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llinois MPJE 2025- 2026 Final Exam Questions and Correct
Answers/ IL MPJE 2025- 2026 / IL Multistate Pharmacy
Jurisprudence Final Exam 2025- 2026 (Newest!)
Length of record keeping for purchase records/invoices (controls and non-controls)- IL 5 years in total, at least one year on site DEA 222 Forms- IL how long to keep IL sees them as invoices, so 5 years DEA form 106- IL how long to keep two years IL annual inventory of controlled substances: record keeping 5 years in total, at least 1 year onsite Record keeping of disposal of controlled substances-IL two years, retain form 41 DEA Record keeping under federal Law 2 years
What changes can a pharmacist NEVER permitted to change on Rx
- Patients identity
- drug prescribed (other than generic substitution)
- the date on the prescription or add a date (IL specific, federal is silent on this)
- identity of the prescriber or the prescribers signature Can controlled substances be electronically prescribed by a practitioner? yes, as long as system complies with federal DEA regulations, and Rx is valid under federal law How does one report theft/loss of CS notify DEA within one business day, and do a thorough investigation/Federal law requires you to fill out a 106 form submit to DEA, IL gets a copy to submit to DPR. no deadline for completing investigation Can a pharmacist refill a Rx after prescriber dies, retires, or relocates inform patient to get a new practitioner ASAP, the pharmacist may provide a sufficient amount of maintenance medications until the patient can get a new practitioner (using professional judgment) What to do in professional judgment questions on MPJE look for answer that allows you to provide adequate patient care, while being mindful of the need for th patient to follow up with physician ASAP, answers that set arbitrary deadlines (fill for no more than 30 days) are not correct.
RPH, Student RPH, r pharmacy technician. can cashiers and other unlicensed personnel working in the pharmacy make the offer to counsel NO Can a doctor write prescriptions (controlled) for himself NO. Self prescribing or self dispensing of CS is NO LONGER permitted can a doctor write prescriptions (Controlled) for family member NO. not to an immediate family member unless there is a bona fide practitioner-patient relationship and appropriate records are maintained Which is not a CS (hydrocodone, empirin, fiorinal, or empirin with codeine Empirin Pt brings in a prozac Rx for qty #30, and 3 refills. patient has a history of suicidal behaviors wants a qty of 90 and the insurance will pay for it.
- fill for 90
- fill for 30
- call insurance company
- call MD and ask if its ok before dispensing 90
Call MD and ask- legally can fill for 90, but d/t suicidal tendencies same goes with CS, legally can combine refills, but contacting MD would be best response if thats an option. NOT required to get MD approval, but use professional judgment and act in best interest of patient. Alduteration condition of the product- if it consists in whole or in part of any filthy, putrid, or decomposed substance, or if it has been prepared, packed, or held under unsanitary conditions. Exception: drug is labeled as if recognized in an official compendium (collection of things), but strength differs from, or quality or purity falls below compendium standards Misbranding labeling of a product labeling is false or misleading, or if a Rx medication is dispensed without a valid Rx or authorized refill Wrong drug in bottle is an example of Misbranded and adulterated
DESI Drugs Drug Efficacy Study Implementation , this is where FDA reviews all old drugs that were approved before new FDA standards. (before 1962), can DESI drugs be substituted / equialency NO, they are not listed in the orange book for equivalency purposes and cannot be substituted because they are not 'A' rated. Another name for the Orange Book Approved Drug Products with Therapeutic Equivalence Evaluations First letter of therapeutic equivalency in orange book A= Substitutable B= inequivalent/nonsubstitutable Second letter in orange book refers to dosage form AB Solid dosage form
AN
solutions and powders for aerosolization AO Injectable oil solutions AP injectable aqueous solutions and IV aqueous solution AT topical products What are illegal kick backs Receiving any time of reward for referral ex; providing free office space for MD so they agree to send patients to you coupons are prohibited- thats why most pharmacy chains that issue coupons exclude participation of patents who have their prescriptions paid for by any state/federal payment program bc it raises concern for medicare/medicaid patients What is federal and state emergency C2 dispensing QTY limit
how long should Rx records be saved 5 years , open to inspection at any time Do investigators need to be pharmacists Yes, although if the person was hired before new law took effect and they are not RPH, they can still continue to be investigators. When investigators request information, what is the turn-around time that the pharmacy must send information to them by? 60 days Assume the MD gives the patient three Rx on the same appt 5/20, 6/20, 7/20, on 5/21 asks the pharmacists to fill the first Rx and hold the other two for a later fill. is this legal? NO. post dating a Rx is NOT permitted. the date of issuance must reflect the date the patient is seen and/or the Rx is written. What if the MD dates the three Rx, 5/20, but writes on Rx do not fill until 6/19/18, and on the third do not fill until 7/19, is that legal Yes.
