KENTUCKY MPJE COMPREHENSIVE EXAMS 2026/2027
QUESTIONS AND ANSWERS RATED A+
✔✔for drug manufacturers/wholesalers, what types of medication can be returned to
what types of entities - ✔✔returns of 3 types of medications (damaged, unsalable, and
recalled meds) may only be distributed to 3 types of entities (original manufacturer, third
party returns processor, or reverse distributors) - NOT the forward distributor (that is the
trick questions)
✔✔example test question: a pharmacist receives a call at work that her child has been
in an accident. She was the only pharmacist on duty, and she leaves. Pick the correct
answer.
a. this is an involuntary closure
b. patients may not pick up verified prescription in the waiting bin
c. this is a voluntary closure
d. pharmacy personnel may only remain in the pharmacy area if the physical barrier is
lowered - ✔✔b. patients may not pick up verified prescriptions in the waiting bin
✔✔example test question: a pharmacist wants to open a new pharmacy. select all of the
following that are correct.
I. a permit must be obtained from the board
II. if controlled substances are present, must have a permit from the DEA and CHFS
III. if an out of state pharmacy, must have a toll-free telephone number - ✔✔I and III
✔✔a prescription must be for a _____________ medical purpose - ✔✔a prescription
must be for a legitimate medical purpose
✔✔define *corresponding responsibility* - ✔✔the pharmacy has equal liability as the
prescriber for dispensing a prescription that would be dangerous to the patient (ex: a
pharmacists gets Rx for digoxin 0.25mg QID instead of QD and they dispense QID
without calling prescriber they are equally liable as doctor)
✔✔what part of a prescription can an agent of the prescriber prepare - ✔✔a prescription
may be prepared by an agent of a prescriber (nurse, receptionist, etc) including all
information except the signature
✔✔T/F: only the prescriber can communicate the prescriber to a pharmacist - ✔✔false,
a prescription may be communicated (fax, phone call, etc.) to a pharmacist by an
employee or an agent of the practitioner
✔✔does a pharmacist have to contact the prescriber to dispense a 90-day supply when
the prescriber wrote for a 30-day supply - ✔✔no, a pharmacist may use professional
judgement to make quantity adjustments up to a 90-day supply for non-controlled
,substance, maintenance medications without consulting the prescriber (but the Rx must
have sufficient quantity/refills)
✔✔how long must prescription records be maintained - ✔✔5 years
✔✔how long must controlled substance inventory records be maintained - ✔✔5 years
✔✔where can prescription/ controlled substance inventory records be stored -
✔✔records may be stored off-site BUT the first two years must be maintained on-site
✔✔when can a pharmacist dispense a *formulary equivalent* (3 steps) - ✔✔step 1: the
ordering prescriber must note "formulary compliance approval" on prescription - if this is
stamped on the prescription there must be some affirmative notation (check, circle,
initials, etc.)
step 2: pharmacies adjudicates the claim and gets third party reject and formulary
change notice from plan with "preferred product" in same therapeutic class
step 3: pharmacist changes name on prescription blank to drug dispensed
✔✔if a pharmacist dispenses a formulary equivalent using in the appropriate steps, they
must notify the prescriber with ________ in writing - ✔✔if a pharmacist dispenses a
formulary equivalent using in the appropriate steps, they must notify the prescriber with
*24 hours* in writing (can fax)
✔✔every prescription dispensed by a pharmacist *shall have the name of the
medication* on the prescription label unless ____________ - ✔✔every prescription
dispensed by a pharmacist *shall have the name of the medication* on the prescription
label unless the practitioner indicates "do not label"
✔✔what must be listed on a physician's prescription blanks - ✔✔name, address, and
telephone number (can call Dr and write in phone number/address, but if not there it is
an illegal prescription)
✔✔when can a pharmacist dispense an emergency refill, and how much can they
dispense - ✔✔when a prescription has no refills and the prescriber is not readily
available (i.e. office closed) to authorize refills, a *72-hour supply* can be dispensed
✔✔how many times can a pharmacist dispense an emergency 72-hour refill for
maintenance medications - ✔✔a 72-hour emergency refill may only be done *one time*
for maintenance meds (meds that are esential to maintenance of life or chronic therapy
where interruption would be detrimental to patient)
✔✔can a pharmacist dispense an emergency 72-hour refill for a controlled substances -
✔✔no, emergency 72-hour refills cannot be done for controlled substances
, ✔✔kentucky has enacted a law by which pharmacists may dispense up to a ____ day
supply in a situation where the governor has declared a disaster - ✔✔kentucky has
enacted a law by which pharmacists may dispense up to a *30 day supply* in a situation
where the governor has declared a disaster
