Nebraska MPJE UPDATED Study
Guide QUESTIONS AND
CORRECT ANSWERS
T or F. All pharmacies must have a PIC, even mail order. - CORRECT ANSWERS True
Define PIC - CORRECT ANSWERS Pharmacist designated on a pharmacy license/remote
dispensing pharmacy license/designated by hospital as being responsible for pharmacy practice
Works w/in the physical confines (not required for remote dispensing pharmacy unless otherwise
required)
PIC duties - CORRECT ANSWERS *Develop/implement policies/procedures (hosp)
*Ensure that pharmacist review all medical orders prior to first dose (with exceptions) (hosp)
*Responsible for pharmacy operations in conformance with all laws
*Be present for initial inspection
*File reports
*Notify Dept. of HHS and patients if pharmacy closing
*Supervise technicians/verify performance
*Ensure pharmacists/techs/interns are properly credentialed
T or F. Pharmacist review is required of all medical orders prior to first dose being administered to
patient in hospital. - CORRECT ANSWERS T (with exceptions)
Is telepharmacy allowed in hospitals to allow pharmacist review or orders? - CORRECT ANSWERS
Yes
When is pharmacist review of medical order not required in hospital? - CORRECT ANSWERS
When practitioner controls ordering/dispensing/administration of the drug
*OR
*Endoscopy suite
*ER
,*Etc.
When time does not permit pharmacist review
*Stat order (x1)
*When status of patient would be significantly compromised by the delay
Does a hospital need a separate pharmacy license? - CORRECT ANSWERS Only if
compounding/dispensing of drugs/devices is done in the hospital pharmacy for persons not registered
as patients (but ok to do for any hospital within the healthcare system)
What reports are required for PIC to submit? - CORRECT ANSWERS *Annual Pharmacy
Quality Assurance Report
*Semiannual as required by Parkinson's Disease Registry Act
Details submitted in semiannual report required by Parkinson's Disease Registry Act - CORRECT
ANSWERS List of persons to whom pharmacist has dispensed drugs on the list of drugs
required to be reported for PD
-Name
_Address
-SSN
-Name of prescribing physician
-Address of prescribing physician
How to change PIC - CORRECT ANSWERS Notify NE Dept of HHS immediately
Complete controlled substance inventory
-Contain all info required in biennial inventory
-Maintain in pharmacy for 5 years
-Forward to Dept within 30 days
Do you need to send controlled substance inventories to anybody? - CORRECT ANSWERS
Forward to the Department
What to do if pharmacy ceases legal existence or discontinues business - CORRECT ANSWERS
Notify the Department within 15 days
,-Sale or disposition of legend drug, device, or biological inventory
-Sale or disposition of controlled substances and invoices/inventory records
-Location of all patient records
Return pharmacy license, DEA registration, and unused DEA 222 forms (including a and d)
What to do if pharmacy has change of ownership - CORRECT ANSWERS Notify the
Department within 15 days
A pharmacy may hire an outside firm to inventory, package, and arrange for
the transfer of its controlled substances to another pharmacy, the original
supplier, or the original manufacturer. The pharmacy is responsible for the
actual transfer of the controlled substances and for the accuracy of the
inventory and records. The records involving the transfer of controlled
substances must be kept readily available by the pharmacy for two years
for inspection by the DEA. - CORRECT ANSWERS
How to transfer schedule III-V medications (to a pharmacy, wholesaler, etc.) - CORRECT ANSWERS
Must be documented in writing
-Drug name
-Dosage form
-Strength
-quantity
-date transferred
-name/address/DEA# of parties involved
How do reverse distributors for controlled substances work? - CORRECT ANSWERS Submit
DEA 222 form to the pharmacy to "order" drugs (or just record for CIII-V)
When destroying, must submit DEA Form 41
Practice of Pharmacy definition - CORRECT ANSWERS *Interpret/evaluate/implement
medical order
*dispense drugs/devices
, *drug product selection
*administration of drugs/devices
*drug utilization review
*counseling
*provide pharmaceutical care
*MTM
*compound/label dispensed/repackaged drugs/devices, proper storage, maintain proper records
Can orders from presciber's from outside state be filled? - CORRECT ANSWERS Yes, if that
prescriber could be authorized to prescribe in this state
Is it illegal for unauthorized people to provide pharmaceutical care and compound/dispense
drug/devices? - CORRECT ANSWERS Yes, and it is illegal to permit or direct a person to do
so
Is it illegal to (attempt to) coerce a pharmacist to enter into a delegated dispensing agreement? -
CORRECT ANSWERS Yes
Can you split fees with a person for bringing/referring a consumer? - CORRECT ANSWERS
No, except:
(a) with a partner or employee of the applicant or credential holder or his or her
office or clinic,
(b) with a landlord of the applicant or credential holder pursuant to a written
agreement that provides for payment of rent based on gross receipts,
(c) with a former partner or employee of the applicant or credential holder
based on a retirement plan or separation agreement, or
(d) by a person credentialed pursuant to the Water Well Standards and
Contractors' Practice Act
Define unprofessional conduct - CORRECT ANSWERS any departure from or failure to
conform to the standards of acceptable and prevailing practice of a profession or the ethics of the
profession, regardless of whether a person, consumer, or entity is injured, or conduct that
is likely to deceive or defraud the public or is detrimental to the
public interest
Guide QUESTIONS AND
CORRECT ANSWERS
T or F. All pharmacies must have a PIC, even mail order. - CORRECT ANSWERS True
Define PIC - CORRECT ANSWERS Pharmacist designated on a pharmacy license/remote
dispensing pharmacy license/designated by hospital as being responsible for pharmacy practice
Works w/in the physical confines (not required for remote dispensing pharmacy unless otherwise
required)
PIC duties - CORRECT ANSWERS *Develop/implement policies/procedures (hosp)
*Ensure that pharmacist review all medical orders prior to first dose (with exceptions) (hosp)
*Responsible for pharmacy operations in conformance with all laws
*Be present for initial inspection
*File reports
*Notify Dept. of HHS and patients if pharmacy closing
*Supervise technicians/verify performance
*Ensure pharmacists/techs/interns are properly credentialed
T or F. Pharmacist review is required of all medical orders prior to first dose being administered to
patient in hospital. - CORRECT ANSWERS T (with exceptions)
Is telepharmacy allowed in hospitals to allow pharmacist review or orders? - CORRECT ANSWERS
Yes
When is pharmacist review of medical order not required in hospital? - CORRECT ANSWERS
When practitioner controls ordering/dispensing/administration of the drug
*OR
*Endoscopy suite
*ER
,*Etc.
