OKLAHOMA MPJE EVALUATION 2026/2027 QUESTIONS
AND SOLUTIONS RATED A+
✔✔Required elements of a prescription label (6) - ✔✔Date of Fill,
Name of Patient,
Rx Number,
directions for administration,
pharmacy name and address,
name of prescriber.
Unless prescriber requests omission, the following must be included: name of drug,
strength, quantity
**NOTE exceptions -- drugs administered to patients in hospital/institution, dialysate in
original mfg. packaging upon prescriber's order
✔✔True or False: Prescriptions written in Latin language generally in use among
medical/pharmaceutical practitioners are valid - ✔✔TRUE (only English and medical
Latin prescriptions valid)
✔✔Maximum days supply of controlled substance Rx's - ✔✔.90 days
✔✔True or False: pharmacist can dispense varying quantities of medication per fill of
controlled substances and/or drugs of concern - ✔✔FALSE. All meds for which a report
is required under the PMP must be dispensed based on refills & qty authorized by the
physician on the prescription
✔✔Professional judgment to dispense without a prescription - requirements (5) - ✔✔-
medically necessary to prevent death of or serious harm to the patient
- pharmacy has a current record of consistently filling such medication
- patient and pharmacist failed to obtain refill authorization after reasonable
DOCUMENTED attempts (Form from the State BOP)
- medication is listed in "the formulary" of meds which are potentially life-saving (no
CDS). i.e. insulin, glucometers, rescue inhalers, etc.
- amount dispensed is for a reasonable amt of time; may provide only one ADDITIONAL
supply
✔✔Distribution of poison - requirements (3) - ✔✔Record book kept for 5 years
Label the box with name + the word "POISON," name / place of business
,Exception: Dispensing pursuant to a valid Rx (with usual, ORDINARY quantities or
doses)
✔✔Staff RPh ordered 2 bottles of Oxycontin 80mg pursuant to a "valid" Rx presented by
a patient yesterday. The next day, PIC learned and informed Staff RPh that, this Rx was
actually altered by the patient. What must they do? - ✔✔It is now UNLAWFUL for the
pharmacy to possess this drug. Return the 2 bottles. (same goes for non-controls)
✔✔A church offers an independent pharmacy, gratuitously, to allow the church to act as
an intermediary for its clergy and members to conveniently pick up their medications
every Sunday. What must the PIC say? - ✔✔No, this is unlawful. If the offer were the
other way around (pharmacy owner requesting the church), also unlawful.
Exceptions:
PATIENT-SPECIFIC filled Rx's shipped to PRESCRIBER clinic for administration or
pick-up (special handling meds, pt has no secure mailing address)
✔✔Must notify the board in writing within ___________ of an address change - ✔✔10
days
✔✔A manufacturer, wholesaler or distributor is allowed to supply ________________ (3
items), and only these 3 items, to patients without need for pharmacist "final check." -
✔✔dialysate,
peritoneal dialysis devices,
veterinary prescription drugs (valid Rx written by in-state vet)
✔✔True or False: a PIC can be in charge of 2 pharmacies as long as they are within a
40 mile radius of each other - ✔✔FALSE (different from CA). this is not allowed at all in
OK.
