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llinois MPJE 2025-2026 Midterm Exam Questions and Correct Answers/ IL MPJE 2025-2026 / IL Multistate Pharmacy Jurisprudence Midterm Exam 2025-2026 (Newest!)
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Form to send to DEA for destroying controls DEA Form 41 Controlled substance theft/loss form? DEA Form 106. Must also be sent to DPR. Doesn't define what you have to report; err on the side of caution! How long to send in theft/loss form? 1 business day Do you need to report pseudophedrine as stolen? No, it is a C5 under state law but not controlled under federal law Difference between detox and maintenance treatment with methadone/LAAM Detox = <21 days, Maintenance >21 days.
How do you know if a physician is allowed to treat addictions on an outpatient basis with buprenorphine (subutex/suboxone)? If they have a separate DEA # that starts with the letter X Anytime you dispense a schedule II-V.....tell who and after how long? Report to Illinois Prescription Monitoring Program not more than 7 days after. (Fine is $100/day). Hospitals exempt. Also from narcotic tx program and infusions in house. Prescriptions from the ER are exempt from reporting to PMP if? They are for a 72 h or less supply All drug manufacturers and repackagers are required to register with FDA. If they fail to do so, their products are deemed...... Misbranded Required licensing of biologics establishments, inspections of vaccine manufacturers and premarket approval of vaccines Virus-Toxin law of 1902 Prohibited the marketing of adulterated and misbranded food and drugs Food and Drug Act of 1906
Orphan Drug Act of 1983 Concerns of drugs being sold that were counterfeit. Requires states to license wholesale distributors of rx drugs, ban the reimportation of rx drugs, except by the manufacturer. Mandate record keeping for drug samples. Ban counterfeiting of drug coupons. Prohibit resale of rx drugs. Prescription Drug Marketing Act (PDMA) of 1987 and Prescription Drug Amendments of 1992 Allows FDA to accept user fees from drug and biologic companies in return for committing to review new drug and biologic products within certain time frames Prescription Drug User Fee Act (PDUFA) of 1992 Allowed the use of FDA approved health claims of food labels and required a uniform format for the nutrition info Nutrition Labeling and Education Act (NLEA) of 1990 Established labeling requirements, allowed "nutritional support statements" describing the effect of the supplement. Dietary Supplement Health and Education Act (DSHEA) of 1994. FDA must prove supplements are UNSAFE as opposed to manufacturers having to prove SAFE. Established fast-track approval for certain new drugs and accelerated approval for innovative devices by exempting certain devices from premarket notification requirements. Food and Drug Modernization Act (FDAMA) of 1997
Form to register with DEA to dispense controls Form 224 (224a for renewal) When does a pharmacy's license expire? March 31 on even years When does a pharmacy need to register as a distributor? If it participates in joint buying activities and is the location from which drugs are stored and shipped to other pharmacies OR its annual distribution of controls to other pharmacies/practitioners exceeds 5% of total dosage units dispensed. When does a pharmacy register as a manufacturer? Purchases controls for purposes of repackaging for sale, Compounds for office use (Not if its aqueous, oleaginous or solids or only up to 20% controls) When to register as detox compounder? Compounds a control for sale to narcotic treatment program (who must be registered with DEA). Suboxone is allowed to be used on an outpatient basis! The only other way to treat addiction is to dispense at a narcotic treatment program.
Methaqualone 1 Peyote 1 Amphetamine 2 Cocaine 2 Codeine sulphate/phosphate 2 Fentanyl 2
Hydromorphone 2 Meperidine 2 Methylphenidate 2 Methadone 2 Morphine 2 Methamphetamine 2
Oxycodone HCl 2 Tapentadol 2 Lisdexamfetamine 2 Hydrocodone/APAP 2 Pentazocine 2 Anabolic steroids 3 Acetaminophen/codeine
Aprobarbital 3 Butalbital (Fiorinal/Fioricet) 3 Ketamine 3 Paregoric 3 Pentobarbital rectal 3 Thiopental 3
Gamma hydroxybutyric acid preps 3 Alprazolam 4 Butorphanol 4 Chloral hydrate 4 Chlordiazepoxide 4 Diazepam 4
Flurazepam 4 Meprobamate 4 Oxazepam 4 Phenobarbital 4 Propoxyphene 4 Triazolam 4 Zaleplon
Fospropofol 4 Zopiclone 4 Tramadol 4 Acetaminophen with codeine elixir 5 Actified with codeine 5 Dimetane - DC 5
Novahistine DH 5 Phenergan with codeine 5 Phenergan VC with codeine 5 Robitussin AC with codeine 5 Robitussin DAC with codeine 5 Triaminic expectorant with codeine 5
Schedule V CS that you can get without a prescription Codeine/dihydrocodeine limits No person can purchase more than 120 mL/g of any substance that contains codeine/dihydrocodeine in any 96 hour period Exempt narcotics age and id? 21 yo and 2 forms of ID Time limitation for exempt narcotics? at least 96 hours Records for exempt narcotics? Signature of purchaser, certification of no purchases within 96 hours, time of sale and signature of pharmacist Reporting for exempt narcotics? Maintain records for 2 years and send copy to IDPR by 15th of next month Possession limits of exempt narcotics?
Not more than 4.5 L per drug product plus amount of product needed for dispensing during busiest week. Exempt narcotics refill limits if RX? Max of 5 refills or 6 months, whichever comes first. Who can sell an exempt narcotic? Only pharmacists - must complete the log book, verify age, etc. But ANYONE can ring them up. Who can sell EPH and PSE? Techs can get the signature and check the ID's. Convenience packages can be sold by who? Can be a non-pharmacy retailer! Definition of convenience packages? 360 mg or less of EPH or PSE If you have an rx for PSE or EPH do you need to follow the limits of the log book etc.? No