PTCE study plan
PTCE · Give each week a clear focus.
8 weeks · About 6 hours per week
Medications
Build a flashcard deck of at least 100 brand–generic pairs drawn from the most commonly dispensed drugs, and self-test until you score 80% or better in two consecutive passes
Sort 150 drug names into therapeutic classes on a handwritten classification grid (e.g., ACE inhibitors, statins, benzodiazepines, PPIs, anticoagulants)
Recite the common nomenclature stems for at least 8 drug classes (-olol, -pril, -sartan, -prazole, -statin, -azepam, -cillin, -mycin) and give two example drugs for each
Identify 20 high-alert medications and state one monitoring parameter or double-check step for each
Your checkpoint
A completed 150-drug therapeutic classification grid plus a 100-card brand/generic flashcard deck, with a dated self-test score of 80% or higher recorded on the grid
Medications
Match 40 clinically significant drug–drug, drug–food, and drug–disease interactions to their potential consequence and the action a technician should take
Describe the mechanism, monitoring parameter, and counseling point for 15 narrow therapeutic index or high-risk drugs (e.g., warfarin, digoxin, lithium, phenytoin, levothyroxine)
Solve 25 dosage calculations covering mg/kg, body surface area, IV flow rate, and dilution/concentration problems with at least 90% accuracy
Explain the difference between therapeutic duplication, contraindication, and adverse effect, and correctly classify 20 written case vignettes
Your checkpoint
A two-page interactions and high-risk-drug summary sheet plus a graded 25-question calculation set showing a score of 90% or better
Federal Requirements
Diagram the five controlled-substance schedules with two example drugs each, and list the refill, expiration, and transfer rules that apply to each
Outline when DEA Form 222, Form 222f, Form 224, Form 106, and Form 41 are each used
List the required elements of a valid prescription and identify which elements differ for Schedule II versus Schedule III–V drugs
Summarize biennial inventory, recordkeeping, and record-retention requirements for controlled substances and state how long records must be kept
Your checkpoint
A one-page controlled-substance rules matrix covering all five schedules, matching each DEA form to its use and each schedule to its refill and retention rules
Federal Requirements
Trace a drug's regulatory lifecycle from FDA approval through post-marketing surveillance, and state what triggers a recall class I, II, or III
Explain the DSCSA requirements for product tracing, verification, and serialization, and describe what a technician must check when receiving a shipment
Describe REMS program requirements, Medication Guides, and the technician's role in dispensing drugs subject to them
Summarize HIPAA privacy rules, OBRA '90 counseling requirements, and the basic structure of Medicare Part D and Medicaid prescription coverage
Complete a 60-question practice set on Domains 1 and 2 and score the result against a 70% passing benchmark
Your checkpoint
A dated score report from a 60-question timed practice set covering Domains 1 and 2, with a written list of the three weakest subtopics and a remediation action for each
Patient Safety and Quality Assurance
List at least 30 error-prone abbreviations on an ISMP-style do-not-use list and rewrite each into its intended full form
Explain the difference between a look-alike/sound-alike drug pair and a high-alert medication, and identify 15 pairs plus the separation or labeling safeguard for each
Describe the key requirements of USP <795>, <797>, and <800> for nonsterile compounding, sterile compounding, and hazardous drugs, including PPE and environmental monitoring basics
Explain how to report an adverse drug event through MedWatch and a vaccine adverse event through VAERS, and state which one applies to a given scenario
Perform a written root-cause analysis of one fictitious dispensing error, tracing it from order entry to administration
Your checkpoint
An error-prevention checklist containing the do-not-use abbreviation list, 15 LASA pairs with safeguards, and a one-page root-cause analysis of a fabricated dispensing error with three corrective actions
Order Entry and Processing
Interpret 20 handwritten and electronic prescriptions, translating every sig code and abbreviation into plain English directions
Calculate days supply, quantity to dispense, and refill dates for 15 prescriptions, including PRN, tapered, and topical products
Process 10 mock prescriptions end-to-end: verify elements, check for allergies and interactions, enter the order, and flag any that require pharmacist intervention
Describe third-party claim processing steps, common rejection codes, and the difference between a prior authorization, a formulary exception, and a DAW code
Explain inventory management tasks, including receiving, unit-dose packaging, repackaging, and outdate checking, and state the documentation each requires
Your checkpoint
A 20-prescription processing portfolio in which each entry shows the original order, the plain-English translation, the days-supply calculation, and the final disposition or intervention flag
Medications & Federal Requirements & Patient Safety and Quality Assurance & Order Entry and Processing
Re-drill the week 1 flashcard deck and the week 3 controlled-substance matrix until each is answered with 90% or better accuracy
Complete a 200-question mixed practice exam weighted toward Domains 1 and 2, and log every missed item by domain and subtopic
Rewrite each missed item as a one-sentence rule and re-test yourself on those rules 48 hours later
Review USP <797>/<800> and medication-safety content one more time, since these topics appear in more than one domain
Your checkpoint
A dated error log from the 200-question mixed exam, sorted by domain and subtopic, with every missed item restated as a corrected rule
Medications & Federal Requirements & Patient Safety and Quality Assurance & Order Entry and Processing
Complete two full-length timed practice exams under real test conditions, scoring 75% or better on the second attempt
Review every remaining error-log entry and confirm you can explain why the correct answer is correct without notes
Recite from memory the top-200 brand–generic pairs, the five CSA schedules, the required prescription elements, and the do-not-use abbreviation list
Simulate exam-day logistics by confirming your testing location or online setup, identification requirements, and allotted break time
Your checkpoint
Two dated full-length timed practice exam score reports, with the second at 75% or higher and a final one-page review sheet containing only items you missed more than once
Milestones
Week 2: You can name 100+ brand/generic pairs at 80% accuracy, correctly classify 20 interaction vignettes, and score 90% or better on a 25-question dosage calculation set.
Week 4: You score 70% or better on a 60-question timed set covering Domains 1 and 2, and your controlled-substance matrix covers every schedule's refill, expiration, and retention rules without consulting notes.
Week 6: You complete all 20 mock prescriptions in your portfolio with correct days supply and dosage translation, and can name the safeguard for each of 15 LASA pairs from memory.
Week 7: You score 75% or better on a 200-question mixed exam and your error log shows Domain 1 and Domain 2 misses reduced by at least half compared with your week 4 practice set.
Week 8: You score 75% or better on a second full-length timed practice exam and can explain every surviving error-log entry without notes.