Based on information provided by the March of Dimes, there are about 120,000 to 160,000 women who live in the United States that have been diagnosed with HIV. Roughly about 6,000 to 7,000 of women diagnosed with HIV give birth every year. Since the beginning of the HIV/AIDS epidemic about 15,000 children U.S. have been infected with HIV and 3,000 children have passed. About 90% of those women had the HIV virus during pregnancy or birth.
A or b not really sure who would know that not to many people would know
The false statement about the drug utilization management rules is ; ( D ) If a medication has a UM rule , the member will not be able to get that medication
UM rules are meant to ensure the judicious use of a facility's resource such as drugs through the review of drug users and the cost reduction techniques proposed by health insurance plans.
These rules are applied to high cost drugs for the treatment of special diseases such as cancer. the UM rules employ certain techniques to execute the UM rules which are ;
- Prior authorization
- Step therapy
- Quantity limits and
- Generic substitution
Hence we can conclude that the false statement about the drug utilization management rules is ; ( D ) If a medication has a UM rule , the member will not be able to get that medication.
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