When time does not permit pharmacist review
*Stat order (x1)
*When status of patient would be significantly compromised by the delay
Does a hospital need a separate pharmacy license? - CORRECT ANSWERS Only if
compounding/dispensing of drugs/devices is done in the hospital pharmacy for persons not registered
as patients (but ok to do for any hospital within the healthcare system)
What reports are required for PIC to submit? - CORRECT ANSWERS *Annual Pharmacy
Quality Assurance Report
*Semiannual as required by Parkinson's Disease Registry Act
Details submitted in semiannual report required by Parkinson's Disease Registry Act - CORRECT
ANSWERS List of persons to whom pharmacist has dispensed drugs on the list of drugs
required to be reported for PD
-Name
_Address
-SSN
-Name of prescribing physician
-Address of prescribing physician
How to change PIC - CORRECT ANSWERS Notify NE Dept of HHS immediately
Complete controlled substance inventory
-Contain all info required in biennial inventory
-Maintain in pharmacy for 5 years
-Forward to Dept within 30 days
Do you need to send controlled substance inventories to anybody? - CORRECT ANSWERS
Forward to the Department
What to do if pharmacy ceases legal existence or discontinues business - CORRECT ANSWERS
Notify the Department within 15 days
,-Sale or disposition of legend drug, device, or biological inventory
-Sale or disposition of controlled substances and invoices/inventory records
-Location of all patient records
Return pharmacy license, DEA registration, and unused DEA 222 forms (including a and d)
What to do if pharmacy has change of ownership - CORRECT ANSWERS Notify the
Department within 15 days
A pharmacy may hire an outside firm to inventory, package, and arrange for
the transfer of its controlled substances to another pharmacy, the original
supplier, or the original manufacturer. The pharmacy is responsible for the
actual transfer of the controlled substances and for the accuracy of the
inventory and records. The records involving the transfer of controlled
substances must be kept readily available by the pharmacy for two years
for inspection by the DEA. - CORRECT ANSWERS
How to transfer schedule III-V medications (to a pharmacy, wholesaler, etc.) - CORRECT ANSWERS
Must be documented in writing
-Drug name
-Dosage form
-Strength
-quantity
-date transferred
-name/address/DEA# of parties involved
How do reverse distributors for controlled substances work? - CORRECT ANSWERS Submit
DEA 222 form to the pharmacy to "order" drugs (or just record for CIII-V)
When destroying, must submit DEA Form 41
Practice of Pharmacy definition - CORRECT ANSWERS *Interpret/evaluate/implement
medical order
*dispense drugs/devices
, *drug product selection
*administration of drugs/devices
*drug utilization review
*counseling
*provide pharmaceutical care
*MTM
*compound/label dispensed/repackaged drugs/devices, proper storage, maintain proper records
Can orders from presciber's from outside state be filled? - CORRECT ANSWERS Yes, if that
prescriber could be authorized to prescribe in this state
Is it illegal for unauthorized people to provide pharmaceutical care and compound/dispense
drug/devices? - CORRECT ANSWERS Yes, and it is illegal to permit or direct a person to do
so
Is it illegal to (attempt to) coerce a pharmacist to enter into a delegated dispensing agreement? -
CORRECT ANSWERS Yes
Can you split fees with a person for bringing/referring a consumer? - CORRECT ANSWERS
No, except:
(a) with a partner or employee of the applicant or credential holder or his or her
office or clinic,
(b) with a landlord of the applicant or credential holder pursuant to a written
agreement that provides for payment of rent based on gross receipts,
(c) with a former partner or employee of the applicant or credential holder
based on a retirement plan or separation agreement, or
(d) by a person credentialed pursuant to the Water Well Standards and
Contractors' Practice Act
Define unprofessional conduct - CORRECT ANSWERS any departure from or failure to
conform to the standards of acceptable and prevailing practice of a profession or the ethics of the
profession, regardless of whether a person, consumer, or entity is injured, or conduct that
is likely to deceive or defraud the public or is detrimental to the
public interest
