United States · Certification exam

Pharmacy tech exam

There are two national pharmacy technician exams: the PTCE from PTCB and the ExCPT from NHA. Pass either one and you earn the CPhT credential. This guide covers how each exam works, what it costs, who can take it and how to book. Each state's board of pharmacy sets its own rules for technicians, so check which credential yours asks for. There's a free practice test further down.

  • 90PTCE questions (80 scored) in 1 hour 50 minutes
  • 120ExCPT questions (100 scored) in 2 hours 10 minutes
  • 1,400PTCE passing scaled score, on a 1,000 to 1,600 scale
  • 390ExCPT passing scaled score, on a 200 to 500 scale

Key facts

At a glance

Two exams
PTCE from PTCB, or ExCPT from NHA. Both give the CPhT
To pass
Scaled score of 1,400 on the PTCE, 390 on the ExCPT
Where
PTCE at Pearson VUE centers. ExCPT at PSI centers or online
PTCE fee
$129 as of October 2026

How it works

A computer-based, multiple-choice exam, with two exams to choose from

  1. There are two national exams. The PTCE is run by PTCB and the ExCPT by NHA. Both lead to the CPhT credential.
  2. Both are computer-based and multiple choice. You don't know which questions are unscored trial questions, so answer every one.
  3. The PTCE has 90 questions, 80 scored and 10 unscored, in 1 hour 50 minutes. With the tutorial and survey, plan for about 2 hours.
  4. The PTCE is taken in person at a Pearson VUE test center. PTCB's page doesn't offer an online option.
  5. The ExCPT has 100 scored and 20 pretest questions in 2 hours 10 minutes. NHA provides a calculator if you need one.
  6. You can take the ExCPT at a PSI test center or online with live remote proctoring.
  7. Both use scaled scores, not a percentage. You need 1,400 on the PTCE and 390 on the ExCPT.

Topics

What’s on the test

01

Medications

Brand and generic names, drug classes, what drugs are used for, side effects, interactions and how to store them. It's the biggest part of the PTCE, at 35%.

Key points (4)
  • Name endings point to the class: -pril (ACE inhibitors), -sartan (ARBs), -olol (beta blockers), -statin (statins), -prazole (PPIs).
  • Refrigerated storage is 2°C to 8°C (36°F to 46°F). Controlled room temperature is 20°C to 25°C (68°F to 77°F).
  • Unopened insulin is refrigerated and must never be frozen.
  • Two drugs from the same class for the same problem may be a therapeutic duplication. Flag it for the pharmacist.
02

Federal law

Controlled substance schedules and DEA forms, refill rules, pseudoephedrine limits, REMS, recalls and drug supply chain tracking. State laws can be stricter, and the stricter rule applies.

Key points (4)
  • Schedule II prescriptions can't be refilled. Schedule III and IV can be refilled up to 5 times within 6 months of the date written.
  • DEA Form 222 orders Schedule I and II drugs, Form 106 reports theft or loss, Form 41 records destruction.
  • Pseudoephedrine limits: 3.6 g a day, 9 g in 30 days at a store, 7.5 g in 30 days by mail order.
  • A Class I recall is the most serious: the product could cause serious harm or death.
03

Patient safety and quality assurance

High-alert and look-alike drugs, ways to prevent errors, when to involve the pharmacist and how errors and reactions are reported.

Key points (4)
  • Use a leading zero (0.5 mg) and never a trailing zero (5 mg, not 5.0 mg).
  • Tall Man lettering highlights the different parts of look-alike names, like hydrOXYzine and hydrALAZINE.
  • Insulin, anticoagulants and opioids are high-alert medications that get extra checks.
  • MedWatch is the FDA's program for reporting adverse events. VAERS is for vaccine reactions.
04

Pharmacy calculations

Doses, concentrations, conversions, dilutions and days' supply. Both exams test math, so practice setting up proportions until it's automatic.

Key points (4)
  • 1 kg = 2.2 lb, 1 tsp = 5 mL, 1 tbsp = 15 mL, 1 g = 1,000 mg.
  • For dilutions, use C1 × V1 = C2 × V2.
  • Days' supply = total quantity ÷ amount used per day.
  • Check every answer by working it backwards.
05

Order entry and processing

Reading prescriptions, sig codes and abbreviations, NDC and lot numbers, and handling returns and expired stock.

