OKLAHOMA MPJE LATEST EXAM TEST 2026/2027
QUESTIONS AND SOLUTIONS RATED A+
✔✔When does an intern certificate become void? - ✔✔5 years after date of issuance
✔✔Supervision requirement of interns - immediate visual supervision - ✔✔Pharmacist
preceptor is on lunch in the SAME building - Interns cannot do product review during
this time (b/c they are lacking visual supervision) (non-dispensing rotations do not
require immediate visual supervision of intern)
✔✔Intern : preceptor ratio - ✔✔1:1 ; increases to 2:1 during EXPERENTIAL (non-
dispensing) rotations which don't require direct physical supervision
✔✔Interns' responsibility to notify the board - ✔✔Place of Employment, practice location
- within 10 days of starting or terminating
✔✔Computation of intern credit hours - max per week - ✔✔40 hours (any hours gained
above 40 will not be credited/allowed, no matter if thru employment or college of
pharmacy rotation)
✔✔Interns can gain credit hours through paid employment, up to __________ hours -
✔✔240 (assuming the supervising pharmacist is certified as a preceptor and signs
documented hours on a board-provided form)
✔✔Requirements for preceptor certification - ✔✔At least 1 year of practice,
Pass an exam on pharmacy law,
Renewal every year with annual RPh license renewal (extra fee for preceptorship),
Show interest in the pharmacy profession
✔✔Training area requirements - rotation site - ✔✔Pharmacy must apply on board-
provided form,
must not be on probation or suspension,
must renew every year with pharmacy permit renewal (extra fee),
display preceptor site certificate in the pharmacy
✔✔Notification to the board - rotation site changes - ✔✔New location,
new ownership,
new name
**A new application for training area certificate must be submitted**
✔✔Refusal of offer to counsel - ✔✔MUST be documented; in the absence or failure to
document refusal, it will be assumed consult was provided
,✔✔Nonresident pharmacy - offer to counsel - ✔✔Provide consult notice with toll free
number,
Must make reasonable effort to call patient the patient for telephone consultation
✔✔In what situation would a pharmacist be allowed to dispense epinephrine to an
authorized entity? - ✔✔Per prescriber protocol, the Epinephrine will be stored, locked in
an EPAS (emergency public access station). Rx only, written for the authorized entity /
representative of authorized entity.
✔✔True or False: pharmacists may "prescribe" and dispense Naloxone without a
protocol under physician - ✔✔TRUE (unlike CA and LA) (may be dispensed to the at-
risk patient, family/friend of at-risk patient, first responder)
✔✔Requirements for pharmacist administration of immunizations - ✔✔Completed
board-approved course for immunizations,
Up to date CE's and CPR license,
Immunization permit ($25 fee) obtained from BOP and displayed in the pharmacy -
interns exempt if under supervision of RPh with active permit,
Rx only,
retain records of immunizations
✔✔Which organization governs nursing homes and assisting living facilities in its
eligibility to donate unused prescription drugs? - ✔✔OSDH (Oklahoma State
Department of Health) - establishes securities, sanitation, and control
✔✔Nursing home eligibility to donate unused drugs - ✔✔Licensed and in good standing
with the OSDH,
the drugs were under the security / control of licensed healthcare provider (i.e. nurse)
**differentiate nursing home vs assisted living requirements**
✔✔Assisted living facility eligibility to donate unused drugs - ✔✔Consultant pharmacist
MUST APPLY for participation and be approved by the BOP (with input from OSDH),
the drugs were under the security / control of licensed healthcare provider (i.e. nurse)
**differentiate nursing home vs assisted living requirements**
✔✔Drug manufacturers - what is allowed to be donated? - ✔✔Patient assistance
program samples that have not been claimed,
Labeled stock bottle unclaimed by the patient
✔✔Is the front desk of a nursing home allowed to provide a "blanket statement
authorization" for donation of all residents' unused drugs? - ✔✔NO - the patient or
, patient's agent must do so; exceptions - patient has died, drug has been proven
discontinued in OSDH nursing home rules
✔✔Consultant pharmacist duties and responsibilities for donation of unused prescription
