MS MPJE exam Questions and Correct Answers (100%
COMPLETE ANSWERS) ALREADY GRADED A+ | 100%
satisfaction guarantee
Dispensing of CII rxs - ANSWER-Send Ahead: CII may be faxed provieded the original signed rx is
presented to pharmacy prior to dispensing.
CMPD/IV/HOSPICE/LTCF: Fax of CII rx counts as legal rx
Can have laddered Rxs up to 90 day supply with "do not dispense before"
-CII PRESCRIPTIONS ARE VOID 6 MONTHS FROM ISSUANCE
Partial Filling of CII
(Article XX) - ANSWER-Same as federal - must supply remainder within 72 hours (or remainder is lost)
and notate qty on FACE of rx.
Regs say LTCF or terminally ill home health patient CAN partial fill the prescription up to the written qty
or 50 DAYS FROM THE DATE OF ISSUANCE.
CIII-V Expiration Dating
Article XXI - ANSWER-Prescriptions for CIII-V may not be filled after 6 MONTHS or 5 times for the full
amount prescribed.
Yes, this includes CV (which is not included federally)
Refills and Partial Fills of CIII-V
Article XXII - ANSWER--Partials are allowed as long as quantity is noted and date and pharmacist's initials
are present
-pharmacist must record the quantity given, or it refill will be deemed for that of full refill quantity
CS Record keeping (Article XXIII) - ANSWER-Acquisition Records - Keep x 2 years
Disposition Records - Keep x 6 years (also hard copy rxs)
,Includes: inventory, receipt, disposition/dispensing.
- Maintain at registered location.
Records of reciept for CII seperate from III-V
- Hard copy print out of all dispensing shall be produced daily or at regular intervals (<7 days), rph sign
and date print out. File chronologically - Keep x 2 YEARS
- Transmit records of CS dispensing (>48 day supply) to Prescription Drug Monitoring Program.
- Disposal, Keep records x 2 YEARS
Inventory of CS - ANSWER-ANNUAL CS INVENTORY on or about May 1st - May 15th it is ANNUALLY
according to state law and you can do it as of opening or as of closing but you have to indicate that on
the inventory form and you have to sign and date it - inventory records must be maintained AT THAT
SITE
Absence of Rph in Institutional Setting - ANSWER-- Rph must provide on-call services at all times.
Access:
-Locked cabinets located outside pharmacy for auth ppl only.
-Only prepackaged drugs (assigned a Par use value)
-Withdrawl and addition documentation, audit monthly
Access to Pharmacy:
-Only Auth RNs with specialized training in any one shift has access.
Emergency Medication Supplies - ANSWER-- Have seal that must be broken if opened
-Label exterior w/ exp date
Label interior - all drugs listed and labeled
- Notify Rph if used restock/reseal.
Initiation or modification of drug therapy By Rph (Institutional) - ANSWER-Per written & MD signed
protocol Rph can initiate or modify drug therapy. Must be on file at BOP.
Valid for 1 year.
,Consulting Pharmacists to Inst/LTCF - ANSWER-Must: Have MS license, Have attended w/i 2 years 8
hours or more of training on inst pharm services.
Copy of consultant reviews kept x 2 years.
Dispose of patient's medication after 90 days. paper trail of disposal 2 years
IF loss of CS must notify consultant pharmacist w/i 24 hours and he notifies board immediately
Unit Dose single dose unit of issue packaging expirations (Inst/LTCF) - ANSWER-- If USP standard 671
Class A or B packaging - light resistant good for 12 months.
- Exp 90 days for unstable or not USP 671.
Return of Medications from LCF to Provider Pharmacy - ANSWER--Dispensing is considered when the
medication leaves the dispensing pharmacy and is delivered to the LTCF.
-If medication is discontinued prior to dispensing may be returned in 5 DAYS.
- CS can NOT be returned
(also if dispensed in bulk packages cant be returned)
-Return records x 2 YEARS
Wholesaler/MFG Permits - ANSWER-Biennial License renewal, Dec 31.