Key points (3)
  • Common sig codes: bid (twice a day), tid (three times a day), qid (four times a day), prn (as needed), hs (at bedtime), PO (by mouth).
  • An NDC has three segments: labeler, product and package.
  • The lot number identifies a manufacturing batch, which matters in a recall.
06

Sterile and non-sterile compounding

The basics of making medicines in the pharmacy, from grinding tablets to preparing IV bags in a clean room. The ExCPT tests this directly.

Key points (4)
  • USP <795> covers non-sterile compounding, USP <797> sterile compounding and USP <800> hazardous drugs.
  • Sterile compounding happens inside an ISO Class 5 primary engineering control, like a laminar airflow workbench.
  • Hand hygiene and garbing happen in the ante-room, before entering the buffer room.
  • A mortar and pestle grinds tablets into powder (trituration).

Free practice test

Try 20 questions on drugs, law, math and safety

These 20 questions are our own, written to match the topics on the PTCE and ExCPT: drug names and classes, federal law, pharmacy math, compounding and safety. The real PTCE has 90 questions and the ExCPT has 120. Neither exam uses a simple percentage pass mark, because both use scaled scores. So we use 70% as a practice target: 14 right out of 20. Keep a calculator handy for the math. After each answer you can ask the tutor to explain it another way.

Question 1 of 20

What is the generic name for Lipitor?

Sample of the exam: same format, 20 questions.

Test day

What to bring on exam day

  • A current government-issued photo ID, such as a driver's license or passport
  • An ID with the same name as your PTCB or NHA account
  • For the ExCPT, proof of address (like a utility bill) if your ID shows a different address from the one you registered with
  • For ExCPT remote testing, a compatible computer, a stable internet connection and a quiet private room

Before you go

  1. Pick your exam. Ask your employer or your state board of pharmacy which credential they accept.
  2. Check that you meet an eligibility pathway: a training program, or enough work experience.
  3. Create your PTCB or NHA account and apply. PTCB approves you first, then emails you to schedule.
  4. Download the free PTCE Content Outline or ExCPT Test Plan and study to it.
  5. Practice pharmacy math every day until proportions and conversions are quick.
  6. Request any testing accommodations when you apply, not on exam day.
  7. For the PTCE, arrive at least 30 minutes early. For the ExCPT, reschedule at least 24 hours ahead if you need to, or you lose the fee.
PTCB: Certified Pharmacy Technician (CPhT)Apply in your PTCB account, then schedule with Pearson VUE once you're approved. For the ExCPT, you apply and schedule in your NHA account at nhanow.com.

Study options

Where to study

Start with the free official outlines: PTCB's PTCE Content Outline and NHA's ExCPT Test Plan. They list exactly what each exam covers. Most people also do a training program, which both exams accept as a way in. We've compared the official practice tools, apps and program directories people use.

OptionPriceFree to useLinks
Official and free
PTCB: PTCE Content Outline and Reference ListOfficial · PDFThe current outline took effect on January 6, 2026. It gives the four knowledge areas with their weights and marks which topics involve calculations. Use it as your study checklist if you're taking the PTCE.
FreeThe full outline of what the PTCE tests, plus the list of reference books
NHA: ExCPT Test PlanOfficial · PDFLists the 100 scored questions across five domains, with every task and knowledge area. It applies to ExCPT exams from July 9, 2025. Compounding and the technician's role get more weight here than on the PTCE.
FreeThe full test plan, with question counts per domain
PTCB: Recognized Education/Training Program DirectoryOfficial · webFinishing a program on this list is one of the two ways to qualify for the PTCE. Programs range from colleges to online and employer-run courses. Check a program here before you pay for it.
Free to search. Program prices varySearching the directory
Apps and websites
PTCB: Pre-PTCEOfficial · webOne practice exam built from retired PTCE questions, made to look and feel like the real thing. You get an explanation after each answer and a score report at the end. There's only one version, so PTCB suggests taking it once, close to your exam. It's $10 off if you buy it with your CPhT application.
$29 per examNothing
PTCB: PTCE Practice BankOfficial · webMore than 300 former PTCE questions and a deck of 400 flashcards. You can choose the length and difficulty of each session, timed or untimed, and use it as often as you like.
$65Nothing
NHA: ExCPT study guide and practice testsOfficial · web and printNHA's own prep for the ExCPT: an online study guide, practice tests you can take up to six times, and a bundle of both. NHA says none of it is required to sit the exam.
Paid, priced in the NHA storeNothing
PTCB PTCE Mastery ExamApp · iPhoneThe most-rated PTCE app on the App Store: 4.7 stars from about 4,800 ratings. Premium unlocks more than 890 questions, flashcards, a math review and short videos. It covers the PTCE only, not the ExCPT. The store lists several prices for similar plans, so check the price before you subscribe.
Free to download. Premium from $15.99 a month, $35.99 for 3 months or $85.99 a year10 exam-style questions a day and a limited set of practice questions
Pocket Prep PTCEApp · iPhone4.7 stars from about 2,600 ratings on the App Store. Premium unlocks 1,000 PTCE questions, three full mock exams and quizzes built from your missed questions. It also includes Pocket Prep's other medical exam banks.
Free to download. Premium $15.99 a month, $39.99 for 3 months or $95.99 a yearAbout 60 practice questions, with Question of the Day, Quick 10 and timed quizzes
PTCB Exam Prep by EZPrepApp · iPhone4.8 stars from about 1,300 ratings on the App Store. The developer says it has more than 1,500 questions. It offers a money-back pass guarantee, but terms apply, so read them first.
Free to download. Paid plans from $9.99 for a weekA limited free version to try

