Certification of Pharmacy Technicians (ExCPT) Practice Exam

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Which medication classification is typically associated with being available behind the pharmacy counter?

  1. Prescription medications

  2. Exempt narcotics

  3. OTC medications

  4. Controlled substances

The correct answer is: Exempt narcotics

Exempt narcotics, also known as Schedule V substances, are a specific classification of medications that can be sold without a prescription but are still regulated and must be kept behind the pharmacy counter. This classification includes certain medications that contain lower amounts of narcotic ingredients, which makes them less likely to be abused compared to higher schedule medications. Exempt narcotics can include medications like cough preparations with codeine or certain anti-diarrheal medications. By keeping them behind the counter, pharmacists can ensure that these substances are dispensed appropriately and monitor their sale to prevent misuse. Prescription medications require a doctor’s prescription and are typically not available without one, while OTC medications are available on the shelves for consumers to purchase without any restrictions. Controlled substances are closely monitored but may vary in where they are stored, as some are available only by prescription. The uniqueness of exempt narcotics lies in their regulated access while still providing some level of consumer availability.