CS Registration if handling - ANNUAL, Dec 31
records kept x 2 years
Home Health/Hospice Permits - ANSWER--Must obtain a permit from BOP (written application, Biennial
Q 2 years)
- Does not require Pharmacist
-Only dispense drugs on approved list (unless drug was obtained persuant to valid rx.
-Records of Acqusition and disposal x 6 years
-Compliant with labeling requirements.
Pharmacy Intern/Extern Registration - ANSWER-- Every person enrolled in pharmacy school pursuing
Rph shall obtain Intern/Extern Registration prior to enrolling/participation in intern/externship.
, - Expires if: leave SOP, 6 mo port-grad, expiration date.
- Notify board with Employment or address changes.
Institutional Emergency Medication Kit Permits - ANSWER-- Permit required for Institutional facility
(except hospitals) - LTCF, Nursing homes.
- *Biennial renewal.* Permit required for each provider pharmacy.
Provided that:
- Contents *(up to 42 approved items)* are supplied *No CII medications.* Copy of inv on file. *Unit
dosing (12 doses or less)* pre-packaged medications w/ par value.
-Withdrawl log - name room# name strength qty of drug DATE/TIME withdrawal/admin, name of preson
withdrawing
-Additions to BOP approved inventory must be approved by the BOP.
USE: *Only in emergency pursuant to medication order.* (not when community or hospital pharmacy
available
SECURITY: *Kept in securely locked room or cabinet.*
Inst must have CS permit if CS contained (there is no mention of DEA reg).
Copy of rx order (CIII-V) must be delivered to pharmacist *within 72 HOURS.*
Records of individual ekits are kept by pharmacy.
Pharmaceutical Health Care/Modify Therapy Under Protocol - ANSWER-- Written protocols on file with
BOP
- W/I scope of MDs practice. (institutional - any patient, community - one SPECIFIC patient)
QUALIFICATIONS: MS license; *16 HR CE on pharmaceutical care, development and clinical*
-Pre-approved study course of less than 16 hours per disease state.
- *Every 2 years (BIENIALLY) need 6 hours per disease state on National updates*
*PROTOCOL expires in ONE year*
Executive Director - ANSWER-executive officer in charge of MSBOP; appointed by the Board
COMPLETE ANSWERS) ALREADY GRADED A+ | 100%
satisfaction guarantee
Dispensing of CII rxs - ANSWER-Send Ahead: CII may be faxed provieded the original signed rx is
presented to pharmacy prior to dispensing.
CMPD/IV/HOSPICE/LTCF: Fax of CII rx counts as legal rx
Can have laddered Rxs up to 90 day supply with "do not dispense before"
-CII PRESCRIPTIONS ARE VOID 6 MONTHS FROM ISSUANCE
Partial Filling of CII
(Article XX) - ANSWER-Same as federal - must supply remainder within 72 hours (or remainder is lost)
and notate qty on FACE of rx.
Regs say LTCF or terminally ill home health patient CAN partial fill the prescription up to the written qty
or 50 DAYS FROM THE DATE OF ISSUANCE.
CIII-V Expiration Dating
Article XXI - ANSWER-Prescriptions for CIII-V may not be filled after 6 MONTHS or 5 times for the full
amount prescribed.
Yes, this includes CV (which is not included federally)
Refills and Partial Fills of CIII-V
Article XXII - ANSWER--Partials are allowed as long as quantity is noted and date and pharmacist's initials
are present
-pharmacist must record the quantity given, or it refill will be deemed for that of full refill quantity
CS Record keeping (Article XXIII) - ANSWER-Acquisition Records - Keep x 2 years
Disposition Records - Keep x 6 years (also hard copy rxs)
,Includes: inventory, receipt, disposition/dispensing.
- Maintain at registered location.
Records of reciept for CII seperate from III-V
- Hard copy print out of all dispensing shall be produced daily or at regular intervals (<7 days), rph sign
and date print out. File chronologically - Keep x 2 YEARS
- Transmit records of CS dispensing (>48 day supply) to Prescription Drug Monitoring Program.