✔✔can you dispense a 30-day emergency prescription during a disaster of a controlled
substance - ✔✔no
✔✔what does "prn" or "ad lib" mean in regards to refills of a prescription - ✔✔can be
filled for a maximum of 1 year
✔✔can you write "prn" or "ad lib" for unlimited refills for a controlled substance - ✔✔no,
you can only use "prn" or "ad lib" for non-controlled substances
✔✔can you transfer C-II prescriptions - ✔✔no, C-II prescriptions cannot be transferred
✔✔can C-III through C-V prescriptions be transferred - ✔✔yes, C-III through C-V
prescriptions may only be transferred once unless the pharmacies use a common
database (then can transfer up to the maximum number of refills)
✔✔can you transfer a C-III through C-V prescription an unlimited number of times using
a common database - ✔✔yes, UNLESS the other pharmacy is in another state because
and that state forbids it (i.e. transferring to another state by realtime online database is
not a transfer unless that state's law forbids it)
✔✔can you transfer a legend drug prescription - ✔✔yes, legend drugs may be
transferred for as many times as the prescription may be refilled
✔✔what is the transfer communication requirements between pharmacies - ✔✔non-
common database: pharmacist transferring the prescription *must call* the pharmacist
to which the prescription is being transferred (can call and ask to be faxed)
common database: does not require a telephone call and doesn't constitute a transfer if
being refilled at different locations from a common database
✔✔on all prescriptions transferred out of a pharmacy, the pharmacist must record what
- ✔✔name of pharmacist, date, name and address of pharmacy receiving the
prescription, and DEA number if a controlled substance
✔✔on all prescriptions being transferred into a pharmacy, the pharmacist must record
what - ✔✔same information as out-going pharmacy (name of pharmacist, date, name
and address of pharmacy receiving the prescription, and DEA number if a controlled
substance) IN ADDITION to original date filled, last date filled, date of issue, number of
refills remaining, and original number of refills authorized
QUESTIONS AND ANSWERS RATED A+
✔✔for drug manufacturers/wholesalers, what types of medication can be returned to
what types of entities - ✔✔returns of 3 types of medications (damaged, unsalable, and
recalled meds) may only be distributed to 3 types of entities (original manufacturer, third
party returns processor, or reverse distributors) - NOT the forward distributor (that is the
trick questions)
✔✔example test question: a pharmacist receives a call at work that her child has been
in an accident. She was the only pharmacist on duty, and she leaves. Pick the correct
answer.
a. this is an involuntary closure
b. patients may not pick up verified prescription in the waiting bin
c. this is a voluntary closure
d. pharmacy personnel may only remain in the pharmacy area if the physical barrier is
lowered - ✔✔b. patients may not pick up verified prescriptions in the waiting bin
✔✔example test question: a pharmacist wants to open a new pharmacy. select all of the
following that are correct.
I. a permit must be obtained from the board
II. if controlled substances are present, must have a permit from the DEA and CHFS
III. if an out of state pharmacy, must have a toll-free telephone number - ✔✔I and III
✔✔a prescription must be for a _____________ medical purpose - ✔✔a prescription
must be for a legitimate medical purpose
✔✔define *corresponding responsibility* - ✔✔the pharmacy has equal liability as the
prescriber for dispensing a prescription that would be dangerous to the patient (ex: a
pharmacists gets Rx for digoxin 0.25mg QID instead of QD and they dispense QID
without calling prescriber they are equally liable as doctor)
✔✔what part of a prescription can an agent of the prescriber prepare - ✔✔a prescription
may be prepared by an agent of a prescriber (nurse, receptionist, etc) including all
information except the signature
✔✔T/F: only the prescriber can communicate the prescriber to a pharmacist - ✔✔false,
a prescription may be communicated (fax, phone call, etc.) to a pharmacist by an
employee or an agent of the practitioner
✔✔does a pharmacist have to contact the prescriber to dispense a 90-day supply when
the prescriber wrote for a 30-day supply - ✔✔no, a pharmacist may use professional
judgement to make quantity adjustments up to a 90-day supply for non-controlled
,substance, maintenance medications without consulting the prescriber (but the Rx must
have sufficient quantity/refills)
✔✔how long must prescription records be maintained - ✔✔5 years
✔✔how long must controlled substance inventory records be maintained - ✔✔5 years
✔✔where can prescription/ controlled substance inventory records be stored -
✔✔records may be stored off-site BUT the first two years must be maintained on-site
✔✔when can a pharmacist dispense a *formulary equivalent* (3 steps) - ✔✔step 1: the
ordering prescriber must note "formulary compliance approval" on prescription - if this is
stamped on the prescription there must be some affirmative notation (check, circle,
initials, etc.)
