VA MPJE TEST PAPER 2026/2027 QUESTIONS AND
ANSWERS RATED A+
✔✔Inventory of C-III through VI - ✔✔can do controls (3-5) separate from from 6 or
together but should not be maintained with other pharmacy records
✔✔Control inventory - ✔✔must be kept at the same address as the stock drugs unless
authorized by the dea, but must be accessible within 48 hours of a request by the board
✔✔When are inventories done - ✔✔Before or after business and documented
If its a 24 hour pharmacy must indicate if inventory was done prior to the receipt or
distribution of drugs or after
✔✔Electronic records of receiving drugs - ✔✔allowed for schedule VI must be
accessible
✔✔Electronic prescription record keeping - ✔✔allowed for schedule VI if it was entered
through automation and easily retrievable within 48 hours (this can be printout or on a
monitor)
Controls are up to the federal gvt
✔✔CIII-V record keeping - ✔✔Kept together or readily accessible in CVI files with a
stamped RED C in the right lower corner (likely not using separate prescription numbers
in this example)
✔✔Max number of technicians, technician trainees, and interns at one time - ✔✔4
people can be supervised doing technician duties at one time by 1 pharmacist
✔✔What do you do if you refuse to fill a RX for any reason other than not having it in
stock - ✔✔Write declined on the back of the RX, the name, address and phone number
of the pharmacy, the date of denial and the pharmacists signature
✔✔RX is determined to be a forgery - ✔✔It cannot be returned to the patient. It can be
given to law-enforcement investigating the forgery or it must be held in the pharmacy at
least 30 days before being destroyed
✔✔Pharmacies that outsource services - ✔✔Must have posted sign or a one-time
written notification stating the name of the contract pharmacy or if its part of the same
ownership chain. An RPh registered in VA either at the dispensing pharmacy or central
site must verify the accuracy on all processing done. Technicians can be registered in
Virginia or possess substantially equivalent credentials
✔✔Can oral orders be faxed - ✔✔Yes, but the agent must indicate it is an oral order
and provider her full name
,✔✔When can a fax come from somewhere other than the prescriber's practice location?
- ✔✔-Faxing an oral order
-Forwarding a chart from
--LTC
--Hospice
-Forwarding a written prescription by an authorized agent at a LTC
--Must receive hard copy within 7 days
✔✔When can a CII be faxed - ✔✔-With orders to be administered in a LTC facility and
home infusion patients
-Narcotic for hospice pt with hospice written on RX
✔✔What if you get a fax that when you print its not legible - ✔✔You can re-write the RX
and attach it to the fax
✔✔Can a community pharmacy fill a chart order - ✔✔Yes, if
-the chart order was written in a LTC or hospital while the pt was in that location
-all the information necessary to constitute a valid RX is present
-Written or verbal instructions that the chart is not for information purposes but for
outpatient RX
-Quantity or duration is present
✔✔Virginia expiration date of
CII - ✔✔no more than 6 months from written date
✔✔When can you fill a verbal order for CII - ✔✔-The quantity prescribed AND
dispensed is limited to the amount adequate to tx the pt during an emergency period
-it is immediately written and contains all needed information but provider signature
-If provider is unknown to RPh every effort is made to verify the RPh is speaking to the
practitioner. Hopefully, calling from the office number on file
-RPh receives hardcopy within 7 days (this can be in person, electronic, postmarked
within 7 days) and the front of the RX says "Authorization for Emergency Dispensing"
with the date of the oral order
-RPh will attach verbal order to hardcopy
✔✔What if the provider doesn't send you the hardcopy for a emergency CII fill - ✔✔RPh
must notify the board and the nearest office of the DEA
✔✔Rules to partial CII fills - ✔✔-can give 72 hour supply, but must notate on the face of
the RX the amount dispensed
--the remaining quantity must be given within 72 hours or the rest is forfeited
--if the remainder is forfeited the RPh must notify the prescriber
-LTC CII can be partial filled including individual dose units for up to 60 days from the
written date if being dispensed as long as each time it is documented on the back of the
, RX or another appropriate record that is just as easily retrievable LTC can use
