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

Schedule III-V controlled substances may be accepted verbally in non-emergency situations. Schedule II requires a written (or emergency oral, with written follow-up) order. The pharmacist should fill it promptly and maintain documentation.

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

Prospective DUR occurs before dispensing — the pharmacist reviews for drug interactions, therapeutic duplications, incorrect dosing, and contraindications before the medication is given to the patient.

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

Auxiliary labels are supplemental warning or instruction stickers (e.g., 'Take with food,' 'May cause drowsiness,' 'Avoid alcohol') that provide important safety information beyond the main prescription label.

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 D is the outpatient prescription drug benefit under Medicare, covering most retail and mail-order prescription medications.

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

Insurance plans sometimes limit the quantity on a first fill (initial fill quantity limits) for certain medications, particularly controlled substances or new therapies, to 15 days or another partial quantity.

ExCPT Practice Test Practice Test

ExCPT Practice Test Practice Test

ExCPT Test Prescription Dispensing Process 3