MPJE Prescription Dispensing Requirements Questions and Answers

Question 1

A retail pharmacy utilizes a central fill pharmacy, which is under common ownership, to prepare a prescription for zolpidem. According to federal law, which of the following statements regarding the prescription label is correct?

Accepted Answer

The label must identify the retail pharmacy and include a unique identifier for the central fill pharmacy.

Answer

According to 21 CFR 1306.24(b), when a prescription for a controlled substance is filled at a central fill pharmacy, the label must show the retail pharmacy's name and address and a unique identifier (like the DEA number) indicating that the prescription was filled at the central fill pharmacy.

Question 2

A prescriber phones in an emergency prescription for a 3-day supply of morphine sulfate for a patient in severe pain. The pharmacist immediately reduces the oral prescription to writing. What is the maximum time frame, under federal law, within which the prescriber must provide a written, signed prescription to the pharmacy?

Accepted Answer

7 days

Answer

Federal law under 21 CFR 1306.11(d)(4) requires that a practitioner who issues an emergency oral prescription for a Schedule II controlled substance must deliver a written, signed prescription to the dispensing pharmacist within 7 days after authorizing the emergency prescription.

Question 3

According to federal law, which of the following is a required element on the prescription label for a dispensed Schedule IV controlled substance?

Accepted Answer

A 'Caution: Federal law prohibits the transfer...' statement.

Answer

Federal law, specifically 21 CFR 290.5, requires that the label of any dispensed Schedule II, III, or IV controlled substance must contain the statement: 'CAUTION: Federal law prohibits the transfer of this drug to any person other than the patient for whom it was prescribed.'

Question 4

A patient presents a valid, original paper prescription for a Schedule III controlled substance with two authorized refills. After the initial fill, the patient requests to transfer the remaining refills to a different pharmacy across town that is not part of the same chain. Assuming the pharmacies do not share a real-time, online database, how many times can this prescription be transferred?

Accepted Answer

Only one time.

Answer

According to 21 CFR 1306.25(a), the transfer of original prescription information for a controlled substance listed in Schedule III, IV, or V for the purpose of refill dispensing is permissible between pharmacies on a one-time basis only, unless the pharmacies electronically share a real-time, online database.

Question 5

An institutional practitioner may dispense a Schedule II controlled substance for immediate administration to an ultimate user. Which of the following is a valid method for this to occur under federal law?

Accepted Answer

Pursuant to an order for medication made by an individual practitioner.

Answer

According to 21 CFR 1306.11(c), an institutional practitioner may administer or dispense a Schedule II controlled substance directly to an ultimate user pursuant to a written prescription signed by the prescribing individual practitioner or to an order for medication made by an individual practitioner that is dispensed for immediate administration.

MPJE - Multistate Pharmacy Jurisprudence Examination Practice Test

MPJE - Multistate Pharmacy Jurisprudence Examination Practice Test

MPJE Prescription Dispensing Requirements Questions and Answers