MISSOURI MPJE EVALUATION TEST EXAMS 2025/2026
QUESTIONS WITH ANSWERS RATED A+
✔✔When does Class M pharmacy need to ship an emergency rx to patient - ✔✔within
12 hours
✔✔which records can be stored off site? - ✔✔confidential records and medication
records > 2 years old
✔✔How soon do records need to be retrieved if stored off site - ✔✔within 2 business
days
✔✔Physician Rx limits for CII - ✔✔Valid for 6 months, can write for 30 days or 90 if
documented reason, no refills
✔✔Physician Rx limits for CIII-IV - ✔✔Valid for 6 months, can write for 90 days, 5 refills
in 6 months
✔✔Physician Rx limits for CV - ✔✔Valid for 1 year, can write for 90 days, no refill limits
✔✔Can physicians write CS Rx for family - ✔✔yes if have same records as other
patients
✔✔Can physicians write CS Rx for self - ✔✔if an emergency
✔✔what determines if an opioid Rx is an initial script - ✔✔if never got the drug before or
havent had in past 5 months (including ER/inpatient)
✔✔Are veterinarians limited to 7 day rule for initial opioid Rx - ✔✔No
✔✔Do you need to notify prescriber if initial opioid Rx >7 days - ✔✔No, remaining
quantity and refills are just void. Can dispense 7 days only
✔✔Who can take verbal Rx if not controlled substance - ✔✔Pharmacists, interns and
TECHS
✔✔Who can take verbal/transferred Rx if controlled substance - ✔✔Pharmacists only
✔✔How long does pharmacy have to transfer script - ✔✔1 business day, even if refill
too soon
✔✔Do verbal Rx from mid level need supervising physicians name - ✔✔technically no
unless CS
, ✔✔NP Rx limits for CII - ✔✔can only write for hydrocodone!
max of 5 days/120 hours
✔✔PA/AP Rx limits for CII - ✔✔can only write for hydrocodone!
max 5 days/120 hours
✔✔NP Rx limits for CIII - ✔✔if opioid: only 120 hours, no refills and expires in 6 months
if non opioid: 90 days, 5 refills in 6 months, expires in 6 months
if buprenorphine: 30 days, no refills
✔✔PA/AP Rx limits for CIII - ✔✔if opioid: max 120 hours, no refills, expires in 6 months
if non opioid: max 120 hours, no refills, expires in 6 months
buprenorphine: max 30 days no refills
✔✔NP Rx limits for CIV & CV - ✔✔full authority
✔✔PA/AP Rx limits for CIV & V - ✔✔full authority
✔✔when to notify prescriber if use generic substitution of biologic agent - ✔✔within 5
days of dispensing
✔✔can you flavor an Rx dispensed by another pharmacy? - ✔✔no
✔✔can you flavor an OTC med - ✔✔only with an Rx
✔✔can you sell syringes with out an Rx - ✔✔not if it says Rx only on packaging
✔✔when can you NOT consolidate refills for a 90 day supply - ✔✔if patient hasnt been
on med for at least 3 months, if doctor indicates they cant, if medication is a controlled
substance
✔✔What's the max amount of days supply that can be emergency dispensed to a
patient - ✔✔7 days unless prescriber deceased then 30
✔✔how long are Med Packs good for? - ✔✔60 days from date of preparation
✔✔can pharmacy accept return of recalled or drugs dispensed in error - ✔✔yes but
cannot return to stock, must dispose of
✔✔If patients rx changed and previously received a med pack with old Rx's, what can
pharmacy do - ✔✔pharmacy can modify the med pack per Rx. keep original BUD of 60
days. Meds cant be returned to stock or redispensed to same patient if taken out of med
pack
QUESTIONS WITH ANSWERS RATED A+
✔✔When does Class M pharmacy need to ship an emergency rx to patient - ✔✔within
12 hours
✔✔which records can be stored off site? - ✔✔confidential records and medication
records > 2 years old
✔✔How soon do records need to be retrieved if stored off site - ✔✔within 2 business
days
✔✔Physician Rx limits for CII - ✔✔Valid for 6 months, can write for 30 days or 90 if
documented reason, no refills
✔✔Physician Rx limits for CIII-IV - ✔✔Valid for 6 months, can write for 90 days, 5 refills
in 6 months
✔✔Physician Rx limits for CV - ✔✔Valid for 1 year, can write for 90 days, no refill limits
✔✔Can physicians write CS Rx for family - ✔✔yes if have same records as other
patients
✔✔Can physicians write CS Rx for self - ✔✔if an emergency
✔✔what determines if an opioid Rx is an initial script - ✔✔if never got the drug before or
havent had in past 5 months (including ER/inpatient)
✔✔Are veterinarians limited to 7 day rule for initial opioid Rx - ✔✔No
✔✔Do you need to notify prescriber if initial opioid Rx >7 days - ✔✔No, remaining
quantity and refills are just void. Can dispense 7 days only
✔✔Who can take verbal Rx if not controlled substance - ✔✔Pharmacists, interns and
TECHS
✔✔Who can take verbal/transferred Rx if controlled substance - ✔✔Pharmacists only
✔✔How long does pharmacy have to transfer script - ✔✔1 business day, even if refill
too soon
✔✔Do verbal Rx from mid level need supervising physicians name - ✔✔technically no
unless CS
, ✔✔NP Rx limits for CII - ✔✔can only write for hydrocodone!
max of 5 days/120 hours
✔✔PA/AP Rx limits for CII - ✔✔can only write for hydrocodone!
max 5 days/120 hours
✔✔NP Rx limits for CIII - ✔✔if opioid: only 120 hours, no refills and expires in 6 months
if non opioid: 90 days, 5 refills in 6 months, expires in 6 months
if buprenorphine: 30 days, no refills
✔✔PA/AP Rx limits for CIII - ✔✔if opioid: max 120 hours, no refills, expires in 6 months
if non opioid: max 120 hours, no refills, expires in 6 months
buprenorphine: max 30 days no refills
✔✔NP Rx limits for CIV & CV - ✔✔full authority
✔✔PA/AP Rx limits for CIV & V - ✔✔full authority
✔✔when to notify prescriber if use generic substitution of biologic agent - ✔✔within 5
days of dispensing
✔✔can you flavor an Rx dispensed by another pharmacy? - ✔✔no
✔✔can you flavor an OTC med - ✔✔only with an Rx
✔✔can you sell syringes with out an Rx - ✔✔not if it says Rx only on packaging
✔✔when can you NOT consolidate refills for a 90 day supply - ✔✔if patient hasnt been
on med for at least 3 months, if doctor indicates they cant, if medication is a controlled
substance
✔✔What's the max amount of days supply that can be emergency dispensed to a
patient - ✔✔7 days unless prescriber deceased then 30
✔✔how long are Med Packs good for? - ✔✔60 days from date of preparation
✔✔can pharmacy accept return of recalled or drugs dispensed in error - ✔✔yes but
cannot return to stock, must dispose of
✔✔If patients rx changed and previously received a med pack with old Rx's, what can
pharmacy do - ✔✔pharmacy can modify the med pack per Rx. keep original BUD of 60
days. Meds cant be returned to stock or redispensed to same patient if taken out of med
pack
