IL MPJE EXAM 2026 FULL QUESTIONS AND
CORRECT ANSWERS GRADED A+
◉ DEA 222 Forms- IL how long to keep. Answer: IL sees them as
invoices, so 5 years
◉ DEA form 106- IL how long to keep. Answer: two years
◉ IL annual inventory of controlled substances: record keeping. Answer:
5 years in total, at least 1 year onsite
◉ Record keeping of disposal of controlled substances-IL. Answer: two
years, retain form 41 DEA
◉ Record keeping under federal Law. Answer: 2 years
◉ What changes can a pharmacist NEVER permitted to change on Rx.
Answer: 1. Patients identity
2. drug prescribed (other than generic substitution)
3. the date on the prescription or add a date (IL specific, federal is silent
on this)
4. identity of the prescriber or the prescribers signature
,◉ Can controlled substances be electronically prescribed by a
practitioner?. Answer: 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. Answer: 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.
Answer: 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. Answer:
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.
Good: refill the first time, and counsel the patient it is important to find a
new physician
◉ which of the following is not needed in a pharmacy that makes a
parenteral product. good lighting, biological safety cabinet, laminar
bench, running water.. Answer: Biological safety cabinet is not needed.
,◉ what should a licensed pharmacy preparing sterile parenteral product
have. Answer: 1. laminar air flaw
2. sink with hot/cold water
3. refrigerator with a thermometer or freezer
4. temperature controlled container for off site deivereies
5. environmental protection agency approved disposal containers for
used needles, syringes, cytotoxic waste for chemo
◉ how often must a laminar air flow hood be certified. Answer: yearly
◉ who can counsel patients. Answer: pharmacist or student pharmacist
under the direct supervision of the pharmacist.
◉ who can make offer to counsel. Answer: RPH, Student RPH, r
pharmacy technician.
◉ can cashiers and other unlicensed personnel working in the pharmacy
make the offer to counsel. Answer: NO
◉ Can a doctor write prescriptions (controlled) for himself. Answer:
NO. Self prescribing or self dispensing of CS is NO LONGER permitted
◉ can a doctor write prescriptions (Controlled) for family member.
Answer: 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. Answer: 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.
1. fill for 90
2. fill for 30
3. call insurance company
4. call MD and ask if its ok before dispensing 90. Answer: 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. Answer: 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.
CORRECT ANSWERS GRADED A+
◉ DEA 222 Forms- IL how long to keep. Answer: IL sees them as
invoices, so 5 years
◉ DEA form 106- IL how long to keep. Answer: two years
◉ IL annual inventory of controlled substances: record keeping. Answer:
5 years in total, at least 1 year onsite
◉ Record keeping of disposal of controlled substances-IL. Answer: two
years, retain form 41 DEA
◉ Record keeping under federal Law. Answer: 2 years
◉ What changes can a pharmacist NEVER permitted to change on Rx.
Answer: 1. Patients identity
2. drug prescribed (other than generic substitution)
3. the date on the prescription or add a date (IL specific, federal is silent
on this)
4. identity of the prescriber or the prescribers signature
,◉ Can controlled substances be electronically prescribed by a
practitioner?. Answer: 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. Answer: 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.
Answer: 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. Answer:
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.
Good: refill the first time, and counsel the patient it is important to find a
new physician
◉ which of the following is not needed in a pharmacy that makes a
parenteral product. good lighting, biological safety cabinet, laminar
bench, running water.. Answer: Biological safety cabinet is not needed.
,◉ what should a licensed pharmacy preparing sterile parenteral product
have. Answer: 1. laminar air flaw
2. sink with hot/cold water
3. refrigerator with a thermometer or freezer
4. temperature controlled container for off site deivereies
5. environmental protection agency approved disposal containers for
used needles, syringes, cytotoxic waste for chemo
◉ how often must a laminar air flow hood be certified. Answer: yearly
◉ who can counsel patients. Answer: pharmacist or student pharmacist
under the direct supervision of the pharmacist.
◉ who can make offer to counsel. Answer: RPH, Student RPH, r
pharmacy technician.
◉ can cashiers and other unlicensed personnel working in the pharmacy
make the offer to counsel. Answer: NO
◉ Can a doctor write prescriptions (controlled) for himself. Answer:
NO. Self prescribing or self dispensing of CS is NO LONGER permitted
◉ can a doctor write prescriptions (Controlled) for family member.
Answer: 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. Answer: 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.
1. fill for 90
2. fill for 30
3. call insurance company
4. call MD and ask if its ok before dispensing 90. Answer: 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. Answer: 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.