A C2 will expire how many days after issuance? 90 Days Max day supply for C 30 days supply is there a limit regarding the qty a doctor can write on CS Rx No, 30 day supply for C can Mid level practitioners write for any limit of CS yes, for C3-C c2= 30 day supply only If a drug is dropped on the ground, is it adulterated? yes actual contamination is not required for a violation/adulteration If there is a fire in the front of the store, but flames don't reach meds, can you use them? who do you need to notify of fire?
10 or 11 digits that are designed to identify MFR, the Drug and the package size Can a C2 Rx be postmarked within 7 days of the Emergency C2 fill rather than receive the Rx within 7 days? and the RPH needs to contact DEA, DHS, and DASA is not received? Yes, IL: the written Rx may be delivered to the RPH in person, or mail, but if in mail, it must be postmarked within the 7 day period same with federal according to FDA, do you need a MFR license if you take the OTC products and repackage them and then sell without a Rx Yes, unless its a hospital for its own internal use. if you are presented with a Rx for an OTC product, that is NOT repackaging- that is dispensing If both boxes (substituted and DAW) are checked for a coumadin RX, can the generic be dispensed without talking to MD? Call the MD, bc even though he said may not substitute, he is still saying subsitutue what does "medically Necessary" on the Rx mean? call the MD to obtain permission to dispense the generic, bc this is a phrase to prevent substitution in some states, NOT ILLINOIS YET!
Is it appropriate to reopen a pharmacy after hours to fill a Rx If its an RPH- no problem at all if it is a tech or unlicensed person- that is prohibited A tech CAN re enter the pharmacy even if its closed, but cannot fill a prescription or even dispense a previously filled Rx in the absence of the RPH If RPH was drinking- one drink, cannot reenter the pharmacy to refill the Rx If a product such as insulin is frozen then thawed out, is it adulterated? yep if a pharmacist consumes any amount of alcohol, can he legally be in the pharmacy and engage in dispensing even one drink may cause impairment, protect the public by saying the potentially impaired RPH is not engaged in the practice of Pharmacy What law governs the labeling of iron that has been repackaged the FDA governs labeling, but the poison prevention packaging act also regulates labeling of iron containing products VIPPS
Federal agency responsible for enforcing controlled substances law Drug Enforcement Administration (DEA) Responsible for monitoring/enforcement of IL act Department of Human Services (DHS) Office of Alcoholism and Substance Abuse Department of Financial and Professional regulation (DFPR) Federal Law schedule of Marijuana Schedule 1 In your jurisdiction, how old must a patient be to purchase exempt narcotics without a prescription 21 years old DEA is part of ____ Department of Justice (DOJ) Controlled Substance Act is also known as Comprehensive Drug Abuse Prevention and Control Act of 1970
What act is responsible for the scheduling of controlled substances, removing responsibility from DEA Controlled Substance Act (CSA) Functions associated with CSA Interpretation, Implementation, Enforcement, Development of Regulations Controlled Substance Act is (open/or closed) closed system of distribution--> only substances themselves are schedules and all persons with lawful access are REGISTERED. Access to CS are restricted through _________ & _________ Registration and Scheduling Characteristics of a scheduled drug Substances that have potential for abuse or can cause addiction How many CS schedules does IL have five
no DEA registration is required for law enforcements Are patients required to bring CS to an authorized collector or law enforcement for destruction? No, they're permitted to destroy substances themselves 11 categories that need to be registered with DEA
- MFR*
- Distributor*
- Dispenser* (C2-C5)
- research
- instructional activities
- narcotic txt program*
- research with C
- chemical analysis
- importer
- exporter
- compounding (Detox Compounder)*
- are registrations a pharmacy might need to obtain Which kind of registration does a doctor / mid level have that prescribes CS Dispenser
no such thing as a prescriber registration How can registrations be limited Can be limited by schedule (C3-C5 for example) or by drug class (narcotic vs nonnarcotic) per DEA or dispensers request Categories for CS registration II Narcotic II non narcotic III narcotic III non narcotic IV V Definition of a narcotic Extraction from vegetable or chemical synthesis Examples of narcotics
