Practice Test for the PTCB Pharmacy
Technician Certification Exam Questions
with Correct Answers 2025/2026
A Health Maintenance Organization (HMO) requires a patient to use ____ and either
recommends or requires the use of ____. - CORRECT ANSWER -in-network pharmacies; generic
drugs
Patients in a Preferred Provider Organization (PPO) can use ____. - CORRECT ANSWER -in-
network or out-of-network pharmacies
The 4 parts of Medicare are: Part A (hospital insurance), Part B (medical insurance), Part C
(Medicare Advantage Plan that is private insurance), and Part D (______________________). -
CORRECT ANSWER -prescription drug insurance
What government entity runs Medicaid? - CORRECT ANSWER -state governments
When a patient presents an insurance card, the information is entered into the computer, and a
claim is sent to the insurance company for payment or rejection. The process of the insurance
company accepting or rejecting a claim is called ____. - CORRECT ANSWER -adjudication
The process in which a drug requires further review to determine if it is covered is called ____. -
CORRECT ANSWER -prior authorization
The codes used to bill different medical conditions are called ____. - CORRECT ANSWER -ICD
codes
Who is contracted by insurance companies to process the claims for the insurance company's
members? - CORRECT ANSWER -PBM or Pharmacy Benefits Manager
, What is a flexible spending account? - CORRECT ANSWER -an account through a patient's
employer where patients can use pre-tax dollars for medical expenses
The term used to describe the services provided by a pharmacy to patients in an assisted living
facility or a nursing home is called ____. - CORRECT ANSWER -long-term care
Patients with more than one third-party payer will utilize this process for the benefits of both
plans to be used. - CORRECT ANSWER -coordination of benefits / COB
The block-rate payment collected from patients for their share of the prescription cost is called a
____. - CORRECT ANSWER -copay
Which of these is usually not found on a patient's prescription card? - CORRECT ANSWER -date
of birth
Which would not be considered a dependent of the employee who purchased the insurance? -
CORRECT ANSWER -child age 27 and above, who does not have access to other health insurance
When a provider receives payment based on the condition he or she is treating, it is called ____.
- CORRECT ANSWER -the episode-of-care approach
When do pharmacies not use ICD codes? - CORRECT ANSWER -during drug recalls
In which of these scenarios would you report information to the FDA MedWatch website? -
CORRECT ANSWER -A patient reports an unusual or dangerous side effect from a medication.
Technician Certification Exam Questions
with Correct Answers 2025/2026
A Health Maintenance Organization (HMO) requires a patient to use ____ and either
recommends or requires the use of ____. - CORRECT ANSWER -in-network pharmacies; generic
drugs
Patients in a Preferred Provider Organization (PPO) can use ____. - CORRECT ANSWER -in-
network or out-of-network pharmacies
The 4 parts of Medicare are: Part A (hospital insurance), Part B (medical insurance), Part C
(Medicare Advantage Plan that is private insurance), and Part D (______________________). -
CORRECT ANSWER -prescription drug insurance
What government entity runs Medicaid? - CORRECT ANSWER -state governments
When a patient presents an insurance card, the information is entered into the computer, and a
claim is sent to the insurance company for payment or rejection. The process of the insurance
company accepting or rejecting a claim is called ____. - CORRECT ANSWER -adjudication
The process in which a drug requires further review to determine if it is covered is called ____. -
CORRECT ANSWER -prior authorization
The codes used to bill different medical conditions are called ____. - CORRECT ANSWER -ICD
codes
Who is contracted by insurance companies to process the claims for the insurance company's
members? - CORRECT ANSWER -PBM or Pharmacy Benefits Manager
, What is a flexible spending account? - CORRECT ANSWER -an account through a patient's
employer where patients can use pre-tax dollars for medical expenses
The term used to describe the services provided by a pharmacy to patients in an assisted living
facility or a nursing home is called ____. - CORRECT ANSWER -long-term care
Patients with more than one third-party payer will utilize this process for the benefits of both
plans to be used. - CORRECT ANSWER -coordination of benefits / COB
The block-rate payment collected from patients for their share of the prescription cost is called a
____. - CORRECT ANSWER -copay
Which of these is usually not found on a patient's prescription card? - CORRECT ANSWER -date
of birth
Which would not be considered a dependent of the employee who purchased the insurance? -
CORRECT ANSWER -child age 27 and above, who does not have access to other health insurance
When a provider receives payment based on the condition he or she is treating, it is called ____.
- CORRECT ANSWER -the episode-of-care approach
When do pharmacies not use ICD codes? - CORRECT ANSWER -during drug recalls
In which of these scenarios would you report information to the FDA MedWatch website? -
CORRECT ANSWER -A patient reports an unusual or dangerous side effect from a medication.
