Nebraska MPJE Test Questions and
Complete Solutions Graded A+
T or F. All pharmacies must have a PIC, even mail order. - Answer: True
Define PIC - Answer: Pharmacist designated on a pharmacy license/remote dispensing pharmacy
license/designated by hospital as being responsible for pharmacy practice
Works w/in the physical confines (not required for remote dispensing pharmacy unless otherwise
required)
PIC duties - Answer: *Develop/implement policies/procedures (hosp)
*Ensure that pharmacist review all medical orders prior to first dose (with exceptions) (hosp)
*Responsible for pharmacy operations in conformance with all laws
*Be present for initial inspection
*File reports
*Notify Dept. of HHS and patients if pharmacy closing
*Supervise technicians/verify performance
*Ensure pharmacists/techs/interns are properly credentialed
T or F. Pharmacist review is required of all medical orders prior to first dose being administered to
patient in hospital. - Answer: T (with exceptions)
Is telepharmacy allowed in hospitals to allow pharmacist review or orders? - Answer: Yes
When is pharmacist review of medical order not required in hospital? - Answer: When practitioner
controls ordering/dispensing/administration of the drug
*OR
*Endoscopy suite
*ER
,*Etc.
When time does not permit pharmacist review
*Stat order (x1)
*When status of patient would be significantly compromised by the delay
Does a hospital need a separate pharmacy license? - Answer: Only if compounding/dispensing of
drugs/devices is done in the hospital pharmacy for persons not registered as patients (but ok to do for
any hospital within the healthcare system)
What reports are required for PIC to submit? - Answer: *Annual Pharmacy Quality Assurance Report
*Semiannual as required by Parkinson's Disease Registry Act
Details submitted in semiannual report required by Parkinson's Disease Registry Act - Answer: List of
persons to whom pharmacist has dispensed drugs on the list of drugs required to be reported for PD
-Name
_Address
-SSN
-Name of prescribing physician
-Address of prescribing physician
How to change PIC - Answer: Notify NE Dept of HHS immediately
Complete controlled substance inventory
-Contain all info required in biennial inventory
-Maintain in pharmacy for 5 years
-Forward to Dept within 30 days
Do you need to send controlled substance inventories to anybody? - Answer: Forward to the
Department
,What to do if pharmacy ceases legal existence or discontinues business - Answer: Notify the Department
within 15 days
-Sale or disposition of legend drug, device, or biological inventory
-Sale or disposition of controlled substances and invoices/inventory records
-Location of all patient records
Return pharmacy license, DEA registration, and unused DEA 222 forms (including a and d)
What to do if pharmacy has change of ownership - Answer: Notify the Department within 15 days
A pharmacy may hire an outside firm to inventory, package, and arrange for
the transfer of its controlled substances to another pharmacy, the original
supplier, or the original manufacturer. The pharmacy is responsible for the
actual transfer of the controlled substances and for the accuracy of the
inventory and records. The records involving the transfer of controlled
substances must be kept readily available by the pharmacy for two years
for inspection by the DEA. - Answer:
How to transfer schedule III-V medications (to a pharmacy, wholesaler, etc.) - Answer: Must be
documented in writing
-Drug name
-Dosage form
-Strength
-quantity
-date transferred
-name/address/DEA# of parties involved
How do reverse distributors for controlled substances work? - Answer: Submit DEA 222 form to the
pharmacy to "order" drugs (or just record for CIII-V)
When destroying, must submit DEA Form 41
, Practice of Pharmacy definition - Answer: *Interpret/evaluate/implement medical order
*dispense drugs/devices
*drug product selection
*administration of drugs/devices
*drug utilization review
*counseling
*provide pharmaceutical care
*MTM
*compound/label dispensed/repackaged drugs/devices, proper storage, maintain proper records
Can orders from presciber's from outside state be filled? - Answer: Yes, if that prescriber could be
authorized to prescribe in this state
Is it illegal for unauthorized people to provide pharmaceutical care and compound/dispense
drug/devices? - Answer: Yes, and it is illegal to permit or direct a person to do so
Is it illegal to (attempt to) coerce a pharmacist to enter into a delegated dispensing agreement? -
Answer: Yes
Can you split fees with a person for bringing/referring a consumer? - Answer: No, except:
(a) with a partner or employee of the applicant or credential holder or his or her
office or clinic,
(b) with a landlord of the applicant or credential holder pursuant to a written
agreement that provides for payment of rent based on gross receipts,
(c) with a former partner or employee of the applicant or credential holder
based on a retirement plan or separation agreement, or
(d) by a person credentialed pursuant to the Water Well Standards and
Contractors' Practice Act
Complete Solutions Graded A+
T or F. All pharmacies must have a PIC, even mail order. - Answer: True
Define PIC - Answer: Pharmacist designated on a pharmacy license/remote dispensing pharmacy
license/designated by hospital as being responsible for pharmacy practice
Works w/in the physical confines (not required for remote dispensing pharmacy unless otherwise
required)
PIC duties - Answer: *Develop/implement policies/procedures (hosp)
*Ensure that pharmacist review all medical orders prior to first dose (with exceptions) (hosp)
*Responsible for pharmacy operations in conformance with all laws
*Be present for initial inspection
*File reports
*Notify Dept. of HHS and patients if pharmacy closing
*Supervise technicians/verify performance
*Ensure pharmacists/techs/interns are properly credentialed
T or F. Pharmacist review is required of all medical orders prior to first dose being administered to
patient in hospital. - Answer: T (with exceptions)
Is telepharmacy allowed in hospitals to allow pharmacist review or orders? - Answer: Yes
When is pharmacist review of medical order not required in hospital? - Answer: When practitioner
controls ordering/dispensing/administration of the drug
*OR
*Endoscopy suite
*ER
,*Etc.
When time does not permit pharmacist review
*Stat order (x1)
*When status of patient would be significantly compromised by the delay
Does a hospital need a separate pharmacy license? - Answer: Only if compounding/dispensing of
drugs/devices is done in the hospital pharmacy for persons not registered as patients (but ok to do for
any hospital within the healthcare system)
What reports are required for PIC to submit? - Answer: *Annual Pharmacy Quality Assurance Report
*Semiannual as required by Parkinson's Disease Registry Act
Details submitted in semiannual report required by Parkinson's Disease Registry Act - Answer: List of
persons to whom pharmacist has dispensed drugs on the list of drugs required to be reported for PD
-Name
_Address
-SSN
-Name of prescribing physician
-Address of prescribing physician
How to change PIC - Answer: Notify NE Dept of HHS immediately
Complete controlled substance inventory
-Contain all info required in biennial inventory
-Maintain in pharmacy for 5 years
-Forward to Dept within 30 days
Do you need to send controlled substance inventories to anybody? - Answer: Forward to the
Department
,What to do if pharmacy ceases legal existence or discontinues business - Answer: Notify the Department
within 15 days
-Sale or disposition of legend drug, device, or biological inventory
-Sale or disposition of controlled substances and invoices/inventory records
-Location of all patient records
Return pharmacy license, DEA registration, and unused DEA 222 forms (including a and d)
What to do if pharmacy has change of ownership - Answer: Notify the Department within 15 days
A pharmacy may hire an outside firm to inventory, package, and arrange for
the transfer of its controlled substances to another pharmacy, the original
supplier, or the original manufacturer. The pharmacy is responsible for the
actual transfer of the controlled substances and for the accuracy of the
inventory and records. The records involving the transfer of controlled
substances must be kept readily available by the pharmacy for two years
for inspection by the DEA. - Answer:
How to transfer schedule III-V medications (to a pharmacy, wholesaler, etc.) - Answer: Must be
documented in writing
-Drug name
-Dosage form
-Strength
-quantity
-date transferred
-name/address/DEA# of parties involved
How do reverse distributors for controlled substances work? - Answer: Submit DEA 222 form to the
pharmacy to "order" drugs (or just record for CIII-V)
When destroying, must submit DEA Form 41
, Practice of Pharmacy definition - Answer: *Interpret/evaluate/implement medical order
*dispense drugs/devices
*drug product selection
*administration of drugs/devices
*drug utilization review
*counseling
*provide pharmaceutical care
*MTM
*compound/label dispensed/repackaged drugs/devices, proper storage, maintain proper records
Can orders from presciber's from outside state be filled? - Answer: Yes, if that prescriber could be
authorized to prescribe in this state
Is it illegal for unauthorized people to provide pharmaceutical care and compound/dispense
drug/devices? - Answer: Yes, and it is illegal to permit or direct a person to do so
Is it illegal to (attempt to) coerce a pharmacist to enter into a delegated dispensing agreement? -
Answer: Yes
Can you split fees with a person for bringing/referring a consumer? - Answer: No, except:
(a) with a partner or employee of the applicant or credential holder or his or her
office or clinic,
(b) with a landlord of the applicant or credential holder pursuant to a written
agreement that provides for payment of rent based on gross receipts,
(c) with a former partner or employee of the applicant or credential holder
based on a retirement plan or separation agreement, or
(d) by a person credentialed pursuant to the Water Well Standards and
Contractors' Practice Act
