ExCPT Study Guide 2026–2027 — Redesigned Illustrated Edition | 200 Practice Questions

Prepare for the NHA ExCPT exam (Exam for the Certification of Pharmacy Technicians) with a complete, illustrated study guide organized around the five domains of the current ExCPT test plan: Role, Responsibilities, and General Duties; Laws; Drugs and Drug Therapy; the Dispensing Process; and Medication and Patient Safety and Quality Assurance. Every section explains the content with tables, worked calculations, and diagrams, and ends with the key points most likely to appear on the exam.

This 192-page digital guide combines in-depth content review with two 100-question practice tests of exam-level questions, so you can learn each rule, drug, and calculation and then practice the kind of workplace reasoning the exam asks for.

What's Inside

• An overview of the current exam: 120 questions (100 scored, 20 pretest) in 2 hours and 10 minutes, the five domains and their weights (15/15/13/43/14 scored items), eligibility pathways, the 200–500 scaled score with 390 to pass, testing options, retakes, and renewal
• Role, Responsibilities, and General Duties: practice settings, technician versus pharmacist tasks, final verification, pharmacy security, medication reconciliation and MTM support, compliance aids, communication and medical terminology, inventory, storage temperatures, recalls, disposal, and drug references
• Laws: federal drug laws and agencies, HIPAA and personal information, packaging, hazardous waste, fraud, waste, and abuse, recordkeeping, controlled substance schedules, DEA numbers and forms, Schedule II partial fills, refills, transfers, filing, inventory, CMEA, and Schedule V sales
• Drugs and Drug Therapy: drug stems, pharmacokinetics, side effects versus adverse reactions, interactions and incompatibilities, dosage forms and routes, drug classes by body system, a top-drugs brand and generic table, OTC and BTC products, and vaccines
• Dispensing Process: prescription intake, SIG codes, DAW codes, DUR alerts, third-party billing and claim rejections, NDC numbers, labeling and auxiliary labels, Medication Guides and REMS, pharmacy calculations with worked examples, USP 797 sterile compounding, USP 795 non-sterile compounding, USP 800 hazardous drugs, and unit-dose repackaging
• Medication and Patient Safety: error types, look-alike and sound-alike drugs, Tall Man lettering, high-alert medications, error-prone abbreviations, patient matching, adherence, boxed warnings, MedWatch, VAERS, and ISMP reporting, root cause analysis, and NIOSH handling
• Illustrated diagrams, including a prescription label, NDC anatomy, a DEA number check, syringe and needle parts, laminar airflow hood, storage temperature ranges, drug elimination, and the medication-use process
• A final review checklist, 4-week and 8-week study schedules, FAQs, test-taking strategies, and recommended resources
• 2 practice tests (200 questions) weighted like the exam's five domains, with a separate answer key explaining every answer and the mistake behind tempting distractors

Format

• Instant digital download (PDF), 8.5 × 11 in
• Clickable table of contents
• Print it or study on a tablet, laptop, or phone

Please note: This is a digital product. No physical item will be shipped.

All exam and organization names referenced, including ExCPT, CPhT, and NHA, are trademarks of their respective owners. Test Treasure Publication is not affiliated with or endorsed by the National Healthcareer Association or any testing organization.