NH MPJE COMPREHENSIVE 2027 ANSWERS AND
QUESTIONS SET A+
✔✔What is a reverse distributor? - ✔✔Those who facilitates the removal, disposal, or
destruction of prescription drugs
✔✔What is an outsourcing facility? - ✔✔Engaged in compounding of sterile drugs
✔✔What is the make up of the board of pharmacy? - ✔✔7 members: 6 practicing
pharmacists and 1 public member appointed by the governor that includes 1 full-time
hospital pharmacist and 1 public member with no ties to pharmacy
✔✔What are the requirements for the pharmacists on the board? - ✔✔Must have been
a licensed pharmacist for at least 10 years, and practiced in NH for 5 years. May serve
only 2 consecutive term limits (10 years)
✔✔Board members pay - ✔✔$100 a day and their necessary expenses while engaged
in their duties
✔✔What are the secretary's duties for the board? - ✔✔Keep a record of meetings
Conduct its correspondence
record on file of licensure of pharmacists in the state
✔✔Outside of pharmacies, who can the board inspect and regulate in relation to the use
of prescription drugs? - ✔✔All physicians, vets, dentists, nurse practitioners, PAs,
clinics under contract with DHHS, agricultural/technical/industrial users of Rx drugs or
those regulated by the board when it comes to the storage, labeling, distribution and
disposal of drugs
✔✔For whom does the board provide inspectional services outside the field of
pharmacy? - ✔✔Board of medicine
vet medicine
podiatry
,optometry
dental
nursing
✔✔How often must the board meet to grant licenses and transactions of other
businesses? - ✔✔At least quarterly
✔✔How often must the board report to the governor and the council in regards to the
condition of pharmacy in the state and record of their acts and proceedings? -
✔✔Biennially on December 1st
✔✔What products cannot be compounded by a pharmacy? - ✔✔Products that are a
copy or similar to a prescription or nonprescription product that is already available on
the market
✔✔What criteria must compounded products meet? What are the limitations on these
products after it has been dispensed ? - ✔✔1. Must be compliant with USP or the
board's rules
2. It cannot be resold or dispensed once it has been issued for a hospital or office use
✔✔What notice must be attached to a compounded item? - ✔✔"compounded per
subscriber request" or a similar statement on the prescription label or auxiliary label
attached to the prescription container
✔✔What is the only situation where a compounder can make a product that is similar to
what is already on the market? - ✔✔When a commercial drug shortage exists, and the
manufacturer that produces the product cannot supply the public or to practitioners for
use
✔✔Under which conditions can a person fulfill the duties of a pharm tech? - ✔✔1.
Registered by the board,
2. Upon completion of training, certified to work
3. Must work under the supervision of the pharmacist
✔✔Pharmacy interns must do what to work in the state of NH? - ✔✔Registered by the
board and works under supervision of the RPh
✔✔When are special permits to pharmacies issued? - ✔✔In the case of death of a PIC
or under extreme conditions, and at the discretion of the board, the permit issued allows
the pharmacy to continue to operate the pharmacy not to exceed 60 days
✔✔What is required of the pharmacist to work in a collaborative pharmacy practice? -
✔✔1. Hold an unrestricted and current license to practice in NH
2. have at least $1,000,000 of professional liability insurance coverage
, 3. have the knowledge base necessary for monitoring (associated disease state,
relevant lab tests, adverse events, drug/food interactions, safety/efficacy)
✔✔Do collaborative practice agreements have a limit on # of participants? - ✔✔No, it
can be made between single/multiple pharmacists and practitioners
✔✔What are the aspects that a pharmacist can do listed out in a protocol for a
collaborative pharmacy practice agreements? - ✔✔Each protocol shall include detailed
directions concerning the services that the pharmacist can perform which include:
1. Specific drugs to be managed
2. terms/conditions which drug therapy may be implemented, modified, or discontinued
3. conditions/events that the pharmacy is required to notify the practitioner
4. lab tests that may be ordered
5. activities that can be performed by the pharmacist
6. states how much time a pharmacists will spend towards certain tasks
✔✔How often must a collaborative pharmacy practice agreement be renewed, and how
would one terminate one? - ✔✔Renewed every 2 years, and the agreement shall state
the beginning/ending dates, and can only be terminated in writing (by either party at any
time)
✔✔What must be done when a collaborative pharmacy practice is terminated? -
✔✔Patient shall be informed and provided on how to receive uninterrupted continuation
of their MTM regimen
✔✔3 things that the physician and pharmacist decides upon when it comes to how
patient care is practiced and what must be done when treating a patient. - ✔✔1.
