PTCB Controlled Substances Diversion Prevention Certificate holders have demonstrated their knowledge of controlled substances diversion strategies and DEA requirements.
A candidate must hold an active PTCB CPhT Certification and complete a PTCB-Recognized Controlled Substances Diversion Prevention Education/Training Program.
Passing the Controlled Substances Diversion Prevention Exam is required to earn the PTCB Controlled Substances Diversion Prevention Certificate. The Controlled Substances Diversion Prevention Exam is a computer-based exam administered at Pearson VUE test centers nationwide. The Controlled Substances Diversion Prevention Exam is a 2-hour, multiple-choice, exam that contains 80 questions. One hour and 50 minutes are allotted for answering the exam questions and 10 minutes for a tutorial and post-exam survey.
Exam Content Outline
The Controlled Substances Diversion Prevention Exam covers several knowledge areas organized into four domains, as shown in the following table.
|Controlled Substance Diversion (9%)|
|Consequences of diversion (e.g., infection risks to patients, organizational liability, fines/indictments, fraud charges, loss of job and/or license)|
|Signs of impaired health-care workers (e.g., mood changes, agitation, dilated pupils, sudden declines in job performance)|
|Motivations to divert CS (e.g., addiction, financial gain, recreation)|
|Controlled Substance Diversion Prevention Program (30%)|
|Areas of vulnerability in procurement, preparation and dispensing, prescribing, administration, and waste/removal processes|
|Elements of a comprehensive and effective controlled substances diversion prevention program (CSDPP)|
|Types and functions of security control measures, devices, and software to detect and prevent diversion (e.g., locking storage, cameras, ADCs, analytics software)|
|High risk areas of the pharmacy (e.g., anesthesia area, CS vault, IV room, will call, receiving)|
|Chain of custody methods (e.g., regulation of access control, presence of witnesses for signing delivery sheets, use of tamper-evident containers)|
|DEA Requirements (37%)|
|DEA registration requirements (e.g. power of attorney, renewal)|
|Procedures to validate DEA numbers (e.g., formula and component parts of the DEA number)|
|Contents, appropriate usage, and record keeping for DEA form 222|
|DEA Controlled Substance Ordering System (CSOS)|
|Contents, appropriate usage, and record keeping for DEA form 41|
|Contents, appropriate usage, and record keeping for DEA form 106|
|Knowledge of DEA scheduled medications and which are at high risk for diversion|
|DEA requirements for conducting physical inventories and record keeping|
|Contents, appropriate usage, and record keeping for DEA form 107|
|Actions to take during a robbery or theft event|
|Procedures for sales of CS and restricted OTCs (e.g., pseudoephedrine)|
|Surveillance and investigation (22%)|
|Suspicious data patterns (e.g., waste buddy, night shift sedation, cancel removes, pocket inventory, anomalous usage)|
|Surveillance practices and techniques (e.g., reconciliation of invoices to purchase history reports, check list to verify all paperwork is complete, records audits)|
|Signs of product tampering and/or alteration (e.g., vials tops that don’t twist easily, chipped tablets, drug assay sampling)|
|Signs of and methods to detect fraudulent prescriptions|
As the Controlled Substances Diversion Prevention Exam is part of a new program, scoring will be delayed. Over the next 3-4 months, PTCB will conduct item and exam analysis and apply the same rigorous process for the Controlled Substances Diversion Prevention Exam after enough candidates have tested to determine the passing score. PTCB is committed to maintaining the prestige of PTCB credentials and making sure they meet the highest standards in the field.
Earning your Controlled Substances Diversion Prevention Certificate takes you one step closer to becoming a PTCB Advanced Certified Pharmacy Technician (CPhT-Adv). Active PTCB CPhTs who have completed at least four of the certificate programs (including TPV and/or Medication History), or three certificate programs and the Compounded Sterile Preparation Technician (CSPT) Certification, and 3 years of work experience will be eligible to earn a CPhT-Adv in late 2020.