Kansas MPJE, KANSAS - Pharmacy Law Practice Exam Questions (2015), 3P Law Final
ATF-1447 Form for hospital pharmacies needing to purchase large
quantities of tax-free grain alcohol
Form 41 Form to request permission to destroy damaged, outdated, or
unwanted controlled substances
Form 106 Form to report substantial theft or loss of controlled
stubstances
Form 222 Form used to order C-II controlled substances
Form 222 Form used to send C-II controlled substances to a reverse
distributor for disposal
Form 222a Form used to order the forms used to order C-II controlled
substances
Form 224 Form used to apply for a new DEA dispenser registration
Form 224a Form used to renew a DEA dispenser registration
1
,Kansas MPJE, KANSAS - Pharmacy Law Practice Exam Questions (2015), 3P Law Final
Form 224b Form used to renew a DEA dispenser registration for a retail
chain
Form 363 Form used to apply for a new DEA narcotic treatment
program registration
Form 363a Form used to renew a DEA narcotic treatment program
registration
Form 510 Form used to apply for a new DEA chemical distributor
registration
Form 2632 Application form for approval of use of narcotic drugs in a
treatment program.
Form 2633 DEA for for physicians authorized to administer and dispense
narcotic drugs for treament of detoxification
Form 2636 Form entitled Hospital Request for Methadone Detoxification
Treatment
2
,Kansas MPJE, KANSAS - Pharmacy Law Practice Exam Questions (2015), 3P Law Final
C-III Controlled substance schedule of a preparation containing
not more than 50 mg of morphine/100 mL or per 100g
combined with non-narcotic active ingredients
C-III Controlled substance schedule of buprenorphine SL
C-V Controlled substance schedule of oral diphenoxylate with
atropine
0 Number of times a C2 script can be transferred
0 Number of refills allowed for phentermine prescribed for
obesity in Kansas
1 Number of consumer members on the Kansas Board of
Pharmacy
1 Number of business days within which a pharmacy must notify
the local DEA Diversion Field Office after discovery of theft or
significant loss of a CS
3
, Kansas MPJE, KANSAS - Pharmacy Law Practice Exam Questions (2015), 3P Law Final
1 Number of times a C3-C5 (with refills) can be transferred in
Kansas if pharmacies do not share a real time computer
system
2 Number of pharmacy students or interns a Kansas pharmacist
preceptor may supervise
2 Number of years a vaccination protocol that establishes what
vaccines a pharmacist may administer, procedures for record
keeping, and emergency response is considered valid
3 Number of days a physician may administer a single day
supply of methadone to a patient waiting for admission into
narcotic treatment program
3 Number of years a DEA dispenser registration is valid
3.6 Number of grams maximum of pseudoephedrine base that
may be sold to a single patient in a day
5 Number of times a pharmacist may refill a C3-C5 prescription
if authorized
4
ATF-1447 Form for hospital pharmacies needing to purchase large
quantities of tax-free grain alcohol
Form 41 Form to request permission to destroy damaged, outdated, or
unwanted controlled substances
Form 106 Form to report substantial theft or loss of controlled
stubstances
Form 222 Form used to order C-II controlled substances
Form 222 Form used to send C-II controlled substances to a reverse
distributor for disposal
Form 222a Form used to order the forms used to order C-II controlled
substances
Form 224 Form used to apply for a new DEA dispenser registration
Form 224a Form used to renew a DEA dispenser registration
1
,Kansas MPJE, KANSAS - Pharmacy Law Practice Exam Questions (2015), 3P Law Final
Form 224b Form used to renew a DEA dispenser registration for a retail
chain
Form 363 Form used to apply for a new DEA narcotic treatment
program registration
Form 363a Form used to renew a DEA narcotic treatment program
registration
Form 510 Form used to apply for a new DEA chemical distributor
registration
Form 2632 Application form for approval of use of narcotic drugs in a
treatment program.
Form 2633 DEA for for physicians authorized to administer and dispense
narcotic drugs for treament of detoxification
Form 2636 Form entitled Hospital Request for Methadone Detoxification
Treatment
2
,Kansas MPJE, KANSAS - Pharmacy Law Practice Exam Questions (2015), 3P Law Final
C-III Controlled substance schedule of a preparation containing
not more than 50 mg of morphine/100 mL or per 100g
combined with non-narcotic active ingredients
C-III Controlled substance schedule of buprenorphine SL
C-V Controlled substance schedule of oral diphenoxylate with
atropine
0 Number of times a C2 script can be transferred
0 Number of refills allowed for phentermine prescribed for
obesity in Kansas
1 Number of consumer members on the Kansas Board of
Pharmacy
1 Number of business days within which a pharmacy must notify
the local DEA Diversion Field Office after discovery of theft or
significant loss of a CS
3
, Kansas MPJE, KANSAS - Pharmacy Law Practice Exam Questions (2015), 3P Law Final
1 Number of times a C3-C5 (with refills) can be transferred in
Kansas if pharmacies do not share a real time computer
system
2 Number of pharmacy students or interns a Kansas pharmacist
preceptor may supervise
2 Number of years a vaccination protocol that establishes what
vaccines a pharmacist may administer, procedures for record
keeping, and emergency response is considered valid
3 Number of days a physician may administer a single day
supply of methadone to a patient waiting for admission into
narcotic treatment program
3 Number of years a DEA dispenser registration is valid
3.6 Number of grams maximum of pseudoephedrine base that
may be sold to a single patient in a day
5 Number of times a pharmacist may refill a C3-C5 prescription
if authorized
4
