AND VERIFIED ANSWERS PHARMACY TECHNICIAN
CERTIFICATION PREP UPDATED 2026/2027 |
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TABLE OF CONTENTS
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DOMAIN 1: PHARMACY LAW, REGULATIONS, AND STANDARDS Questions 1-30
DOMAIN 2: MEDICATION SAFETY AND ERROR PREVENTION Questions 31-60
DOMAIN 3: PHARMACOLOGY AND DRUG CLASSIFICATIONS Questions 61-90
DOMAIN 4: PHARMACY CALCULATIONS AND DOSAGE FORMS Questions 91-120
DOMAIN 5: STERILE AND NON-STERILE COMPOUNDING Questions 121-150
DOMAIN 6: INVENTORY MANAGEMENT AND BILLING Questions 151-180
DOMAIN 7: COMMUNICATION, ETHICS, AND PROFESSIONALISM Questions 181-200
DOMAIN 1: PHARMACY LAW, REGULATIONS, AND STANDARDS
1. The U.S. government agency that regulates the distribution of controlled
substances is the:
A. FDA (Food and Drug Administration)
B. OSHA (Occupational Safety and Health Administration)
C. DEA (Drug Enforcement Administration)
D. MSDS (Material Safety Data Sheet)
• Correct Answer: C
Rationale: The DEA is responsible for enforcing the Controlled Substances Act
and regulating the manufacture, distribution, and dispensing of controlled
substances. The FDA regulates drug safety and efficacy. OSHA oversees workplace
safety. MSDS is a document, not an agency.[reference:0]
2. The federal health insurance program for people over age 65 or people with
kidney failure is:
A. Medicare
B. Medicaid
C. PBM
D. NPI
• Correct Answer: A
Rationale: Medicare is the federal health insurance program for individuals
aged 65 and older, as well as certain younger individuals with disabilities or
end-stage renal disease. Medicaid is a state and federal program for low-income
individuals. PBM stands for Pharmacy Benefit Manager. NPI is National Provider
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,Identifier.[reference:1]
3. The "Orange Book" provides information on:
A. Drug incompatibilities
B. Bioequivalence
C. Drug interactions
D. Wholesale prices and drug availability
• Correct Answer: B
Rationale: The FDA's "Orange Book" (Approved Drug Products with Therapeutic
Equivalence Evaluations) provides information on bioequivalence and therapeutic
equivalence of generic drugs. Drug incompatibilities (A) are found in resources
like the Handbook of Injectable Drugs. Drug interactions (C) are found in drug
interaction checkers. Wholesale prices (D) are found in pricing references.
[reference:2]
4. A listing of the medications that are approved for use within a healthcare
system is called a/an:
A. Inventory
B. Wholesaler
C. Database
D. Formulary
• Correct Answer: D
Rationale: A formulary is a list of prescription medications approved for use
within a specific healthcare system, hospital, or insurance plan. Inventory (A)
is a list of all items in stock. A wholesaler (B) is a distributor. A database
(C) is a structured collection of data.[reference:3]
5. Businesses that purchase drugs from pharmaceutical manufacturers and resell
their inventory to hospitals, pharmacies, and other pharmaceutical dispensers
are called:
A. Wholesalers
B. Drug manufacturers
C. HMOs
D. PPOs
• Correct Answer: A
Rationale: Wholesalers are the intermediaries between drug manufacturers and
pharmacies/hospitals. They purchase large quantities from manufacturers and
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,distribute to retail pharmacies, hospitals, and other healthcare facilities.
Drug manufacturers (B) produce the drugs. HMOs (C) and PPOs (D) are types of
health insurance plans.[reference:4]
6. The NDC (National Drug Code) number is used by the manufacturer to indicate:
A. Product expiration
B. Product manufactured date
C. Code of all the ingredients
D. None of the above
• Correct Answer: D
Rationale: The NDC number is a unique identifier for a drug product. It
identifies the manufacturer, product, and package size. It does not indicate
expiration date (A), manufactured date (B), or ingredient code (C). Expiration
dates are printed separately on the package.[reference:5]
7. Another party, besides the patient or the pharmacy, that pays for some or
all of the cost of a medication is called the:
A. First party
B. Second party
C. Third party
D. Fourth party
• Correct Answer: C
Rationale: The third party is the insurance company or other payer that
reimburses the pharmacy for a portion or all of the medication cost. The first
party is the patient, and the second party is the pharmacy.[reference:6]
8. A company that administers drug benefit programs for insurance companies or
employers is a/an:
A. PBM (Pharmacy Benefit Manager)
B. HMO (Health Maintenance Organization)
C. POS (Point of Service)
D. PPO (Preferred Provider Organization)
• Correct Answer: A
Rationale: A Pharmacy Benefit Manager (PBM) is a third-party administrator of
prescription drug programs for health insurance plans, employers, and
government programs. HMOs, POS plans, and PPOs are types of health insurance
plans, not administrators.[reference:7]
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, 9. A list of medications that are covered by a third-party program is called a:
A. Tier
B. MAC (Maximum Allowable Cost)
C. Formulary
D. U&C (Usual and Customary)
• Correct Answer: C
Rationale: A formulary is the list of medications covered by a specific
insurance plan. Tiers (A) refer to cost levels within a formulary. MAC (B) is
the maximum amount a payer will reimburse for a generic drug. U&C (D) is the
pharmacy's usual and customary charge.[reference:8]
10. A rejected claim for invalid person code following online adjudication of a
prescription claim means:
A. The birth date or sex submitted does not match the patient code submitted
B. The refill is too soon
C. The patient must use mail order
D. The prescriber is not authorized by the insurer
• Correct Answer: A
Rationale: An invalid person code rejection indicates that the patient
information (birth date, sex, or other demographic data) submitted with the
claim does not match the insurer's records. This is a common adjudication error
that requires verification of patient information.[reference:9]
11. A pharmacy technician searching for standards of practice regarding
compounding sterile and non-sterile products would consult which reference
book?
A. King's Guide to Parenteral Admixtures
B. "Orange Book"
C. PDR (Physicians' Desk Reference)
D. USP Pharmacist's Pharmacopeia
• Correct Answer: D
Rationale: The USP Pharmacist's Pharmacopeia (specifically USP Chapter <797>
for sterile compounding and <795> for non-sterile compounding) provides the
standards of practice for compounding. King's Guide (A) is for IV compatibility.
The Orange Book (B) is for bioequivalence. The PDR (C) is for drug prescribing
information.[reference:10]
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