Nebraska Pharmacy Law Study Guide
Exam Questions and Actual Detailed
Answers (2025-2026) Edition.
Reasons a pharmacy can take back dispensed medications? - Answer -for disposal only
-in response to a recall, for disposal only
-from a LTCF, for credit or for relabeling and redispersing
**No CS**
Returns for credit, relabeling, and redispensing from LTCF requirements: - Answer -No CS
-No compounded meds
-must have been in control of LTCF at all times
-in original, unopened, labeled container w/ tamper-evident seal intact
-container must have exp. date and lot # (as defined from manuf. or packager)
-max of 14 d/s
-only intact tabs and caps
Cancer Drug Repository Program - Answer Program for accepting donated cancer drugs and
dispensing such drugs to NE residents
-a prescription drug (of any administration route) used to treat cancer or its side effects
-in original, unopened packaging
-NOT expired
-room temp. drugs only
-NO CS
Participant registry w/ participant's names, address, and telephone #
Must maintain perpetual inventory logbook
Hard copy must be maintained by dispenser for 5 years
Immunosuppressant Drug Repository Program - Answer Program for accepting donated
,Controlled Substances (CII-V) Storage - Answer 1) in a locked cabinet; or
2) distributed throughout the inventory of non-controlled substances
CI must be kept in a locked cabinet
CS Disposal- Owner is registrant - Answer CII-V may be destroyed by:
-pharmacy inspector
-reverse distributor
-federal DEA
Complete records of destruction must be kept for 5 years
CS Disposal- Owner is patient or resident of LTCF or hospital - Answer Owner may transfer CS
to pharmacy for immediate destruction by 2 individuals credentialed under the UCA &
designated by the pharmacy, LTCF, or hospital
Requirements for closing a pharmacy (terminating business) - Answer Tell department w/in 15
days
Notify patients and tell them where their records will be; send proof of notice to department
DEA form 41 - Answer Reverse distributor responsible for filling out
Destruction of CS by sending to reverse distributor
Significant theft or loss of CS - Answer Notify DEA in writing w/in 24 hrs
Notify local police
Notify state inspector
DEA for 106 - Answer Significant theft or loss of CS
Document circumstances and quantities
, What to do if found that there was no significant theft or loss after DEA notified? - Answer No
need to fill out DEA form 106
Notify DEA in writing as to why the issue was resolved
CS inventory requirements - Answer Annually; sent copies to State w/in 30 days (NOT to feds)
-separate CIIs from CIII-V
-date, time of day, signature of person who completed inventory
-EXACT counts of all CS
-does not have to pharmacist by law
Keep inventories x 5 years
{Fed: Biennial; exact count of CII; may estimate CIII-V if in bottles <1,000}
Initial Inventory of CS - Answer Count everything when a DEA registration issued (transferred
registrations, new store, etc)
Send copy to State (NOT to DEA
CS inventory for new PIC - Answer Count everything when you assume responsibility
Non-Routine CS inventories - Answer -Drug is newly scheduled
-Drug is de-scheduled or re-scheduled
-You suspect diversion or theft
**if completed, must send in to state
What records can be stored "Centrally" - Answer Financial records, shipping records, invoices
& packing slips
Exam Questions and Actual Detailed
Answers (2025-2026) Edition.
Reasons a pharmacy can take back dispensed medications? - Answer -for disposal only
-in response to a recall, for disposal only
-from a LTCF, for credit or for relabeling and redispersing
**No CS**
Returns for credit, relabeling, and redispensing from LTCF requirements: - Answer -No CS
-No compounded meds
-must have been in control of LTCF at all times
-in original, unopened, labeled container w/ tamper-evident seal intact
-container must have exp. date and lot # (as defined from manuf. or packager)
-max of 14 d/s
-only intact tabs and caps
Cancer Drug Repository Program - Answer Program for accepting donated cancer drugs and
dispensing such drugs to NE residents
-a prescription drug (of any administration route) used to treat cancer or its side effects
-in original, unopened packaging
-NOT expired
-room temp. drugs only
-NO CS
Participant registry w/ participant's names, address, and telephone #
Must maintain perpetual inventory logbook
Hard copy must be maintained by dispenser for 5 years
Immunosuppressant Drug Repository Program - Answer Program for accepting donated
,Controlled Substances (CII-V) Storage - Answer 1) in a locked cabinet; or
2) distributed throughout the inventory of non-controlled substances
CI must be kept in a locked cabinet
CS Disposal- Owner is registrant - Answer CII-V may be destroyed by:
-pharmacy inspector
-reverse distributor
-federal DEA
Complete records of destruction must be kept for 5 years
CS Disposal- Owner is patient or resident of LTCF or hospital - Answer Owner may transfer CS
to pharmacy for immediate destruction by 2 individuals credentialed under the UCA &
designated by the pharmacy, LTCF, or hospital
Requirements for closing a pharmacy (terminating business) - Answer Tell department w/in 15
days
Notify patients and tell them where their records will be; send proof of notice to department
DEA form 41 - Answer Reverse distributor responsible for filling out
Destruction of CS by sending to reverse distributor
Significant theft or loss of CS - Answer Notify DEA in writing w/in 24 hrs
Notify local police
Notify state inspector
DEA for 106 - Answer Significant theft or loss of CS
Document circumstances and quantities
, What to do if found that there was no significant theft or loss after DEA notified? - Answer No
need to fill out DEA form 106
Notify DEA in writing as to why the issue was resolved
CS inventory requirements - Answer Annually; sent copies to State w/in 30 days (NOT to feds)
-separate CIIs from CIII-V
-date, time of day, signature of person who completed inventory
-EXACT counts of all CS
-does not have to pharmacist by law
Keep inventories x 5 years
{Fed: Biennial; exact count of CII; may estimate CIII-V if in bottles <1,000}
Initial Inventory of CS - Answer Count everything when a DEA registration issued (transferred
registrations, new store, etc)
Send copy to State (NOT to DEA
CS inventory for new PIC - Answer Count everything when you assume responsibility
Non-Routine CS inventories - Answer -Drug is newly scheduled
-Drug is de-scheduled or re-scheduled
-You suspect diversion or theft
**if completed, must send in to state
What records can be stored "Centrally" - Answer Financial records, shipping records, invoices
& packing slips