Prices and ratings checked October 2026.

FAQ

Common questions

How many questions are on the PTCB exam?

The PTCE has 90 multiple-choice questions. 80 count toward your score and 10 are unscored trial questions, mixed in so you can't tell which ones they are. You get 1 hour 50 minutes. With the tutorial and survey, the whole visit takes about 2 hours. The ExCPT from NHA is longer: 100 scored and 20 pretest questions in 2 hours 10 minutes.

What is a passing score on the PTCB exam?

You need a scaled score of 1,400 on the PTCE. Scores run from 1,000 to 1,600. PTCB doesn't publish how many questions you need right, because the scale adjusts for how hard your version of the exam is. On the ExCPT, you need a scaled score of 390, on a scale of 200 to 500.

How much does the PTCB exam cost?

As of October 2026, it costs $129 to apply for the CPhT and take the PTCE. You pay again for each retake. NHA doesn't print the ExCPT fee on its main pages. You see it in your NHA account when you schedule. Renewing either credential costs extra every 2 years.

How do I schedule the PTCB exam?

Create a PTCB account and apply. Once PTCB approves you, you get an email saying you can schedule. You then book a date at a Pearson VUE test center, online through your PTCB account or by phone. For the ExCPT, you apply and pick a date, place and format in your NHA account.

Can I take the pharmacy tech exam online?

The ExCPT, yes. NHA offers it with live remote proctoring at home or another quiet place, as long as your computer and internet meet the requirements. The PTCE, no. As of October 2026, PTCB says it's given in person at Pearson test centers. You can do a training program online, though, and many people do.

What happens if I fail?

For the PTCE, you can try again once you have your official score, with no wait for the second and third attempts. Before a fourth attempt, you wait six months, and after four attempts you must show PTCB proof of more preparation. For the ExCPT, you wait 30 days between attempts. After three failed attempts, you wait a year. Every attempt is paid for in full.

All 20 practice questions with answersA printable list of the practice test above
  1. What is the generic name for Lipitor?

    Atorvastatin Lipitor is the brand name for atorvastatin, a statin used to lower cholesterol. The other three are statins too, which is why they're easy to mix up.

  2. Metoprolol, atenolol and propranolol all end in "-olol". Which drug class do they belong to?

    Beta blockers The "-olol" ending marks a beta blocker. Beta blockers slow the heart rate and lower blood pressure, and they're used for high blood pressure, angina and some heart rhythm problems.

  3. Lisinopril belongs to which drug class?

    ACE inhibitor Lisinopril is an ACE inhibitor, and you can tell from the "-pril" ending. It's used mainly for high blood pressure and heart failure. A dry cough is a well-known side effect of this class.

  4. Which of these medications is a proton pump inhibitor (PPI)?

    Omeprazole Omeprazole (Prilosec) is a proton pump inhibitor. PPIs end in "-prazole" and reduce stomach acid, so they're used for heartburn, GERD and ulcers.

  5. How should unopened vials of insulin be stored in the pharmacy?

    In the refrigerator, between 36°F and 46°F (2°C and 8°C) Unopened insulin goes in the refrigerator, between 36°F and 46°F (2°C and 8°C). It must never be frozen, because freezing damages it. Once a vial or pen is in use, the manufacturer's label says how long it can stay at room temperature.

  6. Under federal law, which of these drugs is in Schedule II?

    Oxycodone Oxycodone is a Schedule II controlled substance. Schedule II drugs have an accepted medical use but a high potential for abuse, so they have the tightest rules of any prescription drug, including no refills.

