FLORIDA MPJE STUDY GUIDE 2026/2027 QUESTIONS AND
SOLUTIONS RATED A+
✔✔Medication-Assisted Treatment (MAT) - ✔✔Buprenorphine and
buprenorphine/naloxone (Suboxone)
- Prescribing for the treatment of addiction is allowed per the Drug Addiction Treatment
Act (2000)
- Auto-injector and intranasal only
✔✔Methamphetamine Precursor Sale Limits - ✔✔Pseudoephedrine has limited sales
- No more than 3.6g per day and 9g in 30 days
- For mail services, the limit is 7.5g in 30 days
- Purchaser must be 18+ yo
- A written and electronic record of the sale must be kept that includes the purchaser's
address (verified with ID)
- Pharmacists must self-certify on the DEA website annually
✔✔Mandatory Use of the PDMP (E-FORCSE) - ✔✔- Must be checked before
dispensing any controlled substances
- Exemptions include patients less than 16 yo and hospice patients
- Pregabalin, lacosamide, and brivaracetam are also exempt
- If the PDMP is down, only a 3-day supply can be dispensed
- Incorrect data in the PMP must be corrected within 1 day
- If no narcotics are sold, submit a reporting exemption form that must be renewed
every 2 years
✔✔Independent Prescriptive Authority - ✔✔Physicians, osteopathic physicians,
dentists, podiatrists, veterinarians, and optometrists
✔✔Dependent Prescriptive Authority - ✔✔PAs, APRNs (except psychiatric nurses), and
graduate assistant physicians
✔✔Outpatient PA Prescribing Limitations - ✔✔Cannot prescribe anesthesia or contrast
✔✔Graduate Assistant Physicians (GAPs) - ✔✔People who have graduated from
medical school and are waiting to start residency
- Can't prescribe controls
- A physician can oversee 2 GAPs
✔✔Telehealth - ✔✔- Out-of-state practitioners must be registered with the Florida
Department of Health
- Cannot provide abortion services
- Cannot prescribe CIIs unless it's for the treatment of a psychiatric disorder, inpatient,
hospice, or nursing home
, ✔✔Abortion Restrictions - ✔✔- Abortion is banned after 6 weeks
- Telemedicine abortion is banned at all stages
- Any pills sent through the mail must be taken in front of a physician
✔✔Sex Reassignment Prescriptions - ✔✔Puberty blockers and hormones are banned
in patients younger than 18 yo
✔✔Drugs to Treat Obesity - ✔✔Serotonergic/anorexic agents must be FDA-approved
for weight loss (ex. SSRIs can't be used)
✔✔Exceptions for Electronic Prescribing - ✔✔- Practitioner and dispenser are the same
entity
- Issued a waiver demonstrating hardship or financial burden (lasts 1 year)
- Research protocol drugs
- Impractical for the patient to receive timely treatment
- Hospice or nursing home patients
- Need to compare prices at different pharmacies
✔✔Retired or Deceased Practitioners - ✔✔Use the emergency refill rules
✔✔Drugs for Office Use - ✔✔- Pharmacies can sell a manufacturer's bottle, but can't fill
a prescription
- There are some exceptions, like compounded medications for vet offices
✔✔Florida Board of Pharmacy - ✔✔Composed of 9 members
- 7 members are pharmacists, and 2 members are consumers
- The pharmacists must have been practicing for 4+ years and live in Florida
- Of the 7 pharmacists, 2 must be from a community setting and 2 must be from a
hospital setting
- The consumers must be Florida residents and not connected to pharmacy in any way
- At least 1 of the 9 members must be 60+ years old
- Members are appointed by the governor and confirmed by the Florida Senate
- Terms are 4 years, and members can't serve more than 2 terms
- The board is run by an executive director who doesn't count towards the 9 people
✔✔Pharmacist Initial Licensure by Examination - ✔✔- Must be 18+ yo
- 2080 hours of internship
- If foreign graduate, 500 hours must be completed within the State of Florida, and the
FPGEE/TOEFL iBT must be passed
- Criminal background check with fingerprinting
✔✔Pharmacist Licensure by Endorsement - ✔✔- Must have been in a pharmacy-related
career for 3 of the past 4 years
