ExCPT Test Prescription Dispensing Process 1

Question 1

A physician writes 'DAW 1' on a prescription. What does this instruct the pharmacy to do?

Accepted Answer

Dispense exactly as written — the brand-name product only

Answer

DAW 1 (Dispense As Written, physician mandated) means the prescriber requires the brand-name drug specifically. Generic substitution is not permitted regardless of formulary preference.

Question 2

A prescription reads: 'Metformin 500 mg — Take 1 tablet twice daily — Qty: 60.' How many days supply should the pharmacy enter?

Accepted Answer

30 days

Answer

The patient takes 2 tablets per day (1 twice daily). 60 tablets ÷ 2 tablets/day = 30 days supply. Accurate days supply entry is critical for insurance billing and refill timing.

Question 3

During the dispensing process, the pharmacy system generates a Drug Utilization Review (DUR) alert for a potential drug-drug interaction. What is the technician's MOST appropriate response?

Accepted Answer

Bring the alert to the pharmacist's attention before dispensing

Answer

DUR alerts must be reviewed by the pharmacist, who has the clinical authority to evaluate the interaction and decide whether to proceed, contact the prescriber, or counsel the patient. Technicians do not make that clinical judgment.

Question 4

A patient requests a transfer of a Schedule III controlled substance prescription to a different pharmacy. How many times may a Schedule III–V prescription be transferred?

Accepted Answer

One time only

Answer

Federal law allows Schedule III–V prescriptions to be transferred only once between pharmacies. An exception exists for pharmacies sharing a real-time online database, where transfers may equal the number of refills remaining.

Question 5

After filling a prescription for an antibiotic suspension, the pharmacy technician should affix which auxiliary label to alert the patient about storage?

Accepted Answer

'Refrigerate — Do not freeze'

Answer

Most reconstituted antibiotic suspensions (e.g., amoxicillin, azithromycin) require refrigeration after mixing to maintain potency. The correct auxiliary label reminds patients of this requirement.

ExCPT Practice Test

ExCPT Practice Test

ExCPT Test Prescription Dispensing Process 1