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llinois MPJE 2025-2026 Exam Questions and Correct Answers/ IL MPJE 2025/ IL Multistate Pharmacy Jurisprudence Exam 2025-2026 (Newest!)
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which agencies are in charge of enforcing the Illinois controlled substance act department of human services offices of alcoholism and substance abuse Department of financial and professional regulation are controlled substances regulated by federal or state laws both this law gave the FDA authority to determine schedule of controlled substances controlled substance act can a controlled substance be returned to the pharmacy if the patient decides they no longer need it NO unless there are the following exceptions there was a dispensing error there was a recall of the drug in either case the pharmacy can take the drug back but cannot redispense it what schedule are barbituates
what schedule are the barbituate combinations 3 what schedule are amphetamines 2 what schedule are anabolic steroids 3 what schedule are the long acting barbituates like phenobarbital 4 this schedule has a high potential for abuse with no currently accepted medical use and lack of accepted safety data 1 when can schedule 1 products be used medically under an investigational protocol
examples of schedule 3 acetaminophen with codeine anabolic steroids apropbarbital butalbital ketamine paregoric pentobarbital rectal suppository this is a required warning on pain products that contain acetaminophen risk of liver toxicity this schedule has acceptable medical use and may lead to limited physical or psychological dependence 4 what schedule are anxiolytics and sedatives like alprazolam 4 what schedule is soma
limited quantities of this schedule can be purchased without a prescription 5 products containing 10 milligrams of dihydrocodeine or any of its salts per 100 milliliters or 100 grams are considered to be schedule 5 ephedrine and pseudoephedrine are which schedule 5 under Illinois law how much of a schedule 5 controlled substance can a patient obtain without a prescription four ounces under illinois law, you cannot purchase more than this amount of a schedule 5 that contains codeine within any 96 hour period 120 milliliters or more than 120 grams
how many refills can you get of an exempt narcotic in illinois a max of 5 refills or 6 months federal law states no max time limit or refills ephedrine is what schedule in illinois 5 convenience packages of ephedrine are defined as what quantity 360 milligrams or less what is the sales limit of pseudoephedrine no more than 7500 milligrams of ephedrine within a 30 day period no person can purchase more than one convenience package in a 24 hour period no person can purchase more than two packages containing ephedrine per transaction anyone who purchases ephedrine must be how old at least 18
products containing ephedrine must be packaged in blister packs and each pack cannot contain more than 2 dosage units or if not feasible cannot contain more than 3000 milligrams of ephedrine non pharmacy retailers can sell ephedrine only in this form convenience pack, which is defined as 360 milligrams or less of ephedrine what are the identification requirements for purchasing ephedrine a drivers license or government ID with name, date of birth and photograph they must be at least 18 years old what are the recordkeeping requirements for ephedrine purchasers must sign a log book including their name and address, date and time of transaction, the brand, product name and quantitu log may be electronic and must be kept for at least 2 years where should ephedrine products be placed behind the pharmacy counter if convenience packages are sold by retailers they must be displayed behind store counter or in a locked case what are the penalties for violating ephedrine restrictions in illinois
this is stricter than federal law which is 100 milligrams how to determine how often codeine can be refilled if given a prescription first determine the amount of codeing per 100 milliliters if this more than 200 milligrams but less than 1.8 grams per 100 milliliters it is a schedule 3 and can be refilled 5 times in 6 months if it is more than it is a schedule 2 and cant be refilled NEXT determine how much codeine is in each dose and if more than 90 milligrams per dose it is comsidered a schedule 2 can you phone in a schedule 2 no unless it is an emergency in which case you need the prescription in 7 days under illinois law who can order, secure and dispense controlled substances the pharmacist in charge which form is used to register a pharmacy as a controlled substance dispenser DEA form 224 for initial registration and 224a for renewal which form is used to registers manufactures, wholesalers, researcher importers and exporters as a controlled substance dispenser with the DEA 225a
