PRACTICE TEST FOR THE PTCB
PHARMACY TECHNICIAN
CERTIFICATION EXAM 2025
QUESTIONS AND ANSWERS
A Health Maintenance Organization (HMO) requires a patient to use ____ and either
recommends or requires the use of ____. - ANS in-network pharmacies; generic drugs
Patients in a Preferred Provider Organization (PPO) can use ____. - ANS 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 (______________________). -
ANS prescription drug insurance
What government entity runs Medicaid? - ANS 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 ____. - ANS adjudication
The process in which a drug requires further review to determine if it is covered is called ____. -
ANS prior authorization
1|P a g e C o p y r i g h t © 2 0 2 5 T H E B R I G H T A L L R I G H T S R E S E R V E D
, The codes used to bill different medical conditions are called ____. - ANS ICD codes
Who is contracted by insurance companies to process the claims for the insurance company's
members? - ANS PBM or Pharmacy Benefits Manager
What is a flexible spending account? - ANS 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 ____. - ANS long-term care
Patients with more than one third-party payer will utilize this process for the benefits of both
plans to be used. - ANS coordination of benefits / COB
The block-rate payment collected from patients for their share of the prescription cost is called
a ____. - ANS copay
Which of these is usually not found on a patient's prescription card? - ANS date of birth
Which would not be considered a dependent of the employee who purchased the insurance? -
ANS 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
____. - ANS the episode-of-care approach
When do pharmacies not use ICD codes? - ANS during drug recalls
In which of these scenarios would you report information to the FDA MedWatch website? -
ANS A patient reports an unusual or dangerous side effect from a medication.
2|P a g e C o p y r i g h t © 2 0 2 5 T H E B R I G H T A L L R I G H T S R E S E R V E D
PHARMACY TECHNICIAN
CERTIFICATION EXAM 2025
QUESTIONS AND ANSWERS
A Health Maintenance Organization (HMO) requires a patient to use ____ and either
recommends or requires the use of ____. - ANS in-network pharmacies; generic drugs
Patients in a Preferred Provider Organization (PPO) can use ____. - ANS 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 (______________________). -
ANS prescription drug insurance
What government entity runs Medicaid? - ANS 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 ____. - ANS adjudication
The process in which a drug requires further review to determine if it is covered is called ____. -
ANS prior authorization
1|P a g e C o p y r i g h t © 2 0 2 5 T H E B R I G H T A L L R I G H T S R E S E R V E D
, The codes used to bill different medical conditions are called ____. - ANS ICD codes
Who is contracted by insurance companies to process the claims for the insurance company's
members? - ANS PBM or Pharmacy Benefits Manager
What is a flexible spending account? - ANS 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 ____. - ANS long-term care
Patients with more than one third-party payer will utilize this process for the benefits of both
plans to be used. - ANS coordination of benefits / COB
The block-rate payment collected from patients for their share of the prescription cost is called
a ____. - ANS copay
Which of these is usually not found on a patient's prescription card? - ANS date of birth
Which would not be considered a dependent of the employee who purchased the insurance? -
ANS 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
____. - ANS the episode-of-care approach
When do pharmacies not use ICD codes? - ANS during drug recalls
In which of these scenarios would you report information to the FDA MedWatch website? -
ANS A patient reports an unusual or dangerous side effect from a medication.
2|P a g e C o p y r i g h t © 2 0 2 5 T H E B R I G H T A L L R I G H T S R E S E R V E D
