ExCPT Test Prescription Dispensing Process 3

Question 1

A prescription for a controlled substance has been called in as a verbal order for a non-emergency situation. What must the pharmacist do?

Accepted Answer

Refuse to fill it — only Schedule III-V can be accepted verbally, and only in non-emergency situations

Answer

Fill it immediately as verbal orders for any schedule are allowed

Answer

Accept the verbal order and fill the prescription within 24 hours

Answer

Require the patient to bring a written prescription before dispensing

Question 2

What is the purpose of 'prospective drug utilization review' (Pro-DUR) in pharmacy?

Accepted Answer

Evaluate a prescription before it is dispensed to identify potential drug problems

Answer

Review all prescriptions filled last month for billing errors

Answer

Assess a patient's adherence record after 6 months of therapy

Answer

Review drugs for formulary placement at the insurance level

Question 3

Which of the following best describes an 'auxiliary label' on a prescription bottle?

Accepted Answer

A supplemental colored sticker providing additional instructions or warnings

Answer

The main printed prescription label with patient and drug information

Answer

A label indicating the drug's DEA schedule

Answer

The insurance billing sticker attached to the prescription bag

Question 4

When filling a prescription for a 90-day supply of a maintenance medication for a patient on Medicare Part D, which program typically covers this?

Accepted Answer

Medicare Part D

Answer

Medicare Part A

Answer

Medicare Part B

Answer

Medicaid only

Question 5

A patient asks why their prescription says 'QTY: 30' but they only received 15 tablets. What is the most likely explanation?

Accepted Answer

The insurance only approved a 15-day supply for the initial fill

Answer

The pharmacy made a dispensing error

Answer

The drug went off formulary mid-fill

Answer

The pharmacist split the prescription as a safety precaution

Question 6

What does it mean when a drug is labeled 'NTE' on a prescription?

Accepted Answer

Not to exceed — a quantity or dose maximum instruction

Answer

Not therapeutically equivalent — cannot be substituted

Answer

New therapeutic entity — first-in-class drug

Answer

No transfer enabled — non-transferable controlled substance