MPJE Illinois 4 — Questions and Answers
Question 1: In Illinois, which of the following prescribers is NOT authorized to prescribe Schedule II controlled substances?
- Advanced Practice Registered Nurse with prescriptive authority
- Licensed physician (MD)
- Optometrist holding a therapeutic license (Correct answer)
- Doctor of Osteopathic Medicine (DO)
Correct answer: Optometrist holding a therapeutic license
Illinois optometrists may prescribe certain therapeutic agents but are not authorized to prescribe Schedule II controlled substances.
Question 2: Under Illinois law, which of the following is a valid reason for a pharmacist to refuse to dispense a prescription?
- The prescription is written by an out-of-state licensed prescriber
- The pharmacist believes the prescription is not for a legitimate medical purpose (Correct answer)
- The patient cannot provide a photo ID for a non-controlled prescription
- The prescription was phoned in rather than written
Correct answer: The pharmacist believes the prescription is not for a legitimate medical purpose
A pharmacist has both the right and professional responsibility to refuse dispensing when there is a reasonable belief the prescription lacks a legitimate medical purpose.
Question 3: Illinois law requires pharmacies to report theft or significant loss of controlled substances to the DEA within what timeframe?
- 24 hours by phone and 7 days by DEA Form 106
- 1 business day by email to DEA and IDFPR
- 72 hours by DEA Form 106
- Immediately by phone and 7 days by DEA Form 106 (Correct answer)
Correct answer: Immediately by phone and 7 days by DEA Form 106
Federal law (applicable in Illinois) requires immediate telephone notification to the DEA followed by a written report on DEA Form 106 within 7 days of discovering theft or significant loss.
Question 4: Under the Illinois Pharmacy Practice Act, a pharmacist's license renewal period is how long?
- 1 year
- 2 years (Correct answer)
- 3 years
- 4 years
Correct answer: 2 years
Illinois pharmacist licenses are renewed on a 2-year cycle, with renewal deadlines determined by the IDFPR.
Question 5: In Illinois, which requirement applies to a collaborative pharmacy practice agreement (CPPA)?
- It must be approved by the Illinois State Medical Society before implementation
- It must be filed with and approved by IDFPR before the pharmacist may practice under it
- It requires a written agreement signed by the collaborating physician and pharmacist (Correct answer)
- It is only permitted in hospital or health-system settings
Correct answer: It requires a written agreement signed by the collaborating physician and pharmacist
Illinois law requires a written collaborative pharmacy practice agreement signed by both the collaborating prescriber and the pharmacist.
Question 6: An Illinois pharmacy dispenses a generic drug when the prescriber wrote 'brand medically necessary' on the prescription. Which statement is correct?
- The pharmacist may still substitute a generic if it costs less for the patient
- The pharmacist must dispense the brand as written and may not substitute (Correct answer)
- Generic substitution requires prescriber verbal approval but not written notation
- The pharmacist may substitute a generic and notify the prescriber within 48 hours
Correct answer: The pharmacist must dispense the brand as written and may not substitute
When a prescriber indicates 'brand medically necessary' (or equivalent language) in Illinois, the pharmacist must dispense the brand-name drug and may not substitute a generic.
Question 7: Which entity issues DEA registration to a pharmacy in Illinois for the purpose of handling controlled substances?
- Illinois Department of Financial and Professional Regulation (IDFPR)
- Illinois Department of Public Health (IDPH)
- U.S. Drug Enforcement Administration (DEA) (Correct answer)
- Illinois State Police
Correct answer: U.S. Drug Enforcement Administration (DEA)
DEA registration for handling controlled substances is issued by the federal Drug Enforcement Administration, regardless of state.
MPJE Illinois 4
In Illinois, which of the following prescribers is NOT authorized to prescribe Schedule II controlled substances?