computerized system pertaining to current CII orders if all the same information is
present and the computer updates the RX in real time
-Terminally ill pt's can fill partial quantities
--Pharmacist must verify and document on RX
--Can't exceed 60 days from issue date
-Pt or provider may request partial fills (THIS IS NEW SEPTEMBER 2017)
--Can't exceed 30 days of written date
(THIS UPDATE was done to decrease potential cost to pt but primarily to decrease the
amount of unused opioids in patients homes)
✔✔Schedule III-V Refills - ✔✔No more than 5 refills; may not be refilled beyond 6
months of written date
✔✔Can a CVI be issued for more than 1 year - ✔✔Yes, if the provider specifically
authorizes dispensing or refilling for a longer period, but not longer than 2 years
✔✔What must be on a RX label in regard to content and quantity? - ✔✔1.Drug NAME,
STRENGTH (when applicable)
--any drug with a single active ingredient must have the generic name
--IF a generic is dispensed and it was written for brand the generic name must be on the
label or the manufacture or distributor AND the words "Generic for BN"
--(THESE two things do not apply to hospitals or LTC)
2. The number of dosage units or mL dispensed
✔✔Can you dispense to the pt in compliance packaging for self-administration -
✔✔Yes, if the pt asks, but it also has to have labels so IDK how that would work
✔✔When can a drug be dispensed in special packaging - ✔✔When pt requests or
provider puts it in RC
Item is exempt from Poison Prevention Packaging Act
You have to keep a record of this request
✔✔Can you return drugs to stock from WILL-CALL - ✔✔Yes, but they get the expiration
date of 1 year from the date filled or the expiration date of the bottle they came from (if
known) and its whichever date is earlier
If you don't have a lot number on the RTS bottle then if there is any recall of that drug
you have to pull it
The law says the RTS bottle should be used for the NEXT fill of that drug
✔✔What is Required on the face of a transfer prescription - ✔✔The Word TRANSFER
✔✔What information is required to be on a transferred RX - ✔✔W -written date
O -orginal RX #
O -original # of refills
ANSWERS RATED A+
✔✔Inventory of C-III through VI - ✔✔can do controls (3-5) separate from from 6 or
together but should not be maintained with other pharmacy records
✔✔Control inventory - ✔✔must be kept at the same address as the stock drugs unless
authorized by the dea, but must be accessible within 48 hours of a request by the board
✔✔When are inventories done - ✔✔Before or after business and documented
If its a 24 hour pharmacy must indicate if inventory was done prior to the receipt or
distribution of drugs or after
✔✔Electronic records of receiving drugs - ✔✔allowed for schedule VI must be
accessible
✔✔Electronic prescription record keeping - ✔✔allowed for schedule VI if it was entered
through automation and easily retrievable within 48 hours (this can be printout or on a
monitor)
Controls are up to the federal gvt
✔✔CIII-V record keeping - ✔✔Kept together or readily accessible in CVI files with a
stamped RED C in the right lower corner (likely not using separate prescription numbers
in this example)
✔✔Max number of technicians, technician trainees, and interns at one time - ✔✔4
people can be supervised doing technician duties at one time by 1 pharmacist
✔✔What do you do if you refuse to fill a RX for any reason other than not having it in
stock - ✔✔Write declined on the back of the RX, the name, address and phone number
of the pharmacy, the date of denial and the pharmacists signature
✔✔RX is determined to be a forgery - ✔✔It cannot be returned to the patient. It can be
given to law-enforcement investigating the forgery or it must be held in the pharmacy at
least 30 days before being destroyed
✔✔Pharmacies that outsource services - ✔✔Must have posted sign or a one-time
written notification stating the name of the contract pharmacy or if its part of the same
ownership chain. An RPh registered in VA either at the dispensing pharmacy or central
site must verify the accuracy on all processing done. Technicians can be registered in
Virginia or possess substantially equivalent credentials
✔✔Can oral orders be faxed - ✔✔Yes, but the agent must indicate it is an oral order
and provider her full name
,✔✔When can a fax come from somewhere other than the prescriber's practice location?
