PTCB study guide: what to study
Last checked October 15, 2026 · 24 topics · free
The 2026 PTCE has four domains and 24 knowledge areas. Medications is the largest at 35% (about 28 of the 80 scored questions), then Patient Safety and Quality Assurance (23.75%), Order Entry and Processing (22.5%) and Federal Requirements (18.75%). Law questions cover federal rules.
Where the points are
Share of the exam for each domain, from the 2026 content outline. Tap a domain to open it.
Topic checklist
Medications 35% 0/8
Brand and generic names, drug classes, interactions, doses and dosage forms, side effects, uses, stability and storage.
35% of the exam, about 28 of the 80 scored questions (our math: share × 80). Source: PTCB, PTCE Content Outline, effective January 6, 2026 (PDF)
- Lesson: Brand names, generic names and drug classes: how to match them fast· 5 min
- Lesson: Therapeutic duplication: when two prescriptions do the same job· 5 min
- Lesson: Drug interactions and contraindications: the five types and the big ones· 6 min
- Lesson: How strength, dosage form and label directions tell a patient how to take a drug· 5 min
- Lesson: How to tell a common side effect from a severe reaction or a true drug allergy· 5 min
- Lesson: How to match a medication to the condition it is indicated for· 5 min
- Lesson: Drug stability: how long mixed, opened and in-use products last· 5 min
- Lesson: Medication storage: temperature ranges, light protection and restricted access· 5 min
Federal Requirements 18.75% 0/6
Federal law only: waste disposal, controlled substance rules and schedules, pseudoephedrine limits and REMS, recalls, and drug tracing (DSCSA).
18.75% of the exam, about 15 of the 80 scored questions (our math: share × 80). Source: PTCB, PTCE Content Outline, effective January 6, 2026 (PDF)
- Lesson: Pharmaceutical waste: P-listed drugs, the sewer ban and safe disposal· 5 min
- Lesson: Controlled substance prescriptions: schedules, refills, partial fills and transfers· 6 min
- Lesson: Controlled substances from order to destruction: DEA Forms 222, 106 and 41· 6 min
- Lesson: How federal law restricts pseudoephedrine sales and REMS drugs· 5 min
- Lesson: How FDA drug recalls work and what the pharmacy does· 4 min
- Lesson: How the DSCSA tracks prescription drugs and what the pharmacy must do· 5 min
Patient Safety and Quality Assurance 23.75% 0/6
Preventing errors: high-alert and look-alike drugs, error-prevention habits, when to get the pharmacist, event reporting and infection prevention.
23.75% of the exam, about 19 of the 80 scored questions (our math: share × 80). Source: PTCB, PTCE Content Outline, effective January 6, 2026 (PDF)
- Lesson: Which drugs are high-alert, and why are look-alike names dangerous?· 5 min
- Lesson: Which habits stop medication errors before they reach the patient?· 5 min
- Lesson: Which situations must a pharmacy technician hand to the pharmacist?· 5 min
- Lesson: How do pharmacies report errors and adverse events?· 5 min
- Lesson: How do you spot the main types of prescription errors?· 5 min
- Lesson: How do pharmacy technicians prevent infection and contamination?· 5 min
Order Entry and Processing 22.5% 0/4
Filling the prescription: calculations, Sig codes and abbreviations, supplies, NDC, lot and expiration numbers, and returns.
22.5% of the exam, about 18 of the 80 scored questions (our math: share × 80). Source: PTCB, PTCE Content Outline, effective January 6, 2026 (PDF)
- Lesson 1: How to work out days' supply, quantity, dose volume and conversions· 5 minLesson 2: How to read Sig codes, Roman numerals and medical terms on a prescription· 5 min
- Lesson: Drug administration supplies: syringes, pens, spacers and more· 5 min
- Lesson: How to read an NDC, a lot number and an expiration date· 5 min
- Lesson: Returns: dispensable vs non-dispensable stock and reverse distributors· 5 min
Good to know
- Questions from all four domains are mixed together, not grouped by domain.
- PTCB marks some knowledge areas as including calculations. They're tagged Math below.
- PTCB doesn't publish how many questions each knowledge area gets, only the domain shares.
Next steps
Sources
Topic summaries are in our own words. Weights and question counts come from these pages; follow the links for the full outlines. HealthcareExams is independent and not affiliated with PTCB.
- PTCB, PTCE Content Outline, effective January 6, 2026 (PDF) Accessed October 15, 2026
- PTCB, Certified Pharmacy Technician (CPhT): 90 questions, 80 scored, 110 minutes Accessed October 15, 2026
- PTCB, Credentialing Guidelines and Requirements (Guidebook): questions from all domains are mixed Accessed October 13, 2026