Test Bank for Missouri MPJE Test
Questions
You must notify BNDD within __ days if your pharmacy changes locations. - ✔✔30 days
How long must you retain CII records? - ✔✔2 years
How often is CS inventory required? - ✔✔Annually (in Missouri)
Which drugs must be hand counted in a CS inventory? - ✔✔All CIIs and CIII-V in stock bottles
containing more than 1000 units
Which drug counts can be estimated in a CS inventory? - ✔✔CIII-V in less than 1000 count
stock bottles
T/F: If a pharmacy keeps a perpetual inventory they are not required to do an annual inventory of
CS. - ✔✔False. Perpetual inventory does not replace required annual inventory.
How long must records of CS destruction be kept? - ✔✔2 years
How should CS be stored in the pharmacy? - ✔✔CII locked; CIII-V locked or distributed
throughout inventory
What is the day supply limit on CII Rx? - ✔✔30 days; unless dx is documented can do 90 days
T/F: Prescriber may give patient 3 scripts for Adderall at one visit. - ✔✔True. Cannot exceed 90
day supply. Must write "Do not fill until ____".
,What is required on a CS Rx? - ✔✔Date written; patient name and address; name, address, and
DEA number of prescriber; drug name, strength, and dosage form; quantity to dispense;
directions for use; signature of prescriber
Can a CS Rx be faxed to the pharmacy for fill? - ✔✔Yes. CII may be faxed to get things started;
however, must have original to dispense the drug. CIII-V may be accepted via fax. CII fax is
allowable if LTCF or hospice patient.
What is MO RPh prohibited from changing on a CS Rx? - ✔✔Name, name, name. Patient name,
drug name, and prescriber name.
When may a RPh partial fill CII? - ✔✔Out of stock (must give remainder in 72 hours) and LTCF
or terminally ill patients.
Who is responsible for the CS drugs in E-Kits? - ✔✔The LTCF.
Who regulates CS stock (E-kits) in LTCF? - ✔✔BNDD. DEA does not register or regulate LTCF.
T/F Narcotic drugs can be used to ween patients off narcotics - ✔✔False.
Can methadone be prescribed for opioid dependence? - ✔✔Mostly no. Only for infants (must
document that patient is an infant) and practitioner may administer methadone for 3 days as
patient is getting placed in narcotic treatment program.
T/F: RPh may dispense CS to directly to a prescriber for office use. - ✔✔False. Must obtain a
patient-specific Rx.
T/F: MO prescribers may prescribe CS for themselves. - ✔✔False.
T/F: MO mid-level practitioners may not prescribe to family members. - ✔✔True.
, How does BNDD define "insignificant loss"? - ✔✔Insignificant loss is breaking a tablet or liquid
sticking to the side of the bottle. You know where the drug is. It was not LOST. Requires
documentation and attach to inventory.
How must you report loss or theft to BNDD? - ✔✔Immediately report via phone, fax, or email.
Must submit loss report within 7 days.
T/F An agent from a prescribers office calls to authorize an emergency fill of hydromorphone for
pain for a patient requiring potent pain meds ASAP. She states the pain is so severe only
hydromorphone will do. She only authorizes a 3 day amount and will have the Rx to you within
the next few days. This is legal. - ✔✔False. Emergency fills can only be verbally authorized by
prescriber, not an agent.
How many refills are allowable on CIII-IV Rx? - ✔✔5 refills
How many refills are allowable on CV Rx? - ✔✔As authorized by physician.
