PTCE FINAL EXAM 2026 ACTUAL QUESTIONS AND
ANSWERS GRADED A+
✔✔What drugs are exempt from PPPA? - ✔✔Nitroglycerin
✔✔DAW (Dispense as Written) - ✔✔0: substitution is allowed
1: doctor wants brand
2: patient wants brand
✔✔OBRA (Omnibus Budget Reconciliation Act) of 1987 - ✔✔Federal Law, enacted by
Congress, in 1987, to improve quality of life of residents living in a nursing home
environment. Also, made sure that a pharmacist is available 24/7
✔✔OBRA 90 - ✔✔Made sure drug counseling was available for Medicaid and Medicare
patients. Patient profiling was necessary (demographics, emergency contacts, address,
etc.).
✔✔DUE (Drug Utilization Evaluation) - ✔✔Determines how efficient a drug works
✔✔Prior Authorization (PA) - ✔✔A special approval needed before an insurance
company will cover a specific medication for a patient, generally an expensive brand
name drug that is not present on the formulary
✔✔TAR (treatment authorization request) - ✔✔This document is a request that an
insurance company or health maintenance organization (HMO) make payment for the
tests, procedures, or other care identified by the health-care provider.
✔✔COBRA (Consolidated Omnibus Budget Reconciliation Act) - ✔✔A landmark federal
law passed by Congress in 1986 that provides continuing coverage of group health
benefits to employees and their families upon the occurrence of certain qualifying
events where such coverage would otherwise be terminated.
✔✔Drug Listing Act of 1972 - ✔✔Required -NDC-National Drug Code numbers to be
assigned to every marketed drug
✔✔NDC number - ✔✔a unique number identifying a drug product; it indicates the
manufacturer's name (first set), drug strength/dosage form (second set) and package
size (last set).
✔✔I-Pledge (Isotretinion) - ✔✔Medication that doctor, pharmacy and patient must
register if dispensed. Drug is treated as C-II and a hard copy must be needed. Rx is
valid for 7 days and causes birth defects.
, ✔✔Combat Methamphetamine Epidemic Act of 2005 - ✔✔Placed Pseudoephedrine,
ephedrine, and phenylpropanolamine to the category "schedule listed chemical
products" product must be sold behind RX counter
Requires: Picture ID/ must be 18 yoa/ provide personal information.
Patients allowed only 3.6 g per Day & 9g in a 30 day period.
✔✔Orphan Drug Act of 1983 - ✔✔Provided incentives by the government for the
development of orphan drugs for treatment of rare diseases
✔✔Rx Drug Marketing Act - ✔✔Manufacturers are only allowed to import drugs into the
United States. Also enforces sample drugs to be given out only by doctors
✔✔FDA Safe Medical Devices Act of 1990 - ✔✔All medical devices are to be tracked
and records maintained for durable medical equipment (DME)
✔✔Center for Medicare and Medicaid Services (CMS) - ✔✔Approves whether the
person is eligible for Medicare/Medicaid
✔✔Medicare - ✔✔A federal program of health insurance for persons 65 years of age
and older. Nationally funded
✔✔Medicaid - ✔✔A federal and state assistance program that pays for health care
services for people who cannot afford them. In California, it is known as Medi-Cal.
Yearly renewal is required for patients with Medi-Cal
✔✔Medicare Part A - ✔✔The part of the Medicare program that pays for hospitalization,
care in a skilled nursing facility, home health care, and hospice care.
✔✔Medicare Part B - ✔✔The part of the Medicare program that pays for physician
services, outpatient hospital services, durable medical equipment, and other services
and supplies.
✔✔Medicare Part C (Medicare Advantage) - ✔✔managed care health plans under the
Medicare program. Allows patients to apply for HMO or PPO insurance
✔✔HMO (Health Maintenance Organization) - ✔✔A managed care organization that
provides comprehensive medical services for a predetermined annual fee per enrollee.
✔✔PPO (Preferred Provider Organization) - ✔✔A type of health plan that contracts with
medical providers, such as hospitals and doctors, to create a network of participating
providers. You pay less if you use providers that belong to the plan's network.
✔✔Medicare Part D - ✔✔Prescription drug coverage. Covers insulin, vaccines, certain
supplies (i.e. needles, syringes, etc) and medicine
ANSWERS GRADED A+
✔✔What drugs are exempt from PPPA? - ✔✔Nitroglycerin
✔✔DAW (Dispense as Written) - ✔✔0: substitution is allowed
1: doctor wants brand
2: patient wants brand
✔✔OBRA (Omnibus Budget Reconciliation Act) of 1987 - ✔✔Federal Law, enacted by
Congress, in 1987, to improve quality of life of residents living in a nursing home
environment. Also, made sure that a pharmacist is available 24/7
✔✔OBRA 90 - ✔✔Made sure drug counseling was available for Medicaid and Medicare
patients. Patient profiling was necessary (demographics, emergency contacts, address,
etc.).
✔✔DUE (Drug Utilization Evaluation) - ✔✔Determines how efficient a drug works
✔✔Prior Authorization (PA) - ✔✔A special approval needed before an insurance
company will cover a specific medication for a patient, generally an expensive brand
name drug that is not present on the formulary
✔✔TAR (treatment authorization request) - ✔✔This document is a request that an
insurance company or health maintenance organization (HMO) make payment for the
tests, procedures, or other care identified by the health-care provider.
✔✔COBRA (Consolidated Omnibus Budget Reconciliation Act) - ✔✔A landmark federal
law passed by Congress in 1986 that provides continuing coverage of group health
benefits to employees and their families upon the occurrence of certain qualifying
events where such coverage would otherwise be terminated.
✔✔Drug Listing Act of 1972 - ✔✔Required -NDC-National Drug Code numbers to be
assigned to every marketed drug
✔✔NDC number - ✔✔a unique number identifying a drug product; it indicates the
manufacturer's name (first set), drug strength/dosage form (second set) and package
size (last set).
✔✔I-Pledge (Isotretinion) - ✔✔Medication that doctor, pharmacy and patient must
register if dispensed. Drug is treated as C-II and a hard copy must be needed. Rx is
valid for 7 days and causes birth defects.
, ✔✔Combat Methamphetamine Epidemic Act of 2005 - ✔✔Placed Pseudoephedrine,
ephedrine, and phenylpropanolamine to the category "schedule listed chemical
products" product must be sold behind RX counter
Requires: Picture ID/ must be 18 yoa/ provide personal information.
Patients allowed only 3.6 g per Day & 9g in a 30 day period.
✔✔Orphan Drug Act of 1983 - ✔✔Provided incentives by the government for the
development of orphan drugs for treatment of rare diseases
✔✔Rx Drug Marketing Act - ✔✔Manufacturers are only allowed to import drugs into the
United States. Also enforces sample drugs to be given out only by doctors
✔✔FDA Safe Medical Devices Act of 1990 - ✔✔All medical devices are to be tracked
and records maintained for durable medical equipment (DME)
✔✔Center for Medicare and Medicaid Services (CMS) - ✔✔Approves whether the
person is eligible for Medicare/Medicaid
✔✔Medicare - ✔✔A federal program of health insurance for persons 65 years of age
and older. Nationally funded
✔✔Medicaid - ✔✔A federal and state assistance program that pays for health care
services for people who cannot afford them. In California, it is known as Medi-Cal.
Yearly renewal is required for patients with Medi-Cal
✔✔Medicare Part A - ✔✔The part of the Medicare program that pays for hospitalization,
care in a skilled nursing facility, home health care, and hospice care.
✔✔Medicare Part B - ✔✔The part of the Medicare program that pays for physician
services, outpatient hospital services, durable medical equipment, and other services
and supplies.
✔✔Medicare Part C (Medicare Advantage) - ✔✔managed care health plans under the
Medicare program. Allows patients to apply for HMO or PPO insurance
✔✔HMO (Health Maintenance Organization) - ✔✔A managed care organization that
provides comprehensive medical services for a predetermined annual fee per enrollee.
✔✔PPO (Preferred Provider Organization) - ✔✔A type of health plan that contracts with
medical providers, such as hospitals and doctors, to create a network of participating
providers. You pay less if you use providers that belong to the plan's network.
✔✔Medicare Part D - ✔✔Prescription drug coverage. Covers insulin, vaccines, certain
supplies (i.e. needles, syringes, etc) and medicine