- Disposal, Keep records x 2 YEARS
Inventory of CS - ANSWER-ANNUAL CS INVENTORY on or about May 1st - May 15th it is ANNUALLY
according to state law and you can do it as of opening or as of closing but you have to indicate that on
the inventory form and you have to sign and date it - inventory records must be maintained AT THAT
SITE
Absence of Rph in Institutional Setting - ANSWER-- Rph must provide on-call services at all times.
Access:
-Locked cabinets located outside pharmacy for auth ppl only.
-Only prepackaged drugs (assigned a Par use value)
-Withdrawl and addition documentation, audit monthly
Access to Pharmacy:
-Only Auth RNs with specialized training in any one shift has access.
Emergency Medication Supplies - ANSWER-- Have seal that must be broken if opened
-Label exterior w/ exp date
Label interior - all drugs listed and labeled
- Notify Rph if used restock/reseal.
Initiation or modification of drug therapy By Rph (Institutional) - ANSWER-Per written & MD signed
protocol Rph can initiate or modify drug therapy. Must be on file at BOP.
Valid for 1 year.
,Consulting Pharmacists to Inst/LTCF - ANSWER-Must: Have MS license, Have attended w/i 2 years 8
hours or more of training on inst pharm services.
Copy of consultant reviews kept x 2 years.
Dispose of patient's medication after 90 days. paper trail of disposal 2 years
IF loss of CS must notify consultant pharmacist w/i 24 hours and he notifies board immediately
Unit Dose single dose unit of issue packaging expirations (Inst/LTCF) - ANSWER-- If USP standard 671
Class A or B packaging - light resistant good for 12 months.
- Exp 90 days for unstable or not USP 671.
Return of Medications from LCF to Provider Pharmacy - ANSWER--Dispensing is considered when the
medication leaves the dispensing pharmacy and is delivered to the LTCF.
-If medication is discontinued prior to dispensing may be returned in 5 DAYS.
- CS can NOT be returned
(also if dispensed in bulk packages cant be returned)
-Return records x 2 YEARS
Wholesaler/MFG Permits - ANSWER-Biennial License renewal, Dec 31.
CS Registration if handling - ANNUAL, Dec 31
records kept x 2 years
Home Health/Hospice Permits - ANSWER--Must obtain a permit from BOP (written application, Biennial
Q 2 years)
- Does not require Pharmacist
-Only dispense drugs on approved list (unless drug was obtained persuant to valid rx.
-Records of Acqusition and disposal x 6 years
-Compliant with labeling requirements.
Pharmacy Intern/Extern Registration - ANSWER-- Every person enrolled in pharmacy school pursuing
Rph shall obtain Intern/Extern Registration prior to enrolling/participation in intern/externship.
, - Expires if: leave SOP, 6 mo port-grad, expiration date.
- Notify board with Employment or address changes.
Institutional Emergency Medication Kit Permits - ANSWER-- Permit required for Institutional facility
(except hospitals) - LTCF, Nursing homes.
- *Biennial renewal.* Permit required for each provider pharmacy.
Provided that:
- Contents *(up to 42 approved items)* are supplied *No CII medications.* Copy of inv on file. *Unit
dosing (12 doses or less)* pre-packaged medications w/ par value.
-Withdrawl log - name room# name strength qty of drug DATE/TIME withdrawal/admin, name of preson
withdrawing
-Additions to BOP approved inventory must be approved by the BOP.
USE: *Only in emergency pursuant to medication order.* (not when community or hospital pharmacy
available
SECURITY: *Kept in securely locked room or cabinet.*
Inst must have CS permit if CS contained (there is no mention of DEA reg).
Copy of rx order (CIII-V) must be delivered to pharmacist *within 72 HOURS.*
Records of individual ekits are kept by pharmacy.
Pharmaceutical Health Care/Modify Therapy Under Protocol - ANSWER-- Written protocols on file with
BOP
- W/I scope of MDs practice. (institutional - any patient, community - one SPECIFIC patient)
QUALIFICATIONS: MS license; *16 HR CE on pharmaceutical care, development and clinical*
-Pre-approved study course of less than 16 hours per disease state.
- *Every 2 years (BIENIALLY) need 6 hours per disease state on National updates*
*PROTOCOL expires in ONE year*
Executive Director - ANSWER-executive officer in charge of MSBOP; appointed by the Board
