Arizona MPJE 2023 Study Questions
With Correct Marking Scheme | Verified
/Statutes vs Regulations? - Answer-Statutes - Passed by legislatures and signed by the
Governor (can stand on its own).
Regulations - Result of a statute (discussed and passed by the Board).
/.Board of Pharmacy Membership and Staff requirements? - Answer-9 Board members
(6 pharmacists (1 community, 1 hospital), 2 public members, 1 CPhT)
"Rule of 5"
- Must be a resident of AZ and licensed for 5 years.
- Licensed in any state for 10 years preceding appointment
- 5 year terms (2 Full term Limit).
- Yearly elections for president and VP
Executive director may or may not be a pharmacist.
Deputy Director must be an AZ licensed pharmacist.
- Hold at least 4 meetings each year and make annual written reports to the governor.
/.What are not so obvious duties of the AZ BOP? - Answer-- At least once every 3
months, notify pharmacies of any modifications to practitioners' prescription writing
privileges.
/.What are the exempted acts? - Answer-The pharmacy practice act does not apply to:
- Prescribing and dispensing by a registered nurse practitioner as permitted by the
Nursing Board
- Dispensing or administering drugs or devices by MDs, DOs, homeopathic physicians,
podiatrists, dentists, naturopathic physicians, optometrists, veterinarians
- The use of any pesticide chemical, soil, or plant nutrient or other agricultural chemical
- LPNs or RNs assisting in the delivery of drugs and devices to patients
- Physical therapists from procuring, storing, and administering prescribed
nonscheduled legend and topical anti-inflammatories and topical anesthetics
,- Public health facility operated by this state or a county and a qualifying community
health center may dispense medication or devices to patients at no costs without
providing a written prescription if the public health facility or the qualifying community
health center meets all storage, labeling, safety, and record keeping rules adopted by
the BOP
/.What are the eligibility requirements for pharmacy technicians? - Answer-- Must be 18
years old, HS grad or GED
- Technician trainee: Three years to complete the educational requirements and pass
the national certification test
/.When are license renewals? - Answer-Biennially (two years)
/.What are the continuing education (CE) requirements for pharmacists? - Answer-- 30
hours = 3.0 CEUs
3 CE hours must be opioid related (substance abuse or addiction)
2 CE hours immunization (if immunizer)
- Keep CE records for 5 years
If audited, pharmacist must present proof to board within 20 days of request
/.What are not so obvious disciplinary actions to a pharmacist's license? - Answer-- The
licensee's pharmacy license has been denied, suspended, or revoked in another
jurisdiction.
- The licensee has committed an offense in another state that would be sanctionable in
AZ.
- The licensee is convicted (or pleads no contest) to a felony or misdemeanor involving
moral turpitude (A phrase that describes wicked, deviant behavior constituting an
immoral, unethical, or unjust departure from ordinary social standards)
Unethical practices:
- Dispensing a prescription drug or prescription device without a prescription order
- Prescription order blank advertising
Grounds for sanctions against permits:
- Sells or distributes imitation drugs
- Distributes more than 5% of prescription-only inventory as a wholesaler
- Distributing premiums or rebates, unless to the ultimate user
- Advertising prescription drugs with reference to a condition
,/.What are the different disciplinary actions to a license? - Answer-Penalties:
- Suspension = license not in effect for a specified amount of time
- Revocation = License is void and no longer in effect (revoked for 2 years)
- Administrative penalty = Fine
- Probation = Suspension of an imposed sanction during good behavior
/.What are the key points regarding scheduling of compounded controlled substances? -
Answer-- Must be compounded with one or more non-narcotic therapeutic ingredients to
be a CIII, otherwise its a CII.
Examples:
Codeine (Tylenol #3)
Fiorinal with Codeine
Most steroids
/.What DEA Form to order schedule I or Schedule II controlled substances? - Answer-
DEA Form 222
- Required for each sale or transfer of CI and CII drugs (except dispensing to ultimate
used)
- Online or Paper forms can only be ordered by registrants.
/.What are the storage and record requirements (DEA vs ASBP)? - Answer-- Inventories
(on May 1st or as directed)
- Rx Records (2 years DEA, 7 years ASBP)
- Invoices (2 years DEA, 3 years ASBP)
/.What are the key points regarding dispensing controlled substance prescriptions? -
Answer-Dispensing multiple CII Rx's on same day:
- No maximum number of Rx's, but a total equal to 90 days supply or less (usually 3
Rx's 30 days each)
- All Rx's written on same day and marked accordingly
- 90 day time limit from date written for Schedule II prescriptions.
/.What are not so obvious requirements for out of state and foreign practitioners? -
Answer-- The proprietor, manager, or PIC of a pharmacy shall keep a separate record
of prescriptions filled from foreign jurisdictions.
- Restrictions may apply based on controlled substance, written or verbal Rx, and
whether Rx is from another state or foreign jurisdiction.
, /.What is a designated agent? - Answer-- A person designated by a practitioner as
authorized to communicate prescription drug orders to a pharmacist
- May be licensed nurse, physician assistant, pharmacist, or any other individual the
practitioner designated
/.What is considered a limited service pharmacy? - Answer-1. Correctional
2. Long term care
3. Mail order
4. Nuclear
/.What is a pharmacist/intern duty regarding final accuracy checks on prescriptions? -
Answer-Make a final accuracy check on the completed prescription medication and
manually initial the finished label (if computer system meets Board requirements,
manual initialing is not required).
/.What are the oral consultation (patient counseling) requirements? - Answer-- Must be
performed by a pharmacist or pharmacy intern.
- Required in community (retail) pharmacies and from hospital pharmacists when a
patient is discharged.
Required whenever these occur:
- The prescription medication has not been previously dispensed to the patient at that
pharmacy.
- A new prescription number is assigned to a previously dispensed Rx medication.
- The strength or dosage form or the directions have changed.
- The pharmacist, through the exercise of professional judgement, determines that oral
consultation is warranted
- The patient or patient's agent requests oral consultation
/.What shall oral consultation (patient counseling) include? - Answer-- The name,
strength, and dosage form of a prescription medication or prescription only device.
- The directions for use
- The route of administration
- Special instructions, precautions, or storage requirements
Pharmacist, through the exercise of professional judgement may provide oral
consultation that includes:
With Correct Marking Scheme | Verified
/Statutes vs Regulations? - Answer-Statutes - Passed by legislatures and signed by the
Governor (can stand on its own).
Regulations - Result of a statute (discussed and passed by the Board).
/.Board of Pharmacy Membership and Staff requirements? - Answer-9 Board members
(6 pharmacists (1 community, 1 hospital), 2 public members, 1 CPhT)
"Rule of 5"
- Must be a resident of AZ and licensed for 5 years.
- Licensed in any state for 10 years preceding appointment
- 5 year terms (2 Full term Limit).
- Yearly elections for president and VP
Executive director may or may not be a pharmacist.
Deputy Director must be an AZ licensed pharmacist.
- Hold at least 4 meetings each year and make annual written reports to the governor.
/.What are not so obvious duties of the AZ BOP? - Answer-- At least once every 3
months, notify pharmacies of any modifications to practitioners' prescription writing
privileges.
/.What are the exempted acts? - Answer-The pharmacy practice act does not apply to:
- Prescribing and dispensing by a registered nurse practitioner as permitted by the
Nursing Board
- Dispensing or administering drugs or devices by MDs, DOs, homeopathic physicians,
podiatrists, dentists, naturopathic physicians, optometrists, veterinarians
- The use of any pesticide chemical, soil, or plant nutrient or other agricultural chemical
- LPNs or RNs assisting in the delivery of drugs and devices to patients
- Physical therapists from procuring, storing, and administering prescribed
nonscheduled legend and topical anti-inflammatories and topical anesthetics
,- Public health facility operated by this state or a county and a qualifying community
health center may dispense medication or devices to patients at no costs without
providing a written prescription if the public health facility or the qualifying community
health center meets all storage, labeling, safety, and record keeping rules adopted by
the BOP
/.What are the eligibility requirements for pharmacy technicians? - Answer-- Must be 18
years old, HS grad or GED
- Technician trainee: Three years to complete the educational requirements and pass
the national certification test
/.When are license renewals? - Answer-Biennially (two years)
/.What are the continuing education (CE) requirements for pharmacists? - Answer-- 30
hours = 3.0 CEUs
3 CE hours must be opioid related (substance abuse or addiction)
2 CE hours immunization (if immunizer)
- Keep CE records for 5 years
If audited, pharmacist must present proof to board within 20 days of request
/.What are not so obvious disciplinary actions to a pharmacist's license? - Answer-- The
licensee's pharmacy license has been denied, suspended, or revoked in another
jurisdiction.
- The licensee has committed an offense in another state that would be sanctionable in
AZ.
- The licensee is convicted (or pleads no contest) to a felony or misdemeanor involving
moral turpitude (A phrase that describes wicked, deviant behavior constituting an
immoral, unethical, or unjust departure from ordinary social standards)
Unethical practices:
- Dispensing a prescription drug or prescription device without a prescription order
- Prescription order blank advertising
Grounds for sanctions against permits:
- Sells or distributes imitation drugs
- Distributes more than 5% of prescription-only inventory as a wholesaler
- Distributing premiums or rebates, unless to the ultimate user
- Advertising prescription drugs with reference to a condition
,/.What are the different disciplinary actions to a license? - Answer-Penalties:
- Suspension = license not in effect for a specified amount of time
- Revocation = License is void and no longer in effect (revoked for 2 years)
- Administrative penalty = Fine
- Probation = Suspension of an imposed sanction during good behavior
/.What are the key points regarding scheduling of compounded controlled substances? -
Answer-- Must be compounded with one or more non-narcotic therapeutic ingredients to
be a CIII, otherwise its a CII.
Examples:
Codeine (Tylenol #3)
Fiorinal with Codeine
Most steroids
/.What DEA Form to order schedule I or Schedule II controlled substances? - Answer-
DEA Form 222
- Required for each sale or transfer of CI and CII drugs (except dispensing to ultimate
used)
- Online or Paper forms can only be ordered by registrants.
/.What are the storage and record requirements (DEA vs ASBP)? - Answer-- Inventories
(on May 1st or as directed)
- Rx Records (2 years DEA, 7 years ASBP)
- Invoices (2 years DEA, 3 years ASBP)
/.What are the key points regarding dispensing controlled substance prescriptions? -
Answer-Dispensing multiple CII Rx's on same day:
- No maximum number of Rx's, but a total equal to 90 days supply or less (usually 3
Rx's 30 days each)
- All Rx's written on same day and marked accordingly
- 90 day time limit from date written for Schedule II prescriptions.
/.What are not so obvious requirements for out of state and foreign practitioners? -
Answer-- The proprietor, manager, or PIC of a pharmacy shall keep a separate record
of prescriptions filled from foreign jurisdictions.
- Restrictions may apply based on controlled substance, written or verbal Rx, and
whether Rx is from another state or foreign jurisdiction.
, /.What is a designated agent? - Answer-- A person designated by a practitioner as
authorized to communicate prescription drug orders to a pharmacist
- May be licensed nurse, physician assistant, pharmacist, or any other individual the
practitioner designated
/.What is considered a limited service pharmacy? - Answer-1. Correctional
2. Long term care
3. Mail order
4. Nuclear
/.What is a pharmacist/intern duty regarding final accuracy checks on prescriptions? -
Answer-Make a final accuracy check on the completed prescription medication and
manually initial the finished label (if computer system meets Board requirements,
manual initialing is not required).
/.What are the oral consultation (patient counseling) requirements? - Answer-- Must be
performed by a pharmacist or pharmacy intern.
- Required in community (retail) pharmacies and from hospital pharmacists when a
patient is discharged.
Required whenever these occur:
- The prescription medication has not been previously dispensed to the patient at that
pharmacy.
- A new prescription number is assigned to a previously dispensed Rx medication.
- The strength or dosage form or the directions have changed.
- The pharmacist, through the exercise of professional judgement, determines that oral
consultation is warranted
- The patient or patient's agent requests oral consultation
/.What shall oral consultation (patient counseling) include? - Answer-- The name,
strength, and dosage form of a prescription medication or prescription only device.
- The directions for use
- The route of administration
- Special instructions, precautions, or storage requirements
Pharmacist, through the exercise of professional judgement may provide oral
consultation that includes:
