ExCPT Review 2025/2026 – 70+ Verified Q&A | DEA Forms, HIPAA, Compounding, USP <797>, Drug Classes, MTM, Labeling & Inventory Control

This ExCPT Review 2025/2026 document offers over 70 verified questions and answers, carefully structured to reflect the current content requirements for the ExCPT (Exam for the Certification of Pharmacy Technicians) administered by the National Healthcareer Association (NHA). The questions span a wide range of topics crucial for both national certification and real-world pharmacy technician practice, including federal regulations, sterile compounding, medication labeling, inventory systems, and drug classifications. Each question includes a concise, correct answer aligned with current pharmacy law and practice guidelines. The format is ideal for self-testing, review sessions, or instructional use in certification preparation courses. Core Topics Covered: DEA Forms & Controlled Substances: DEA 222, 106, and 41; Schedule III identification (e.g., anabolic steroids); forged prescription indicators HIPAA & Privacy Requirements: PHI protections, signature retention rules, privacy acknowledgement handling Sterile & Non-Sterile Compounding: ISO 5 environments, USP &lt;797&gt; procedures, anteroom duties, BUD (Beyond Use Dating), and high-risk preparations Medication Safety & Recalls: Medication guides, MedWatch reporting, labeling accuracy, adverse effects (e.g., methylphenidate), patient misfill protocols Drug Classifications & Brand/Generic Pairs: SSRIs (e.g., Paxil), COX-2 inhibitors (e.g., Celecoxib), antitussives, therapeutic equivalents, OTC examples (e.g., Imodium) Pharmacy Law & Federal Acts: OBRA ’90, Drug Supply Chain Security Act (DSCSA), Poison Prevention Packaging Act, Medication Therapy Management (MTM) Prescription Interpretation & Calculations: Latin abbreviations (e.g., AS, ii gtt q8h), measurement conversions (e.g., 1.5 tsp = 7.5 mL), sig codes, pediatric dosing Labeling & Packaging Regulations: Auxiliary labels (“Shake well”), tamper-evident requirements, child-resistant packaging exemptions (e.g., Nitroglycerin) Inventory Management & Workflow: Periodic Automatic Replenishment (PAR), counterfeit product handling, bar code data (e.g., dosage form) Recommended For: Pharmacy technician students preparing for the ExCPT or other CPhT certifications Healthcare and pharmacology students in programs involving medication safety and regulations Pharmacy educators, tutors, and instructors needing targeted review material Retail and institutional pharmacy tech trainees developing practice readiness Career professionals transitioning into pharmacy from other medical fields This study guide ensures students understand not just what to memorize, but how to apply key concepts in real-life pharmacy environments. It emphasizes legal compliance, patient safety, sterile procedure, and inventory accountability—the pillars of pharmacy technician certification and practice. Keywords: ExCPT 2025, pharmacy technician, DEA Form 222, HIPAA, OBRA 90, USP 797, MTM, controlled substances, compounding, ISO 5, drug classifications, MedWatch, labeling laws, auxiliary labels, inventory control, PAR system, PHI, NDC code, pediatric dosing, therapeutic equivalents, DSCSA, counterfeit drugs, prescription interpretation