MPJE Dispensing and Labeling 5

Question 1

A prescription for Adderall (amphetamine salts) specifies 'brand medically necessary.' What does this mean for the pharmacist?

Accepted Answer

The pharmacist must dispense the brand product and cannot substitute a generic.

Answer

A 'brand medically necessary' or equivalent notation by the prescriber prohibits generic substitution and requires the pharmacist to dispense the specified brand.

Question 2

Which situation would constitute an emergency oral dispensing of a Schedule II controlled substance under DEA regulations?

Accepted Answer

Immediate administration is necessary, no alternative is available, and the pharmacist cannot obtain a written Rx at that time.

Answer

DEA emergency oral dispensing of Schedule II requires immediate administration necessity, no reasonable alternative, and inability to obtain a written prescription at that time.

Question 3

Under federal law, a pharmacist may dispense a controlled substance only if the prescription is issued for a legitimate medical purpose by a practitioner acting in the usual course of professional practice. This principle comes from which regulation?

Accepted Answer

21 CFR 1306.04

Answer

21 CFR 1306.04 establishes the legitimate medical purpose standard and places corresponding responsibility on the pharmacist.

Question 4

A label on a compounded sterile preparation (CSP) must include which of the following beyond-use date (BUD) elements?

Accepted Answer

Date and time of compounding or the BUD, whichever applies

Answer

USP <797> requires the BUD (date and time) to appear on the label of every compounded sterile preparation.

Question 5

What is the DEA requirement for a pharmacist who partially fills a Schedule II prescription because the full quantity is not available?

Accepted Answer

The remaining portion must be supplied within 72 hours or a new prescription is required.

Answer

For Schedule II partial fills due to stock shortage, the pharmacist must supply the remainder within 72 hours or the prescriber must issue a new prescription.

MPJE - Multistate Pharmacy Jurisprudence Examination Practice Test

MPJE - Multistate Pharmacy Jurisprudence Examination Practice Test

MPJE Dispensing and Labeling 5