MPJE Federal Controlled Substances Act 4 — Questions and Answers
Question 1: An electronic prescription for a Schedule II controlled substance is transmitted to the pharmacy. Under the DEA's EPCS regulations, the prescriber must authenticate using:
- A single-factor password only
- Two-factor authentication including a hard token or biometric (Correct answer)
- A handwritten digital signature only
- Their DEA number and date of birth
Correct answer: Two-factor authentication including a hard token or biometric
DEA regulations for electronic prescriptions for controlled substances (EPCS) require two-factor authentication, one of which must be a hard token or biometric.
Question 2: Under the CSA, which schedule includes substances with a low potential for abuse relative to Schedule III substances, currently accepted medical use, and limited physical or psychological dependence?
- Schedule II
- Schedule III
- Schedule IV (Correct answer)
- Schedule V
Correct answer: Schedule IV
Schedule IV is defined as substances with low abuse potential relative to Schedule III, accepted medical use, and limited dependence risk.
Question 3: A hospital pharmacy wishes to obtain an additional DEA registration for an off-site clinic it operates. Under the CSA, which statement is CORRECT?
- A single DEA registration covers all locations operated by the same hospital
- Each principal place of business or professional practice requires a separate DEA registration (Correct answer)
- A hospital may add locations to its existing registration by notifying the DEA in writing
- Off-site clinics are exempt from DEA registration requirements
Correct answer: Each principal place of business or professional practice requires a separate DEA registration
Under the CSA, each separate location where controlled substances are stored or dispensed requires its own DEA registration.
Question 4: Which of the following substances is correctly matched with its DEA schedule?
- Heroin – Schedule II
- Cocaine – Schedule I
- Methamphetamine – Schedule III
- Testosterone – Schedule III (Correct answer)
Correct answer: Testosterone – Schedule III
Testosterone is a Schedule III anabolic steroid; heroin is Schedule I, cocaine is Schedule II, and methamphetamine is Schedule II.
Question 5: Under the Combat Methamphetamine Epidemic Act (CMEA), which of the following is a federal requirement for the sale of pseudoephedrine products?
- Products must be kept behind the pharmacy counter or in a locked cabinet (Correct answer)
- A valid prescription is required for all purchases
- Purchasers must be at least 21 years old
- Daily purchase limits apply only in states with meth lab problems
Correct answer: Products must be kept behind the pharmacy counter or in a locked cabinet
The CMEA requires pseudoephedrine-containing products to be kept behind the counter or in a locked case regardless of state.
Question 6: Under the Ryan Haight Online Pharmacy Consumer Protection Act, a practitioner may not prescribe a controlled substance via telemedicine unless:
- The patient is physically located in the same state as the prescriber
- The practitioner has conducted at least one in-person medical evaluation of the patient (Correct answer)
- The prescription is limited to Schedule IV or V substances only
- The patient is enrolled in a certified telehealth program
Correct answer: The practitioner has conducted at least one in-person medical evaluation of the patient
The Ryan Haight Act generally requires at least one in-person medical evaluation before prescribing controlled substances via telemedicine.
Question 7: A patient requests the pharmacist dispose of their unused oxycodone tablets. Under the DEA's drug disposal regulations, a retail pharmacy may:
- Accept the oxycodone only if the pharmacist witnessed the original dispensing
- Operate as an authorized collector with a DEA-approved collection receptacle (Correct answer)
- Return the oxycodone to the original manufacturer only
- Only direct the patient to a law enforcement take-back site
Correct answer: Operate as an authorized collector with a DEA-approved collection receptacle
Under DEA regulations, a retail pharmacy may become an authorized collector and maintain on-site collection receptacles for patient drug disposal.
MPJE Federal Controlled Substances Act 4
An electronic prescription for a Schedule II controlled substance is transmitted to the pharmacy.
Under the DEA's EPCS regulations, the prescriber must authenticate using: