,Q1 APPLY WEST VIRGINIA CODE AND BOARD OF PHARMACY RULES TO RESOLVE LEGAL
ISSUES IN PHARMACY PRACTICE
Under West Virginia Board of Pharmacy rules, which action best satisfies the
requirement for a pharmacist to report a suspected forged prescription for a
controlled substance?
A. Notify the prescriber and document the interaction in the patient profile.
B. Report to the Board of Pharmacy within 24 hours and retain a copy of the prescription.
C. Contact local law enforcement and submit a written report to the Board within 72 hours.
CORRECT
D. Refuse to fill, return the prescription to the patient, and document the refusal.
RATIONALE: West Virginia requires pharmacists to report suspected forgery to law enforcement
and file a written report with the Board within 72 hours. Option C correctly reflects this dual
obligation. Options A, B, and D either omit required reporting or misstate timelines and
disposition of the prescription.
Q2 APPLY WEST VIRGINIA CODE AND BOARD OF PHARMACY RULES TO RESOLVE LEGAL
ISSUES IN PHARMACY PRACTICE
A pharmacy in West Virginia seeks to implement a collaborative practice
agreement (CPA) with a physician for managing warfarin therapy. Which element is
essential for the CPA to be valid under West Virginia law?
A. The CPA must be approved by the Board of Pharmacy and the Board of Medicine.
B. The CPA must include a written protocol specifying drug therapy management and be signed
by both parties. CORRECT
C. The CPA must be limited to a maximum of 10 patients per pharmacist.
D. The CPA must be renewed annually with the Board of Pharmacy.
RATIONALE: West Virginia requires a written protocol signed by the pharmacist and physician
that defines the scope of drug therapy management. Approval by both boards is not required for
a CPA, and there is no statutory patient limit or annual Board renewal requirement, making B the
correct essential element.
Page 2
,Q3 APPLY WEST VIRGINIA CODE AND BOARD OF PHARMACY RULES TO RESOLVE LEGAL
ISSUES IN PHARMACY PRACTICE
Which statement accurately reflects West Virginia law regarding a pharmacist's
authority to administer immunizations to individuals aged 18 and older?
A. Pharmacists may administer any vaccine without a prescription if they complete a
Board-approved immunization training program. CORRECT
B. Pharmacists may administer only influenza vaccines under a standing order.
C. Pharmacists may administer vaccines only with a patient-specific prescription from a
physician.
D. Pharmacists may administer vaccines only in a public health clinic setting.
RATIONALE: West Virginia allows pharmacists who complete a Board-approved training program
to administer vaccines to adults without a prescription. This broad authority is not limited to
influenza, does not require a patient-specific prescription, and is not restricted to public health
clinics, making A correct.
Q4 APPLY WEST VIRGINIA CODE AND BOARD OF PHARMACY RULES TO RESOLVE LEGAL
ISSUES IN PHARMACY PRACTICE
A pharmacist in West Virginia dispenses a compounded sterile preparation (CSP)
that is assigned a beyond-use date (BUD) of 14 days at room temperature. Which
factor most likely justifies this BUD under USP <797> and West Virginia Board
rules?
A. The CSP was prepared in an ISO Class 5 environment with a low-risk level. CORRECT
B. The CSP was prepared in an ISO Class 7 buffer room with a medium-risk level.
C. The CSP was prepared in an ISO Class 8 cleanroom with a high-risk level.
D. The CSP was prepared in a segregated compounding area without a buffer room.
RATIONALE: USP <797> permits a 14-day BUD at room temperature for low-risk CSPs prepared
in an ISO Class 5 environment. Medium-risk and high-risk preparations have shorter BUDs
unless sterility testing is performed. A segregated compounding area without a buffer room does
not allow this BUD, making A correct.
Page 3
, Q5 APPLY WEST VIRGINIA CODE AND BOARD OF PHARMACY RULES TO RESOLVE LEGAL
ISSUES IN PHARMACY PRACTICE
Under West Virginia law, which schedule of controlled substances requires a
pharmacist to verify the prescriber's DEA registration and may be refilled up to
five times within six months?
A. Schedule II
B. Schedule III
C. Schedule IV CORRECT
D. Schedule V
RATIONALE: Schedule IV controlled substances may be refilled up to five times within six
months if authorized by the prescriber. Schedule II cannot be refilled, and Schedule III and V
have different refill restrictions. The requirement to verify the prescriber's DEA registration
applies to all, but the refill allowance is specific to Schedule IV.
Q6 APPLY WEST VIRGINIA CODE AND BOARD OF PHARMACY RULES TO RESOLVE LEGAL
ISSUES IN PHARMACY PRACTICE
A West Virginia pharmacy technician is preparing to compound a hazardous drug.
Which action is required to comply with USP <800> and Board of Pharmacy
regulations?
A. The technician must complete an accredited hazardous drug handling certification annually.
B. The technician must use a closed-system transfer device (CSTD) for all hazardous drug
preparation.
C. The technician must perform compounding in a negative-pressure room with at least 12 air
changes per hour. CORRECT
D. The technician must wear a respirator during all hazardous drug handling.
RATIONALE: USP <800> requires hazardous drugs to be compounded in an externally vented,
negative-pressure room with at least 12 air changes per hour. While CSTDs are recommended,
they are not required for all preparations. Certification and respirator use are not universally
mandated for all handling, making C the correct regulatory requirement.
Page 4
ISSUES IN PHARMACY PRACTICE
Under West Virginia Board of Pharmacy rules, which action best satisfies the
requirement for a pharmacist to report a suspected forged prescription for a
controlled substance?
A. Notify the prescriber and document the interaction in the patient profile.
B. Report to the Board of Pharmacy within 24 hours and retain a copy of the prescription.
C. Contact local law enforcement and submit a written report to the Board within 72 hours.
CORRECT
D. Refuse to fill, return the prescription to the patient, and document the refusal.
RATIONALE: West Virginia requires pharmacists to report suspected forgery to law enforcement
and file a written report with the Board within 72 hours. Option C correctly reflects this dual
obligation. Options A, B, and D either omit required reporting or misstate timelines and
disposition of the prescription.
Q2 APPLY WEST VIRGINIA CODE AND BOARD OF PHARMACY RULES TO RESOLVE LEGAL
ISSUES IN PHARMACY PRACTICE
A pharmacy in West Virginia seeks to implement a collaborative practice
agreement (CPA) with a physician for managing warfarin therapy. Which element is
essential for the CPA to be valid under West Virginia law?
A. The CPA must be approved by the Board of Pharmacy and the Board of Medicine.
B. The CPA must include a written protocol specifying drug therapy management and be signed
by both parties. CORRECT
C. The CPA must be limited to a maximum of 10 patients per pharmacist.
D. The CPA must be renewed annually with the Board of Pharmacy.
RATIONALE: West Virginia requires a written protocol signed by the pharmacist and physician
that defines the scope of drug therapy management. Approval by both boards is not required for
a CPA, and there is no statutory patient limit or annual Board renewal requirement, making B the
correct essential element.
Page 2
,Q3 APPLY WEST VIRGINIA CODE AND BOARD OF PHARMACY RULES TO RESOLVE LEGAL
ISSUES IN PHARMACY PRACTICE
Which statement accurately reflects West Virginia law regarding a pharmacist's
authority to administer immunizations to individuals aged 18 and older?
A. Pharmacists may administer any vaccine without a prescription if they complete a
Board-approved immunization training program. CORRECT
B. Pharmacists may administer only influenza vaccines under a standing order.
C. Pharmacists may administer vaccines only with a patient-specific prescription from a
physician.
D. Pharmacists may administer vaccines only in a public health clinic setting.
RATIONALE: West Virginia allows pharmacists who complete a Board-approved training program
to administer vaccines to adults without a prescription. This broad authority is not limited to
influenza, does not require a patient-specific prescription, and is not restricted to public health
clinics, making A correct.
Q4 APPLY WEST VIRGINIA CODE AND BOARD OF PHARMACY RULES TO RESOLVE LEGAL
ISSUES IN PHARMACY PRACTICE
A pharmacist in West Virginia dispenses a compounded sterile preparation (CSP)
that is assigned a beyond-use date (BUD) of 14 days at room temperature. Which
factor most likely justifies this BUD under USP <797> and West Virginia Board
rules?
A. The CSP was prepared in an ISO Class 5 environment with a low-risk level. CORRECT
B. The CSP was prepared in an ISO Class 7 buffer room with a medium-risk level.
C. The CSP was prepared in an ISO Class 8 cleanroom with a high-risk level.
D. The CSP was prepared in a segregated compounding area without a buffer room.
RATIONALE: USP <797> permits a 14-day BUD at room temperature for low-risk CSPs prepared
in an ISO Class 5 environment. Medium-risk and high-risk preparations have shorter BUDs
unless sterility testing is performed. A segregated compounding area without a buffer room does
not allow this BUD, making A correct.
Page 3
, Q5 APPLY WEST VIRGINIA CODE AND BOARD OF PHARMACY RULES TO RESOLVE LEGAL
ISSUES IN PHARMACY PRACTICE
Under West Virginia law, which schedule of controlled substances requires a
pharmacist to verify the prescriber's DEA registration and may be refilled up to
five times within six months?
A. Schedule II
B. Schedule III
C. Schedule IV CORRECT
D. Schedule V
RATIONALE: Schedule IV controlled substances may be refilled up to five times within six
months if authorized by the prescriber. Schedule II cannot be refilled, and Schedule III and V
have different refill restrictions. The requirement to verify the prescriber's DEA registration
applies to all, but the refill allowance is specific to Schedule IV.
Q6 APPLY WEST VIRGINIA CODE AND BOARD OF PHARMACY RULES TO RESOLVE LEGAL
ISSUES IN PHARMACY PRACTICE
A West Virginia pharmacy technician is preparing to compound a hazardous drug.
Which action is required to comply with USP <800> and Board of Pharmacy
regulations?
A. The technician must complete an accredited hazardous drug handling certification annually.
B. The technician must use a closed-system transfer device (CSTD) for all hazardous drug
preparation.
C. The technician must perform compounding in a negative-pressure room with at least 12 air
changes per hour. CORRECT
D. The technician must wear a respirator during all hazardous drug handling.
RATIONALE: USP <800> requires hazardous drugs to be compounded in an externally vented,
negative-pressure room with at least 12 air changes per hour. While CSTDs are recommended,
they are not required for all preparations. Certification and respirator use are not universally
mandated for all handling, making C the correct regulatory requirement.
Page 4