is separate DEA registration needed for each pharmacy operated by the same entity yes when is DEA registration required for each site with a different address and for each activity pharmacies are generally registered with the DEA as dispensers hospitals are classified as institutional dispensers and do not need a separate registration prescribers are also registered as dispensers when does a pharmacy need to register as a controlled substance distributor if it participates in joint buying activities and is the location from which drugs are stored and shipped to other pharmacies OR if its annual distribution of controlled substances exceeds five percent of the total number of dosage units dispensed limited compounding of controlled substances for oddice use if permitted provided that it is compounded in water oil or solid dosage form contains only up to 20 percent of the controlled substance
add digits 1 3 and 5 add digits 2 5 and 6 and multiply this sum by two add the results of the above and the last number of this sum should equal the last number of the DEA number pharmacies must use this form to order schedule 1 and 2 substances 222 how many 222 forms can a pharmacy request a max of 6 order forms each containing 7 numbered blank forms each form contains 1 line only 1 item per line what must be included on a 222 form name of drug NDC number strength, package size and number of packets number of lines completed signature of purchaser or agent DEA number of pharmacy date form issued
where does each copy of the 222 form go brown copy 1 and 2 go to the supplier then the supplier forwards green copy 2 to the DEA blue copy 3 is maintained at the pharmacy dirt, grass, sky if a supplier cannot supply and ordered controlled substance they can partially fill it if the remainder is filled with 60 days when should the supplier forward the green copy 2 of the dea form to the DEA by the end of the month that the order is filled or at the end of the month that the final shipment is made what are some of the benefits to using the electronic ordering system for controlled substances no line item limit for a single order faster more accurate decreased cost can be used for all schedules how are schedule 2 controlled substance transfers handled between pharmacies
how much schedule 2 prescriptions be transmitted the original hand signed prescription is required, cannot be faxed or phoned can be oral if if for an emergency how long does an original schedule 2 prescription have to get to the pharmacy after emergency partial dispensing 7 days which schedules can you fax 3 through 5 what changes can be made on a schedule 2 prescription patient address drug strength drug quantity directions for use how many schedule 2 prescriptions can a doctor write for a patient at once up to 3 30 day supplies these cannot be post dated and must be dated as the date of issuance
how many times can schedule 3 through 5 meds be refilled five refills or 6 months a pharmacy can partially fill a schedule 2 med as long as the remainder is filled within 72 hours how long is a prescription valid if partially filled for long term care or terminally ill patients 60 days how many times can pharmacies transfer controlled substance once if they do not share an electronic file if they are electronically linked they can transfer it up to the number of refills this can only be done by a pharmacist what must a pharmacist write on a physical controlled substance transfer pharmacist doing the transfer must write VOID on the prescription face and record on the reverse side the name, address and DEA number of the pharmacy to which it is being transferred, and the name of the pharmacist receiving the transfer information along with the date and name of the pharmacist transferring
what is required on the inventory record name of drug dosage form and unit strength number of units or volume in container number of containers what are the options for disposal of controlled substances can return to supplier (must use 222 form if a schedule 2) send to a reverse distributor who must complete a form 41 request disposal by pharmacy, also need to complete form 41 this is the DEA form for destruction of a controlled substance 41 this is the DEA form for theft or loss of a controlled substance 106 what is the Ryan Haight act it is illegal under federal law to dispense controlled substance on the internet unless they have a modification of DEA registration
are long term care facilities registered with the DEA no what is the difference between methadone detox and maintenance maintenance is more than 21 days detox is less than 21 days what does it mean if a prescriber has a DEA number that starts with an X he can prescribe buprenorphine and can treat addicts outpatient can a practitioner who is NOT part of a narcotic treatment program give methadone to a patient to treat addiction can give one day at a time while making arrangements for treatment program and cannot give more than 3 days what is the fine for not reporting schedule medications to the online prescription drug monitoring program $100 per day and must be filled within 7 days of dispensing who is exempt from reporting to the prescription drug monitoring program? inpatient drug orders