What is the quantity limit on CIII-V Rx? - ✔✔90 day supply
How long is a CIII-IV Rx valid? - ✔✔6 months
How long is a CV Rx valid? - ✔✔1 year
What does CMEA stand for? - ✔✔Combat Methamphetamine Epidemic Act
Which form is used for new pharmacy registration with DEA? - ✔✔DEA Form 224
Which form is used to renew pharmacy registration with DEA? - ✔✔DEA Form 224a
Which form can be used to renew pharmacy registration with DEA for a chain pharmacy? -
✔✔DEA Form 224b
Questions
You must notify BNDD within __ days if your pharmacy changes locations. - ✔✔30 days
How long must you retain CII records? - ✔✔2 years
How often is CS inventory required? - ✔✔Annually (in Missouri)
Which drugs must be hand counted in a CS inventory? - ✔✔All CIIs and CIII-V in stock bottles
containing more than 1000 units
Which drug counts can be estimated in a CS inventory? - ✔✔CIII-V in less than 1000 count
stock bottles
T/F: If a pharmacy keeps a perpetual inventory they are not required to do an annual inventory of
CS. - ✔✔False. Perpetual inventory does not replace required annual inventory.
How long must records of CS destruction be kept? - ✔✔2 years
How should CS be stored in the pharmacy? - ✔✔CII locked; CIII-V locked or distributed
throughout inventory
What is the day supply limit on CII Rx? - ✔✔30 days; unless dx is documented can do 90 days
T/F: Prescriber may give patient 3 scripts for Adderall at one visit. - ✔✔True. Cannot exceed 90
day supply. Must write "Do not fill until ____".
,What is required on a CS Rx? - ✔✔Date written; patient name and address; name, address, and
DEA number of prescriber; drug name, strength, and dosage form; quantity to dispense;
directions for use; signature of prescriber
Can a CS Rx be faxed to the pharmacy for fill? - ✔✔Yes. CII may be faxed to get things started;
however, must have original to dispense the drug. CIII-V may be accepted via fax. CII fax is
allowable if LTCF or hospice patient.
What is MO RPh prohibited from changing on a CS Rx? - ✔✔Name, name, name. Patient name,
drug name, and prescriber name.
When may a RPh partial fill CII? - ✔✔Out of stock (must give remainder in 72 hours) and LTCF
or terminally ill patients.
Who is responsible for the CS drugs in E-Kits? - ✔✔The LTCF.
Who regulates CS stock (E-kits) in LTCF? - ✔✔BNDD. DEA does not register or regulate LTCF.
T/F Narcotic drugs can be used to ween patients off narcotics - ✔✔False.
Can methadone be prescribed for opioid dependence? - ✔✔Mostly no. Only for infants (must
document that patient is an infant) and practitioner may administer methadone for 3 days as
patient is getting placed in narcotic treatment program.
T/F: RPh may dispense CS to directly to a prescriber for office use. - ✔✔False. Must obtain a
patient-specific Rx.
T/F: MO prescribers may prescribe CS for themselves. - ✔✔False.
T/F: MO mid-level practitioners may not prescribe to family members. - ✔✔True.
, How does BNDD define "insignificant loss"? - ✔✔Insignificant loss is breaking a tablet or liquid
sticking to the side of the bottle. You know where the drug is. It was not LOST. Requires
documentation and attach to inventory.
How must you report loss or theft to BNDD? - ✔✔Immediately report via phone, fax, or email.
Must submit loss report within 7 days.
T/F An agent from a prescribers office calls to authorize an emergency fill of hydromorphone for
pain for a patient requiring potent pain meds ASAP. She states the pain is so severe only
hydromorphone will do. She only authorizes a 3 day amount and will have the Rx to you within
the next few days. This is legal. - ✔✔False. Emergency fills can only be verbally authorized by
prescriber, not an agent.
How many refills are allowable on CIII-IV Rx? - ✔✔5 refills
How many refills are allowable on CV Rx? - ✔✔As authorized by physician.
What is the quantity limit on CIII-V Rx? - ✔✔90 day supply
How long is a CIII-IV Rx valid? - ✔✔6 months
How long is a CV Rx valid? - ✔✔1 year
What does CMEA stand for? - ✔✔Combat Methamphetamine Epidemic Act
Which form is used for new pharmacy registration with DEA? - ✔✔DEA Form 224
Which form is used to renew pharmacy registration with DEA? - ✔✔DEA Form 224a
Which form can be used to renew pharmacy registration with DEA for a chain pharmacy? -
✔✔DEA Form 224b
