PHARM 102 68Q - QUESTIONS AND ANSWERS | 2026 UPDATE | WITH COMPLETE SOLUTIONS.

Prepare to pass your Pharmacy Technician certification exam with confidence using this comprehensive collection of 68 realistic practice questions and complete solutions, updated for 2026. This study guide covers every critical domain you will be tested on, including formulary management—the updated list of medications and devices at a facility. You will learn the key differences between generic substitution (replacing a brand medication with a generic equivalent), therapeutic alternatives (drugs with different chemical structures but similar therapeutic effects), and how decisions about which medications are included in the formulary are made by Pharmacy and Therapeutics (P&T) committees. The guide also explains the uniform formulary (may be added), non-formulary (may not be added), basic core formulary (must be readily available within 24 hours), and extended core formulary (for specialized, complex diseases). You will master medication storage requirements, including that items must be stored 4-6 inches off the ground on pallets, items with the shortest expiration date go in the front, and flammable hazardous items must be stored separately from medications (with an approved flame-proof cabinet required for more than 5 gallons). The guide covers storage by route of administration, separation of cytotoxic, chemotherapy, and high-alert medications, and local policies for "look alike, sound alike" medications. You will also understand expiration dating (month/year expires on the last day of that month) and key storage symbols including F (do not freeze), G (must be refrigerated), P (has a potency period), Q (Schedule III-V item), R (Schedule II item, restricted to vault), and W (must be frozen). The material also dives deep into pharmacy procurement and logistics, including the Prime Vendor (PV) as the number one source for acquiring medications with next-day delivery, local purchases when PV cannot meet demands, and the National Drug Code (NDC) as a universal product identifier broken into three sections (manufacturer, medication name/strength/dosage form, and package size). You will learn electronic ordering through Defense Medical Logistics Standard Support (DMLSS) using barcode technology, manual ordering with DD Form 1348-6 (one item per form) and DD Form 1150 (multiple items for turn-in and issue requests). The guide covers medical material complaints (Type I requiring immediate action for harmful or defective products, Type II requiring expeditious action for suspected defects, Type III for unsatisfactory equipment), drug recall classes (Class I causing serious health problems or death, Class II causing temporary problems, Class III unlikely to cause problems), and disposition instructions including suspend (do not use but do not dispose), destroy, and turn-in. Finally, you will master pharmacy security, recordkeeping, and controlled substance regulations. Key forms covered include DD 1289 (single prescription order for all drugs including controlled substances and investigational drugs), DA 4256 (inpatient prescription order), Medication Administration Record (MAR for inpatient nursing), Standard Form 700 (security container information attached inside the vault), Standard Form 701 (activity security checklist on the wall at exit), and Standard Form 702 (security container check sheet for vault entry logging). You will learn that written prescriptions must stay on file for 2-5 years, biennial inventory conducted May 1st, monthly disinterested inventories appointed by the MTF commander, refill rules (Schedule II may not be refilled; Schedule III-V only within 6 months and no more than 5 times total), DEA Form 106 for reporting theft of controlled substances, and controlled drug destruction requiring witness of E-7 or higher rank or cleared civilian. Whether you need to understand OPSEC vulnerabilities, visitor control logs, or why The Joint Commission (TJC) accreditation is essential for insurance reimbursement, this guide provides the direct, exam-style answers you need to succeed on your PTCB or ExceptT exam on the first attempt.