Protocols based on evidence based guidelines for best practices
2. The referring practitioner receives progress visit notes from each patient encounter
3. The referring practitioner provides supervision for the treatment management of the
patient
✔✔What is not allowed for either practitioner or pharmacist in a collaborative practice
agreement? - ✔✔Neither side can gain personal financial benefit by using any
incentive-based program, nor can they accept anything that tries to influence/encourage
certain drugs/treatments/tests/services
✔✔What vaccines may a pharmacist administer? - ✔✔Hep A, B, Tdap, MMR,
meningococcal to those older 18 and older, but must provide a notice to the PCP when
designated by the patient
✔✔What are the requirements for vaccine administration by RPh? - ✔✔1. Hold a
current license
2. Have $1,000,000 of liability insurance
QUESTIONS SET A+
✔✔What is a reverse distributor? - ✔✔Those who facilitates the removal, disposal, or
destruction of prescription drugs
✔✔What is an outsourcing facility? - ✔✔Engaged in compounding of sterile drugs
✔✔What is the make up of the board of pharmacy? - ✔✔7 members: 6 practicing
pharmacists and 1 public member appointed by the governor that includes 1 full-time
hospital pharmacist and 1 public member with no ties to pharmacy
✔✔What are the requirements for the pharmacists on the board? - ✔✔Must have been
a licensed pharmacist for at least 10 years, and practiced in NH for 5 years. May serve
only 2 consecutive term limits (10 years)
✔✔Board members pay - ✔✔$100 a day and their necessary expenses while engaged
in their duties
✔✔What are the secretary's duties for the board? - ✔✔Keep a record of meetings
Conduct its correspondence
record on file of licensure of pharmacists in the state
✔✔Outside of pharmacies, who can the board inspect and regulate in relation to the use
of prescription drugs? - ✔✔All physicians, vets, dentists, nurse practitioners, PAs,
clinics under contract with DHHS, agricultural/technical/industrial users of Rx drugs or
those regulated by the board when it comes to the storage, labeling, distribution and
disposal of drugs
✔✔For whom does the board provide inspectional services outside the field of
pharmacy? - ✔✔Board of medicine
vet medicine
podiatry
,optometry
dental
nursing
✔✔How often must the board meet to grant licenses and transactions of other
businesses? - ✔✔At least quarterly
✔✔How often must the board report to the governor and the council in regards to the
condition of pharmacy in the state and record of their acts and proceedings? -
✔✔Biennially on December 1st
✔✔What products cannot be compounded by a pharmacy? - ✔✔Products that are a
copy or similar to a prescription or nonprescription product that is already available on
the market
✔✔What criteria must compounded products meet? What are the limitations on these
products after it has been dispensed ? - ✔✔1. Must be compliant with USP or the
board's rules
2. It cannot be resold or dispensed once it has been issued for a hospital or office use
✔✔What notice must be attached to a compounded item? - ✔✔"compounded per
subscriber request" or a similar statement on the prescription label or auxiliary label
attached to the prescription container
✔✔What is the only situation where a compounder can make a product that is similar to
what is already on the market? - ✔✔When a commercial drug shortage exists, and the
manufacturer that produces the product cannot supply the public or to practitioners for
use
✔✔Under which conditions can a person fulfill the duties of a pharm tech? - ✔✔1.
Registered by the board,
2. Upon completion of training, certified to work
3. Must work under the supervision of the pharmacist
✔✔Pharmacy interns must do what to work in the state of NH? - ✔✔Registered by the
board and works under supervision of the RPh
✔✔When are special permits to pharmacies issued? - ✔✔In the case of death of a PIC
or under extreme conditions, and at the discretion of the board, the permit issued allows
the pharmacy to continue to operate the pharmacy not to exceed 60 days
✔✔What is required of the pharmacist to work in a collaborative pharmacy practice? -
✔✔1. Hold an unrestricted and current license to practice in NH
2. have at least $1,000,000 of professional liability insurance coverage
, 3. have the knowledge base necessary for monitoring (associated disease state,
relevant lab tests, adverse events, drug/food interactions, safety/efficacy)
✔✔Do collaborative practice agreements have a limit on # of participants? - ✔✔No, it
can be made between single/multiple pharmacists and practitioners
✔✔What are the aspects that a pharmacist can do listed out in a protocol for a
collaborative pharmacy practice agreements? - ✔✔Each protocol shall include detailed
directions concerning the services that the pharmacist can perform which include:
1. Specific drugs to be managed
2. terms/conditions which drug therapy may be implemented, modified, or discontinued
3. conditions/events that the pharmacy is required to notify the practitioner
4. lab tests that may be ordered
5. activities that can be performed by the pharmacist
6. states how much time a pharmacists will spend towards certain tasks
✔✔How often must a collaborative pharmacy practice agreement be renewed, and how
would one terminate one? - ✔✔Renewed every 2 years, and the agreement shall state
the beginning/ending dates, and can only be terminated in writing (by either party at any
time)
✔✔What must be done when a collaborative pharmacy practice is terminated? -
✔✔Patient shall be informed and provided on how to receive uninterrupted continuation
of their MTM regimen
✔✔3 things that the physician and pharmacist decides upon when it comes to how
patient care is practiced and what must be done when treating a patient. - ✔✔1.
Protocols based on evidence based guidelines for best practices
2. The referring practitioner receives progress visit notes from each patient encounter
3. The referring practitioner provides supervision for the treatment management of the
patient
✔✔What is not allowed for either practitioner or pharmacist in a collaborative practice
agreement? - ✔✔Neither side can gain personal financial benefit by using any
incentive-based program, nor can they accept anything that tries to influence/encourage
certain drugs/treatments/tests/services
✔✔What vaccines may a pharmacist administer? - ✔✔Hep A, B, Tdap, MMR,
meningococcal to those older 18 and older, but must provide a notice to the PCP when
designated by the patient
✔✔What are the requirements for vaccine administration by RPh? - ✔✔1. Hold a
current license
2. Have $1,000,000 of liability insurance
