy technicians to ensure proper billing, patient counseling, and medication management within the healthcare system.

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