step 2: pharmacies adjudicates the claim and gets third party reject and formulary
change notice from plan with "preferred product" in same therapeutic class
step 3: pharmacist changes name on prescription blank to drug dispensed
✔✔if a pharmacist dispenses a formulary equivalent using in the appropriate steps, they
must notify the prescriber with ________ in writing - ✔✔if a pharmacist dispenses a
formulary equivalent using in the appropriate steps, they must notify the prescriber with
*24 hours* in writing (can fax)
✔✔every prescription dispensed by a pharmacist *shall have the name of the
medication* on the prescription label unless ____________ - ✔✔every prescription
dispensed by a pharmacist *shall have the name of the medication* on the prescription
label unless the practitioner indicates "do not label"
✔✔what must be listed on a physician's prescription blanks - ✔✔name, address, and
telephone number (can call Dr and write in phone number/address, but if not there it is
an illegal prescription)
✔✔when can a pharmacist dispense an emergency refill, and how much can they
dispense - ✔✔when a prescription has no refills and the prescriber is not readily
available (i.e. office closed) to authorize refills, a *72-hour supply* can be dispensed
✔✔how many times can a pharmacist dispense an emergency 72-hour refill for
maintenance medications - ✔✔a 72-hour emergency refill may only be done *one time*
for maintenance meds (meds that are esential to maintenance of life or chronic therapy
where interruption would be detrimental to patient)
✔✔can a pharmacist dispense an emergency 72-hour refill for a controlled substances -
✔✔no, emergency 72-hour refills cannot be done for controlled substances
, ✔✔kentucky has enacted a law by which pharmacists may dispense up to a ____ day
supply in a situation where the governor has declared a disaster - ✔✔kentucky has
enacted a law by which pharmacists may dispense up to a *30 day supply* in a situation
where the governor has declared a disaster
✔✔can you dispense a 30-day emergency prescription during a disaster of a controlled
substance - ✔✔no
✔✔what does "prn" or "ad lib" mean in regards to refills of a prescription - ✔✔can be
filled for a maximum of 1 year
✔✔can you write "prn" or "ad lib" for unlimited refills for a controlled substance - ✔✔no,
you can only use "prn" or "ad lib" for non-controlled substances
✔✔can you transfer C-II prescriptions - ✔✔no, C-II prescriptions cannot be transferred
✔✔can C-III through C-V prescriptions be transferred - ✔✔yes, C-III through C-V
prescriptions may only be transferred once unless the pharmacies use a common
database (then can transfer up to the maximum number of refills)
✔✔can you transfer a C-III through C-V prescription an unlimited number of times using
a common database - ✔✔yes, UNLESS the other pharmacy is in another state because
and that state forbids it (i.e. transferring to another state by realtime online database is
not a transfer unless that state's law forbids it)
✔✔can you transfer a legend drug prescription - ✔✔yes, legend drugs may be
transferred for as many times as the prescription may be refilled
✔✔what is the transfer communication requirements between pharmacies - ✔✔non-
common database: pharmacist transferring the prescription *must call* the pharmacist
to which the prescription is being transferred (can call and ask to be faxed)
common database: does not require a telephone call and doesn't constitute a transfer if
being refilled at different locations from a common database
✔✔on all prescriptions transferred out of a pharmacy, the pharmacist must record what
- ✔✔name of pharmacist, date, name and address of pharmacy receiving the
prescription, and DEA number if a controlled substance
✔✔on all prescriptions being transferred into a pharmacy, the pharmacist must record
what - ✔✔same information as out-going pharmacy (name of pharmacist, date, name
and address of pharmacy receiving the prescription, and DEA number if a controlled
substance) IN ADDITION to original date filled, last date filled, date of issue, number of
refills remaining, and original number of refills authorized
