MPJE Pharmacy Operations and Recordkeeping Questions and Answers

Question 1

A pharmacy needs to destroy a small quantity of expired and damaged hydrocodone/acetaminophen tablets (Schedule II) from its inventory.
According to federal law, which of the following is the correct procedure for recording this destruction?

Accepted Answer

Document the destruction on a DEA Form 41, which must be signed by two authorized employees who witnessed the destruction, and maintain it in the pharmacy's records.

Answer

Complete a DEA Form 106 and have it signed by the pharmacist-in-charge.

Answer

Transfer the substances to a DEA-registered reverse distributor using a DEA Form 222.

Answer

Dispose of the tablets in a collection receptacle and notate the disposal in the biennial inventory.

Question 2

A community pharmacy files its paper prescriptions for controlled substances using a three-file system. Which of the following accurately describes a federally compliant three-file system?

Accepted Answer

One file for Schedule II, one file for Schedules III-V, and one file for all non-controlled prescriptions.

Answer

One file for all controlled substances (Schedules II-V) and two separate files for non-controlled prescriptions.

Answer

One file for Schedule II and another for Schedule III, with Schedules IV, V, and non-controlled substances filed together.

Answer

One file for Schedule II, one file for non-controlled, and one file for all other controlled substances (III, IV, and V) filed together.

Question 3

The Secure and Responsible Drug Disposal Act of 2010 allows ultimate users to dispose of their unwanted pharmaceutical controlled substances. Which of the following is NOT a DEA-authorized method for an ultimate user to dispose of these medications?

Accepted Answer

Returning them to the pharmacy where they were originally dispensed for destruction if the pharmacy is not a registered collector.

Answer

Depositing them in an authorized collection receptacle at a local pharmacy that is registered as a collector.

Answer

Using a mail-back package provided by a DEA-authorized collector.

Answer

Giving them to law enforcement during a take-back event.

Question 4

A pharmacist discovers a significant loss of alprazolam (Schedule IV) during a monthly review. The pharmacy immediately notifies the local DEA Field Division Office in writing within one business day. According to federal regulations effective in 2023, what is the maximum time frame the pharmacy has to complete and electronically submit the DEA Form 106?

Accepted Answer

45 calendar days

Answer

7 calendar days

Answer

15 calendar days

Answer

30 calendar days

Question 5

The Ryan Haight Online Pharmacy Consumer Protection Act of 2008 sets requirements for prescribing controlled substances via the internet. Generally, what is the primary requirement a practitioner must meet before they can legally issue a prescription for a controlled substance to a patient based on a telemedicine encounter?

Accepted Answer

The practitioner must have conducted at least one prior in-person medical evaluation of the patient.

Answer

The practitioner must obtain a special telemedicine registration from the DEA.

Answer

The patient must sign a specific consent form acknowledging the risks of remote prescribing.

Answer

The practitioner must record the entire telemedicine encounter and store it for two years.

Question 6

While federal law requires a biennial inventory of controlled substances, it does not mandate a perpetual inventory for all schedules. However, if a pharmacy chooses to maintain a perpetual inventory for its Schedule II drugs, which of the following is a key operational requirement?

Accepted Answer

The inventory must be reconciled with a physical count on a regular basis to promptly detect discrepancies.

Answer

The perpetual inventory must be submitted to the DEA monthly.

Answer

It eliminates the need to conduct a biennial inventory for Schedule II drugs.

Answer

Only the pharmacist-in-charge is permitted to make entries in the perpetual inventory log.

A pharmacy needs to destroy a small quantity of expired and damaged hydrocodone/acetaminophen tablets (Schedule II) from its inventory.According to federal law, which of the following is the correct procedure for recording this destruction?

A pharmacy needs to destroy a small quantity of expired and damaged hydrocodone/acetaminophen tablets (Schedule II) from its inventory.
According to federal law, which of the following is the correct procedure for recording this destruction?