- No disciplinary record for the past 5 years
SOLUTIONS RATED A+
✔✔Medication-Assisted Treatment (MAT) - ✔✔Buprenorphine and
buprenorphine/naloxone (Suboxone)
- Prescribing for the treatment of addiction is allowed per the Drug Addiction Treatment
Act (2000)
- Auto-injector and intranasal only
✔✔Methamphetamine Precursor Sale Limits - ✔✔Pseudoephedrine has limited sales
- No more than 3.6g per day and 9g in 30 days
- For mail services, the limit is 7.5g in 30 days
- Purchaser must be 18+ yo
- A written and electronic record of the sale must be kept that includes the purchaser's
address (verified with ID)
- Pharmacists must self-certify on the DEA website annually
✔✔Mandatory Use of the PDMP (E-FORCSE) - ✔✔- Must be checked before
dispensing any controlled substances
- Exemptions include patients less than 16 yo and hospice patients
- Pregabalin, lacosamide, and brivaracetam are also exempt
- If the PDMP is down, only a 3-day supply can be dispensed
- Incorrect data in the PMP must be corrected within 1 day
- If no narcotics are sold, submit a reporting exemption form that must be renewed
every 2 years
✔✔Independent Prescriptive Authority - ✔✔Physicians, osteopathic physicians,
dentists, podiatrists, veterinarians, and optometrists
✔✔Dependent Prescriptive Authority - ✔✔PAs, APRNs (except psychiatric nurses), and
graduate assistant physicians
✔✔Outpatient PA Prescribing Limitations - ✔✔Cannot prescribe anesthesia or contrast
✔✔Graduate Assistant Physicians (GAPs) - ✔✔People who have graduated from
medical school and are waiting to start residency
- Can't prescribe controls
- A physician can oversee 2 GAPs
✔✔Telehealth - ✔✔- Out-of-state practitioners must be registered with the Florida
Department of Health
- Cannot provide abortion services
- Cannot prescribe CIIs unless it's for the treatment of a psychiatric disorder, inpatient,
hospice, or nursing home
, ✔✔Abortion Restrictions - ✔✔- Abortion is banned after 6 weeks
- Telemedicine abortion is banned at all stages
- Any pills sent through the mail must be taken in front of a physician
✔✔Sex Reassignment Prescriptions - ✔✔Puberty blockers and hormones are banned
in patients younger than 18 yo
✔✔Drugs to Treat Obesity - ✔✔Serotonergic/anorexic agents must be FDA-approved
for weight loss (ex. SSRIs can't be used)
✔✔Exceptions for Electronic Prescribing - ✔✔- Practitioner and dispenser are the same
entity
- Issued a waiver demonstrating hardship or financial burden (lasts 1 year)
- Research protocol drugs
- Impractical for the patient to receive timely treatment
- Hospice or nursing home patients
- Need to compare prices at different pharmacies
✔✔Retired or Deceased Practitioners - ✔✔Use the emergency refill rules
✔✔Drugs for Office Use - ✔✔- Pharmacies can sell a manufacturer's bottle, but can't fill
a prescription
- There are some exceptions, like compounded medications for vet offices
✔✔Florida Board of Pharmacy - ✔✔Composed of 9 members
- 7 members are pharmacists, and 2 members are consumers
- The pharmacists must have been practicing for 4+ years and live in Florida
- Of the 7 pharmacists, 2 must be from a community setting and 2 must be from a
hospital setting
- The consumers must be Florida residents and not connected to pharmacy in any way
- At least 1 of the 9 members must be 60+ years old
- Members are appointed by the governor and confirmed by the Florida Senate
- Terms are 4 years, and members can't serve more than 2 terms
- The board is run by an executive director who doesn't count towards the 9 people
✔✔Pharmacist Initial Licensure by Examination - ✔✔- Must be 18+ yo
- 2080 hours of internship
- If foreign graduate, 500 hours must be completed within the State of Florida, and the
FPGEE/TOEFL iBT must be passed
- Criminal background check with fingerprinting
✔✔Pharmacist Licensure by Endorsement - ✔✔- Must have been in a pharmacy-related
career for 3 of the past 4 years
- No disciplinary record for the past 5 years
