Pharmacy Technician Certification Prep

Notes and videos to help you feel more confident on test day

There’s a lot to remember on the PTCE and ExCPT exams. With Kono Health’s curated notes, you can be confident you’re reviewing only what you need to know on test day – without all of the filler.

Skim each unit at your leisure, though it is suggested that they be reviewed in order. Some notes will not be provided on here but can be purchased through Etsy. YouTube review videos are placed between the notes where you’d need them.

First off, the exam format!

There are two main pharmacy technician certification tests: the PTCE and the ExCPT.

Key notes

  • The PTCE is provided through the PTCB. It’s very medication focused.
  • The ExCPT is provided through the NHA. It’s more process focused.

Please, take a moment to review the format for the exam you will be taking. You can do so via clicking on either PTCE or ExCPT above.

Scope of Practice in Pharmacy

Pharmacy technicians are responsible for compounding (custom creating), counting out, filling, and billing prescriptions. Pharmacists are there to check off on the work, look for any possible drug interactions (food, disease, or with other drugs), and counsel patients. Since pharmacy technicians do most of the actual prescription processing, they become familiar with dosage amounts for common medications. If these look out of range, or they see a possible interaction, they must report it to the pharmacist right away. They are the pharmacist’s second set of eyes and assist in catching any mistakes before they reach the patient. It takes some background knowledge to be able to spot errors, which is why a technician that went through a training program would NOT have made the mistake seen in Emily’s Law. Precise math skills, proper technique, attention to detail, and memorization ability is necessary in this line of work. 

An important thing to note is that pharmacy technicians may not, under their scope of practice (what you are and are not allowed to do given your roles and responsibilities, education level, and credentials), counsel patients. This is only something a pharmacist may do. Counseling is anything from advising patients on how/when to take their medications as well as answering any medication specific questions that they may have. Even if a pharmacy technician knows the answer, they still need to get the pharmacist due to liability issues. The pharmacist is responsible for any mistake(s) made in the pharmacy, thus they need to check off on all work/advice given before it reaches a patient. Working outside of your scope of practice is considered working without a license and is illegal! 

Pharmacist’s Role (unique to their scope of practice): 

  • Counseling and condition management in the form of medication therapy management (MTM).
  • Drug review for interactions (drug-food, drug-disease, drug-drug), allergies, substitutions, duplicate therapy, and dosing in the form of drug utilization review (DUR).  

Brand Name Patents

Right when a drug is thought to have been discovered, the manufacturer will get it patented (prevents generic versions for a period of time). 
This patent will last 20 years, but after FDA trials, the manufacturer will usually only have about 10 years to sell it exclusively (unless an extension is granted, which we will get into later). Yes, FDA trials typically take about 10 years. 

Key notes

  • Patent – 20 years
  • FDA trials – 10 years (of the 20 years)
  • Exclusive rights to sell – 10 years (of the 20 years)

After this exclusive period of selling, generic versions can hit the market, and be substituted in place of brand name drugs, as long as the drug is both pharmaceutical and therapeutically equivalent to the brand name drug. We will get more into this in the law notes.

Brand vs Generic Drugs

Generic drugs have the same active ingredients, dosage form, and work the same in the body as the brand name drug; however, they are not made by the manufacturer that worked to discover them so they’re cheaper. The are also left lower-cased, while brand name drugs are capitalized.

Medical Terminology Recap

A common prefix/root/suffix may be contained on a generic med name to indicate the med class. Usually, this would be a common suffix, or ending. 

Word Parts

  • Prefix – the beginning of a word 
  • Root – the main meaning of the word, contained in the middle of medical terminology
  • Suffix – the ending of a word

Mnemonics

When learning medication names, it’s really important to utilize mnemonics, which are memory tricks. For the certification test, it’s recommended to learn the top 200 medications. This is a lot of names that sound like gibberish. Using mnemonics can help make this process easier.

Let’s now review some common mnemonic techniques so you can see them in practice.

First off, we have the keyword method. This method is great for learning new words (like medication names) through connecting them to another word they sound like. This memory can be made stronger by going further and connecting this to a visual image. In the box below, I’ll provide you with a few of the examples I give my students in our drug warm-ups.

keyword examples:

  • Listen (lisinopril) to your principal (Prinivil) helps me remember the brand to generic for this ACE Inhibitor. When students are told to listen to their principal, it’s usually due to a high-stress situation. Maybe someone is getting in trouble. This helps me remember that listening to your principal (and these ACE Inhibitors) are used to reduce hypertension (which can be increased with stress).
  • Personally, I hate driving. It’s stressful. Taking the metro/public transport (metoprolol) is much more low pressure (Lopressor) which lowers my blood pressure.
  • Drawing a calcium filled channel, in California (CA), that is being blocked by (di) pine tree. This can help students remember that calcium channel blockers have the ending of dipine in their generic name.
  • For this example, I think of 10 men in the military. Ten more men (Tenormin) are at attention ((aten))olol).
  • Next time (Nexium) it’s on me ((es-ome))prazole). Think about how people typically say this at restaurants and that restaurants are where people may experience symptoms of GERD. 
  • Lexi is looking at pros (Lexapro) and is excited (escit) for her lows (lo) to scram (pram).
  • Glucophage – metformin. metformin sounds like George Foreman (the cooking grills). When you think grills, think diet. Type 2 diabetes is caused by diet. Gluc would normally be seen in the generic name but here we see it in the brand. It’s opposite of what you would expect since George Foreman is the brand of the grill and gluc is the common prefix/root/suffix.
  • I got this example though Simple Nursing (I love their YouTube videos) – ACE inhibitors are a hypertension drug with the suffix “pril” and you can remember this by thinking it’s a chill (pril) for the heart – lowering the blood pressure. 

If we have a word list, such as a grocery list, a suggestion for memorization would be to take the first letter of each word and create your own acronym. The list of bread, milk, cheese, tomatoes now becomes BMCT. This acronym is difficult to memorize on its own, so you may have to add another technique to it. You could chunk this (like ROY-G-BIV with colors); you could reorder the acronym (if the order doesn’t matter); or you could create an acrostic. An acrostic is when a catchy saying is created from an acronym. This is my personal favorite way to memorize. BMCT (our original acronym) now becomes Baboon Mothers Cooking’s Tasty. Now, you will think of a baboon mom cooking tasty food and it may make you think of the tasty food you plan to cook after buying the items on your grocery list!

Here are some examples you’ve probably already heard before- 

  • Acronym: PEMDAS / Acrostic: please excuse my dear aunt Sally
  • Acronym: KHDBDCM / Acrostic: King Henry died by drinking chocolate milk
  • Acronym: LCDM/ Acrostic: lucky cows drink milk

Another option would be to chunk the words into different/smaller groups (take a whole grocery list and break it up into fruits, vegetables, meats). 

You could even make a rhyme or song out of the list. Use whatever method works the best for you and what you need to remember.  

Top 200 Medication Classes and Indications

Please, click on my Etsy listing to access this information.

To find the top 200 medications listed out, use Denali Rx and ClinCalc.

Medication Laws

Please, click on my Etsy listing to access this information.

Information on Safety and Reporting Errors

Please, click on my Etsy listing to access this information.

Sig Codes – How to Remember and Translate Them

Please, click on my Etsy listing to access this information.

Verifying a DEA Number

  • The first letter is for the type of prescriber. A,B, or F for a physician/doctor. M for a mid-level provider (NP or PA).  X for an Opioid Addiction Clinic. 
  • The second letter is the first letter of the prescriber’s last name at the time they registered for the DEA number. 
  • Add the 1st, 3rd, and 5th numbers together 
  • Add the total of this to twice the total of the 2nd, 4th and 6th numbers 
  • Then, the last digit of the sum must be the same as the last digit of the DEA number 

(1+3+5) +((2+4+6) 2) = verification number _ _ check the second digit against the DEA number 

Example:

AP5836727

A=They’re a Dr

P= Dr’s Last name

5+3+7=15

(8+6+2) x 2=32

15+32=47

7 is the last digit in the original DEA number, so it’s valid. 

Roman Numerals

  • SS – 1/2
  • I -1
  • V – 5
  • X – 10
  • 50 -L
  • 100 -C
  • 500 -D
  • 1000 -M

I believe many of us are already familiar with roman numerals 1-10. In order to memorize 50-1000, I came up with the mnemonic “Lucky Cows Drink Milk” to represent 50, 100, 500, and 1000.

Rules: A roman numeral may not be repeated more than three times (see 1-3 then 4 below). 

When repeated, the values are added (see 2 and 3 below). 

Read from left to right, if in decreasing order add the values. If in increasing order, subtract the smaller from the larger amount (look at examples of 4 IV and 6 VI for this).

For numbers with more than two symbols, subtraction is preferred over adding numbers.

Example: if you come across one roman number that is less than, followed by one that is greater than, you would subtract from the second greater than. For XIX instead of just adding (10+1+10=21) we would actually add to the subtracted amount (10+(10-1)=19). For XCIV we would also break it up via adding subtracted amounts because we’re going from lower to higher and then from lower to higher amounts again. (100-10)+(5-1) = 90+4 = 94 
Checking yourself: If you have a number in the hundreds you should have the roman numeral for that hundreds amount, next to that tens amount, next to that ones amount. So, 264 would be 200+60+4 or CC+LX+IV = CCLXIV

More cert prep content will be added in the next few days! Check back soon!