drugs - ✔✔Ensure there is still at least 45 days till expiration date,
Ensure drug is not adulterated or mutilated, no CDS,
Ensure it is cost effective to donate these drugs,
Remove patient identifiers,
Ensure patient(s) authorization to donate drugs,
Sign manifest (along with director of nursing) with details of the donation and
medications transferred,
Contact recipient eligible pharmacy for pick up
✔✔In what format are unused drugs usually donated from nursing homes / ALC? -
✔✔Unit dose packaging, or "BINGO CARDS" - must stay in this storage format when
redispensing, UNLESS the pharmacist under professional judgment believes it would
benefit the patient to remove the pills into a vial instead (req label w/ new expiration
date)
✔✔How do eligible pharmacies ensure equal access to their services amongst the
medically indigent? - ✔✔Limit the number of prescriptions per patient per visit / month
✔✔Process to transfer in-demand drug from one eligible pharmacy to another -
✔✔Transferring pharmacy completes a manifest, sends a copy with the requested drug
to the other pharmacy. Manifest kept on file for 2 yrs
✔✔Expiration dating on new label of unused prescription drug - ✔✔If dispensing occurs
with multiple packages w/ different original exp date, use the shortest exp date
✔✔PIC responsibilities for intake of donated medications - ✔✔WITHIN 14 DAYS
Destruction of unwanted (non-identifiable, recalled or expired / adulterated)
medications,
Create manifest of destruction - signed by PIC + 1 witness, kept on file for 2 yrs,
All recalled AND POTENTIALLY recalled medication must be destroyed,
Resolve discrepancies on manifest from ALC / nursing home
✔✔Declaration of emergency - dispensing of controls vs non-controls - ✔✔If prescriber
cannot be reached for refills, the patient from the affected area can receive up to
- 30 day supply of non-control
- 10 day supply of CDS (ONLY IF approved after consulting with the DEA and OK
Narcotics Bureau)
Document on Rx "emergency" supply
QUESTIONS AND SOLUTIONS RATED A+
✔✔When does an intern certificate become void? - ✔✔5 years after date of issuance
✔✔Supervision requirement of interns - immediate visual supervision - ✔✔Pharmacist
preceptor is on lunch in the SAME building - Interns cannot do product review during
this time (b/c they are lacking visual supervision) (non-dispensing rotations do not
require immediate visual supervision of intern)
✔✔Intern : preceptor ratio - ✔✔1:1 ; increases to 2:1 during EXPERENTIAL (non-
dispensing) rotations which don't require direct physical supervision
✔✔Interns' responsibility to notify the board - ✔✔Place of Employment, practice location
- within 10 days of starting or terminating
✔✔Computation of intern credit hours - max per week - ✔✔40 hours (any hours gained
above 40 will not be credited/allowed, no matter if thru employment or college of
pharmacy rotation)
✔✔Interns can gain credit hours through paid employment, up to __________ hours -
✔✔240 (assuming the supervising pharmacist is certified as a preceptor and signs
documented hours on a board-provided form)
✔✔Requirements for preceptor certification - ✔✔At least 1 year of practice,
Pass an exam on pharmacy law,
Renewal every year with annual RPh license renewal (extra fee for preceptorship),
Show interest in the pharmacy profession
✔✔Training area requirements - rotation site - ✔✔Pharmacy must apply on board-
provided form,
must not be on probation or suspension,
must renew every year with pharmacy permit renewal (extra fee),
display preceptor site certificate in the pharmacy
✔✔Notification to the board - rotation site changes - ✔✔New location,
new ownership,
new name
**A new application for training area certificate must be submitted**
✔✔Refusal of offer to counsel - ✔✔MUST be documented; in the absence or failure to
document refusal, it will be assumed consult was provided
,✔✔Nonresident pharmacy - offer to counsel - ✔✔Provide consult notice with toll free
number,
Must make reasonable effort to call patient the patient for telephone consultation
✔✔In what situation would a pharmacist be allowed to dispense epinephrine to an
authorized entity? - ✔✔Per prescriber protocol, the Epinephrine will be stored, locked in
an EPAS (emergency public access station). Rx only, written for the authorized entity /
representative of authorized entity.