  7. Which DEA form does a pharmacy use to order Schedule II controlled substances on paper?

    DEA Form 222 DEA Form 222 is the order form for Schedule I and II drugs. Pharmacies can also order them electronically through the DEA's Controlled Substance Ordering System (CSOS).

  8. Under federal law, how many times can a prescription for a Schedule III or IV drug be refilled?

    Up to 5 times, within 6 months of the date it was written Federal law allows Schedule III and IV prescriptions to be refilled up to 5 times within 6 months of the date written, whichever comes first. After that the patient needs a new prescription. Some states are stricter, and the stricter rule always applies.

  9. Under the Combat Methamphetamine Epidemic Act, what is the most pseudoephedrine one person can buy in a single day at a store?

    3.6 grams The federal daily limit is 3.6 grams of pseudoephedrine base per purchaser. There's also a limit of 9 grams in 30 days at a store, and 7.5 grams in 30 days by mail order. Buyers show ID and the sale is logged.

  10. Why are some drug names printed with Tall Man lettering, such as hydrOXYzine and hydrALAZINE?

    To help staff tell apart drug names that look alike Tall Man lettering puts the parts of two look-alike names that differ in capital letters. That makes the difference jump out, so staff are less likely to pick the wrong drug. Hydroxyzine is an antihistamine and hydralazine treats blood pressure, so a mix-up could hurt someone.

  11. Which way of writing a dose follows safe-practice rules for zeros?

    0.5 mg Doses under 1 should have a leading zero, like 0.5 mg, and whole numbers should never have a trailing zero. A missed decimal point in ".5 mg" can be read as 5 mg, and "5.0 mg" can be read as 50 mg. Both are tenfold errors.

  12. Which of these medications is on the ISMP list of high-alert medications?

    Insulin Insulin is a high-alert medication. Errors with it are not necessarily more common, but when they happen they can cause serious harm, like dangerously low blood sugar. That's why many pharmacies add extra checks for insulin, anticoagulants and opioids.

  13. Which of these situations must a technician pass to the pharmacist?

    A patient asks which cough medicine is safe to take with their blood pressure pills Recommending an over-the-counter product, and checking it against the patient's other medicines, is a clinical judgment. Only the pharmacist can do that. The other three are everyday tasks a technician can handle.

  14. Amoxicillin suspension comes as 250 mg per 5 mL. The prescription calls for a 500 mg dose. How many mL is one dose?

    10 mL 500 mg is twice 250 mg, so you need twice 5 mL, which is 10 mL. Set up as a proportion: 250 mg / 5 mL = 500 mg / x mL, so x = 500 × 5 ÷ 250 = 10 mL.

  15. A child weighs 44 lb. The dose ordered is 10 mg per kg. How many mg is one dose? (1 kg = 2.2 lb)

    200 mg First turn pounds into kilograms: 44 ÷ 2.2 = 20 kg. Then multiply by the dose: 20 kg × 10 mg/kg = 200 mg.

  16. How many mL of a 20% solution do you need to make 100 mL of a 5% solution?

    25 mL Use C1 × V1 = C2 × V2. So 20% × V1 = 5% × 100 mL, which gives V1 = 500 ÷ 20 = 25 mL. You'd add diluent to 25 mL of the 20% solution to make 100 mL.

  17. A prescription reads: "1 tsp PO tid". The bottle holds 150 mL. How many days will it last? (1 tsp = 5 mL)

    10 days "tid" means three times a day, so the patient takes 5 mL × 3 = 15 mL a day. 150 mL ÷ 15 mL a day = 10 days.

  18. A National Drug Code (NDC) has three segments. What does the first segment identify?

    The labeler: the manufacturer, repackager or distributor The NDC has three parts: labeler, product and package. The first segment is the labeler code, which the FDA assigns to the company. The second shows the product, including strength and dosage form, and the third shows the package size.

  19. Where must sterile preparations, such as IV bags, be compounded?

    Inside an ISO Class 5 primary engineering control, such as a laminar airflow workbench USP <797> requires sterile compounding inside an ISO Class 5 primary engineering control (PEC), like a laminar airflow workbench or a biological safety cabinet. It gives the cleanest air, filtered through HEPA filters, right where the work happens.

  20. In non-sterile compounding, which tool is used to grind tablets into a fine powder?

    Mortar and pestle A mortar and pestle is used to crush and grind tablets or crystals into a fine powder. This is called trituration. The powder can then be mixed into a liquid, a cream or capsules.