✔✔In addition to the usual required elements of an Rx, prescriptions for drugs used to
treat ocular abnormalities must include ______________ - ✔✔the in-state optometrist's
license number (+DEA number, if controlled)
✔✔Ownership of an Rx belongs to ____________ - ✔✔the patient (prescriber cannot
refuse to honor pt's request to have the Rx transmitted to a pharmacy of pt's choice;
pharmacist cannot refuse to transfer a prescription or supply reference copy)
✔✔Biologics - therapeutic interchange requirements (no need for prescriber approval) -
✔✔Ensure the FDA determined the products are interchangeable (list kept on BOP
website),
Inform the patient of substitution,
, Produce an entry into electronic record (suffices as 'notice to prescriber) - notify the
prescriber via any other means, if no electronic record is used,
do NOT substitute if prescriber indicated DAW
✔✔Unused NON-control prescription medications should be donated TO __________
first. If no such entity exists (or they are unwilling to participate), then donate TO
____________ (3) - ✔✔County pharmacy; City-County health department, Dept of
mental health/substance abuse pharmacy, charitable clinic
✔✔Unused NON-control prescription medications can be donated FROM
_____________________ (5) - ✔✔Care homes, SNF, assisted living, intermediate care
facility (mental retardation), pharmaceutical manufacturers
✔✔Department of Corrections - Requirements for unused drugs to be re-dispensed (5) -
✔✔The jail must have had a PA, RN, or LPN looking after security and responsible for
administration of drugs,
Prior to returning unused drugs to stock, the PIC must have a written protocol in place,
kept on-premises, of how to accept unused drugs, methods to ensure drugs are not
adulterated, how to repackage or return,
Must be in original unit of use package (cannot be in the form of a bottle, even if
unopened; cannot be part of a medication adherence package),
If repackaged once already (into unit dose packaging), must be dispensed in the
repackaged unit (not allowed to repackage again),
Not adulterated, pharmacist satisfied with the labeling (must include expiration date and
lot number)
✔✔A partially used unit of issue package (in original manufacturer packaging) does not
have enough doses to redispense to a nurse caring for an inmate. What must you NOT
do? - ✔✔DO NOT ADD more unit doses to make enough.
✔✔True or False: Charitable pharmacies / clinics may charge a handling fee
established by the BOP, despite servicing specifically a medically indigent population -
✔✔TRUE (unlike the state of Louisiana)
✔✔A specific example of how a drug manufacturer may inadvertently cause death or
loss to person/property is _________________ , ultimately subjecting themselves to
civil / criminal liability which is usually protected under the Utilization of Unused
Prescription Medications Act. - ✔✔Failure to communicate pertinent consumer or
product information
AND SOLUTIONS RATED A+
✔✔Required elements of a prescription label (6) - ✔✔Date of Fill,
Name of Patient,
Rx Number,
directions for administration,
pharmacy name and address,
name of prescriber.
Unless prescriber requests omission, the following must be included: name of drug,
strength, quantity
**NOTE exceptions -- drugs administered to patients in hospital/institution, dialysate in
original mfg. packaging upon prescriber's order
✔✔True or False: Prescriptions written in Latin language generally in use among
medical/pharmaceutical practitioners are valid - ✔✔TRUE (only English and medical
Latin prescriptions valid)
✔✔Maximum days supply of controlled substance Rx's - ✔✔.90 days
✔✔True or False: pharmacist can dispense varying quantities of medication per fill of
controlled substances and/or drugs of concern - ✔✔FALSE. All meds for which a report
is required under the PMP must be dispensed based on refills & qty authorized by the
physician on the prescription
✔✔Professional judgment to dispense without a prescription - requirements (5) - ✔✔-
medically necessary to prevent death of or serious harm to the patient
- pharmacy has a current record of consistently filling such medication
- patient and pharmacist failed to obtain refill authorization after reasonable
DOCUMENTED attempts (Form from the State BOP)
- medication is listed in "the formulary" of meds which are potentially life-saving (no
CDS). i.e. insulin, glucometers, rescue inhalers, etc.
- amount dispensed is for a reasonable amt of time; may provide only one ADDITIONAL
supply
✔✔Distribution of poison - requirements (3) - ✔✔Record book kept for 5 years
Label the box with name + the word "POISON," name / place of business
,Exception: Dispensing pursuant to a valid Rx (with usual, ORDINARY quantities or
doses)
✔✔Staff RPh ordered 2 bottles of Oxycontin 80mg pursuant to a "valid" Rx presented by
a patient yesterday. The next day, PIC learned and informed Staff RPh that, this Rx was
actually altered by the patient. What must they do? - ✔✔It is now UNLAWFUL for the
pharmacy to possess this drug. Return the 2 bottles. (same goes for non-controls)
✔✔A church offers an independent pharmacy, gratuitously, to allow the church to act as
an intermediary for its clergy and members to conveniently pick up their medications
every Sunday. What must the PIC say? - ✔✔No, this is unlawful. If the offer were the
other way around (pharmacy owner requesting the church), also unlawful.