- ✔✔-Faxing an oral order
-Forwarding a chart from
--LTC
--Hospice
-Forwarding a written prescription by an authorized agent at a LTC
--Must receive hard copy within 7 days
✔✔When can a CII be faxed - ✔✔-With orders to be administered in a LTC facility and
home infusion patients
-Narcotic for hospice pt with hospice written on RX
✔✔What if you get a fax that when you print its not legible - ✔✔You can re-write the RX
and attach it to the fax
✔✔Can a community pharmacy fill a chart order - ✔✔Yes, if
-the chart order was written in a LTC or hospital while the pt was in that location
-all the information necessary to constitute a valid RX is present
-Written or verbal instructions that the chart is not for information purposes but for
outpatient RX
-Quantity or duration is present
✔✔Virginia expiration date of
CII - ✔✔no more than 6 months from written date
✔✔When can you fill a verbal order for CII - ✔✔-The quantity prescribed AND
dispensed is limited to the amount adequate to tx the pt during an emergency period
-it is immediately written and contains all needed information but provider signature
-If provider is unknown to RPh every effort is made to verify the RPh is speaking to the
practitioner. Hopefully, calling from the office number on file
-RPh receives hardcopy within 7 days (this can be in person, electronic, postmarked
within 7 days) and the front of the RX says "Authorization for Emergency Dispensing"
with the date of the oral order
-RPh will attach verbal order to hardcopy
✔✔What if the provider doesn't send you the hardcopy for a emergency CII fill - ✔✔RPh
must notify the board and the nearest office of the DEA
✔✔Rules to partial CII fills - ✔✔-can give 72 hour supply, but must notate on the face of
the RX the amount dispensed
--the remaining quantity must be given within 72 hours or the rest is forfeited
--if the remainder is forfeited the RPh must notify the prescriber
-LTC CII can be partial filled including individual dose units for up to 60 days from the
written date if being dispensed as long as each time it is documented on the back of the
, RX or another appropriate record that is just as easily retrievable LTC can use
computerized system pertaining to current CII orders if all the same information is
present and the computer updates the RX in real time
-Terminally ill pt's can fill partial quantities
--Pharmacist must verify and document on RX
--Can't exceed 60 days from issue date
-Pt or provider may request partial fills (THIS IS NEW SEPTEMBER 2017)
--Can't exceed 30 days of written date
(THIS UPDATE was done to decrease potential cost to pt but primarily to decrease the
amount of unused opioids in patients homes)
✔✔Schedule III-V Refills - ✔✔No more than 5 refills; may not be refilled beyond 6
months of written date
✔✔Can a CVI be issued for more than 1 year - ✔✔Yes, if the provider specifically
authorizes dispensing or refilling for a longer period, but not longer than 2 years
✔✔What must be on a RX label in regard to content and quantity? - ✔✔1.Drug NAME,
STRENGTH (when applicable)
--any drug with a single active ingredient must have the generic name
--IF a generic is dispensed and it was written for brand the generic name must be on the
label or the manufacture or distributor AND the words "Generic for BN"
--(THESE two things do not apply to hospitals or LTC)
2. The number of dosage units or mL dispensed
✔✔Can you dispense to the pt in compliance packaging for self-administration -
✔✔Yes, if the pt asks, but it also has to have labels so IDK how that would work
✔✔When can a drug be dispensed in special packaging - ✔✔When pt requests or
provider puts it in RC
Item is exempt from Poison Prevention Packaging Act
You have to keep a record of this request
✔✔Can you return drugs to stock from WILL-CALL - ✔✔Yes, but they get the expiration
date of 1 year from the date filled or the expiration date of the bottle they came from (if
known) and its whichever date is earlier
If you don't have a lot number on the RTS bottle then if there is any recall of that drug
you have to pull it
The law says the RTS bottle should be used for the NEXT fill of that drug
✔✔What is Required on the face of a transfer prescription - ✔✔The Word TRANSFER
✔✔What information is required to be on a transferred RX - ✔✔W -written date
O -orginal RX #
O -original # of refills