✔✔True or False: pharmacists may "prescribe" and dispense Naloxone without a
protocol under physician - ✔✔TRUE (unlike CA and LA) (may be dispensed to the at-
risk patient, family/friend of at-risk patient, first responder)
✔✔Requirements for pharmacist administration of immunizations - ✔✔Completed
board-approved course for immunizations,
Up to date CE's and CPR license,
Immunization permit ($25 fee) obtained from BOP and displayed in the pharmacy -
interns exempt if under supervision of RPh with active permit,
Rx only,
retain records of immunizations
✔✔Which organization governs nursing homes and assisting living facilities in its
eligibility to donate unused prescription drugs? - ✔✔OSDH (Oklahoma State
Department of Health) - establishes securities, sanitation, and control
✔✔Nursing home eligibility to donate unused drugs - ✔✔Licensed and in good standing
with the OSDH,
the drugs were under the security / control of licensed healthcare provider (i.e. nurse)
**differentiate nursing home vs assisted living requirements**
✔✔Assisted living facility eligibility to donate unused drugs - ✔✔Consultant pharmacist
MUST APPLY for participation and be approved by the BOP (with input from OSDH),
the drugs were under the security / control of licensed healthcare provider (i.e. nurse)
**differentiate nursing home vs assisted living requirements**
✔✔Drug manufacturers - what is allowed to be donated? - ✔✔Patient assistance
program samples that have not been claimed,
Labeled stock bottle unclaimed by the patient
✔✔Is the front desk of a nursing home allowed to provide a "blanket statement
authorization" for donation of all residents' unused drugs? - ✔✔NO - the patient or
, patient's agent must do so; exceptions - patient has died, drug has been proven
discontinued in OSDH nursing home rules
✔✔Consultant pharmacist duties and responsibilities for donation of unused prescription
drugs - ✔✔Ensure there is still at least 45 days till expiration date,
Ensure drug is not adulterated or mutilated, no CDS,
Ensure it is cost effective to donate these drugs,
Remove patient identifiers,
Ensure patient(s) authorization to donate drugs,
Sign manifest (along with director of nursing) with details of the donation and
medications transferred,
Contact recipient eligible pharmacy for pick up
✔✔In what format are unused drugs usually donated from nursing homes / ALC? -
✔✔Unit dose packaging, or "BINGO CARDS" - must stay in this storage format when
redispensing, UNLESS the pharmacist under professional judgment believes it would
benefit the patient to remove the pills into a vial instead (req label w/ new expiration
date)
✔✔How do eligible pharmacies ensure equal access to their services amongst the
medically indigent? - ✔✔Limit the number of prescriptions per patient per visit / month
✔✔Process to transfer in-demand drug from one eligible pharmacy to another -
✔✔Transferring pharmacy completes a manifest, sends a copy with the requested drug
to the other pharmacy. Manifest kept on file for 2 yrs
✔✔Expiration dating on new label of unused prescription drug - ✔✔If dispensing occurs
with multiple packages w/ different original exp date, use the shortest exp date
✔✔PIC responsibilities for intake of donated medications - ✔✔WITHIN 14 DAYS
Destruction of unwanted (non-identifiable, recalled or expired / adulterated)
medications,
Create manifest of destruction - signed by PIC + 1 witness, kept on file for 2 yrs,
All recalled AND POTENTIALLY recalled medication must be destroyed,
Resolve discrepancies on manifest from ALC / nursing home
✔✔Declaration of emergency - dispensing of controls vs non-controls - ✔✔If prescriber
cannot be reached for refills, the patient from the affected area can receive up to
- 30 day supply of non-control
- 10 day supply of CDS (ONLY IF approved after consulting with the DEA and OK
Narcotics Bureau)
Document on Rx "emergency" supply