Exceptions:
PATIENT-SPECIFIC filled Rx's shipped to PRESCRIBER clinic for administration or
pick-up (special handling meds, pt has no secure mailing address)
✔✔Must notify the board in writing within ___________ of an address change - ✔✔10
days
✔✔A manufacturer, wholesaler or distributor is allowed to supply ________________ (3
items), and only these 3 items, to patients without need for pharmacist "final check." -
✔✔dialysate,
peritoneal dialysis devices,
veterinary prescription drugs (valid Rx written by in-state vet)
✔✔True or False: a PIC can be in charge of 2 pharmacies as long as they are within a
40 mile radius of each other - ✔✔FALSE (different from CA). this is not allowed at all in
OK.
✔✔In addition to the usual required elements of an Rx, prescriptions for drugs used to
treat ocular abnormalities must include ______________ - ✔✔the in-state optometrist's
license number (+DEA number, if controlled)
✔✔Ownership of an Rx belongs to ____________ - ✔✔the patient (prescriber cannot
refuse to honor pt's request to have the Rx transmitted to a pharmacy of pt's choice;
pharmacist cannot refuse to transfer a prescription or supply reference copy)
✔✔Biologics - therapeutic interchange requirements (no need for prescriber approval) -
✔✔Ensure the FDA determined the products are interchangeable (list kept on BOP
website),
Inform the patient of substitution,
, Produce an entry into electronic record (suffices as 'notice to prescriber) - notify the
prescriber via any other means, if no electronic record is used,
do NOT substitute if prescriber indicated DAW
✔✔Unused NON-control prescription medications should be donated TO __________
first. If no such entity exists (or they are unwilling to participate), then donate TO
____________ (3) - ✔✔County pharmacy; City-County health department, Dept of
mental health/substance abuse pharmacy, charitable clinic
✔✔Unused NON-control prescription medications can be donated FROM
_____________________ (5) - ✔✔Care homes, SNF, assisted living, intermediate care
facility (mental retardation), pharmaceutical manufacturers
✔✔Department of Corrections - Requirements for unused drugs to be re-dispensed (5) -
✔✔The jail must have had a PA, RN, or LPN looking after security and responsible for
administration of drugs,
Prior to returning unused drugs to stock, the PIC must have a written protocol in place,
kept on-premises, of how to accept unused drugs, methods to ensure drugs are not
adulterated, how to repackage or return,
Must be in original unit of use package (cannot be in the form of a bottle, even if
unopened; cannot be part of a medication adherence package),
If repackaged once already (into unit dose packaging), must be dispensed in the
repackaged unit (not allowed to repackage again),
Not adulterated, pharmacist satisfied with the labeling (must include expiration date and
lot number)
✔✔A partially used unit of issue package (in original manufacturer packaging) does not
have enough doses to redispense to a nurse caring for an inmate. What must you NOT
do? - ✔✔DO NOT ADD more unit doses to make enough.
✔✔True or False: Charitable pharmacies / clinics may charge a handling fee
established by the BOP, despite servicing specifically a medically indigent population -
✔✔TRUE (unlike the state of Louisiana)
✔✔A specific example of how a drug manufacturer may inadvertently cause death or
loss to person/property is _________________ , ultimately subjecting themselves to
civil / criminal liability which is usually protected under the Utilization of Unused
Prescription Medications Act. - ✔✔Failure to communicate pertinent consumer or
product information
