INDIANA MPJE COMPREHENSIVE EXAM QUESTIONS AND
SOLUTIONS RATED A+
✔✔CIII and CIV may have no more than _____ refills in 180 days - ✔✔5
✔✔CV refills - ✔✔May be refilled as prescriber authorized (federal law which is stricter
limits this to 5 refills)
✔✔If a prescriber gives a verbal OK to refill an RX, you must document the date,
quantity authorized and _______ initials - ✔✔pharmacists
✔✔Information required for dispensed refills - ✔✔-drug name, strength, dose, quantity
(if different from original)
-date of original fill and date of refill authorization
-date of other refills
-pharmacist identification
✔✔Emergency supply: Pharmacist may refill a legend drug (non CS) _____ time
without authorization from the prescriber if reasonable effort to reach prescriber has
failed and failure to provide refill would be detrimental to the patients health - ✔✔one
✔✔In order to do an emergency supply, the original RX must have had _______ that
have been dispensed or expired - ✔✔refills- no refills originally, no emergency supply
✔✔For an emergency supply, the drug must be taken _____ and the patient must be
_____ with therapy - ✔✔routinely
compliant
✔✔After an emergency supply is dispensed, the prescriber must be notified on the next
_________ day - ✔✔business
✔✔How much can you dispense as an emergency supply? - ✔✔Quantity sufficient to
get the patient to the next business day (amount can be greater if drug is packaged in a
form that the pharmacist cannot reasonably reduce like inhaler or insulin)
✔✔What documentation is required for an emergency supply? - ✔✔date and time
attempt to reach prescriber, all usual refill info, statement that RX was dispensed
without prescriber authorization
✔✔How many times can legend drugs (non CS) be transferred? - ✔✔As many times as
there are refills
✔✔How many times can CS be transferred? - ✔✔CIIs: none
,CIII-CV: one (unless the pharmacies share a real online database. Then it can be
transferred as many times as there are refills)
✔✔Transferring pharmacist must ______ the prescription and indicate it has been
transferred - ✔✔void
✔✔What must the transferring pharmacist record during a transfer? - ✔✔-name,
address, and DEA of other pharmacy
-RPh name
-date of transfer
✔✔What must the receiving pharmacist record during a transfer? - ✔✔-date of issue
-original refills, remaining refills
-date of original fill, date of last fill
-RPh name
name, address, DEA of other pharmacy
✔✔T/F: Patient has a right to transfer a RX unless deemed otherwise by a pharmacist -
✔✔True
✔✔A _____ ______ is an order from a prescriber for a hospital patient - ✔✔drug order
✔✔What info is required for a drug order? - ✔✔-patient name and bed #
-drug/device name and strength
-duration
-adequate directions for proper use
-prescriber name
✔✔Emergency drug kits for institutional use are selected by a committee and reviewed
_______ - ✔✔annually (drugs and quantities)
✔✔What is the expiration of emergency drug kits? - ✔✔earliest expiration drug inside kit
✔✔Pharmacy must be notified in a ______ _____ to restock emergency drug kits -
✔✔timely manner
✔✔Can practitioners dispense CS drug samples? - ✔✔Yes!
They can never remove any drug sample from its original package
✔✔Misbranded - ✔✔false or misleading labeling, if package fails to have on it
information required by law, if labeling is not as prominently displayed, if the name is not
an official compendium, if there is no warning on certain CS, inadequate instructions for
use
, ✔✔Adulterated - ✔✔filthy, putrid, decomposed, contaminated, poisonous, wrong
strength, labeled as compendium but fails to meet compendium standards, mixed or
packed in a manner that reduces its quality or strength
✔✔The pharmacist has equal liability as the prescriber for dispensing a prescription that
would be dangerous to the patient - ✔✔Corresponding responsibility
✔✔Insulin in IN - ✔✔All insulin requires a prescription unlike in KY
✔✔Pharmacist must be presented with a ________ drug in order for the generic sub
rule to go into effect. Sub must be a generically __________ drug - ✔✔brand name
equivalent
✔✔T/F: If prescriber writes for brand name and a substitution occurs, the patient must
be informed - ✔✔True
Pharmacist shall note the name of the manufacturer or distributor of the generic drug
✔✔What must a prescriber write on medicaid or medicare RXs to exclude generic
substitution? - ✔✔Brand medical necessary
If the RX is oral, the prescriber must provide the pharmacy with a written or electronic
RX that has "brand medically necessary" on it
✔✔What must the bottle state if a brand generic substitution occurs? - ✔✔_________
for _________
"atenolol for Tenormin"
✔✔Orange Book code: AA - ✔✔No bioequivalence problems in conventional dosage
forms
✔✔Orange Bok code: AB - ✔✔Meets necessary bioequivalence requirements
✔✔Orange Book code: EE - ✔✔Entry has been evaluated by the FDA, but a rating is
not available for this labeler's product
✔✔Orange Book code: ZZ - ✔✔FDA standard with no orange book code
✔✔Orange book code: B* - ✔✔Requires further FDA investigation and review
SOLUTIONS RATED A+
✔✔CIII and CIV may have no more than _____ refills in 180 days - ✔✔5
✔✔CV refills - ✔✔May be refilled as prescriber authorized (federal law which is stricter
limits this to 5 refills)
✔✔If a prescriber gives a verbal OK to refill an RX, you must document the date,
quantity authorized and _______ initials - ✔✔pharmacists
✔✔Information required for dispensed refills - ✔✔-drug name, strength, dose, quantity
(if different from original)
-date of original fill and date of refill authorization
-date of other refills
-pharmacist identification
✔✔Emergency supply: Pharmacist may refill a legend drug (non CS) _____ time
without authorization from the prescriber if reasonable effort to reach prescriber has
failed and failure to provide refill would be detrimental to the patients health - ✔✔one
✔✔In order to do an emergency supply, the original RX must have had _______ that
have been dispensed or expired - ✔✔refills- no refills originally, no emergency supply
✔✔For an emergency supply, the drug must be taken _____ and the patient must be
_____ with therapy - ✔✔routinely
compliant
✔✔After an emergency supply is dispensed, the prescriber must be notified on the next
_________ day - ✔✔business
✔✔How much can you dispense as an emergency supply? - ✔✔Quantity sufficient to
get the patient to the next business day (amount can be greater if drug is packaged in a
form that the pharmacist cannot reasonably reduce like inhaler or insulin)
✔✔What documentation is required for an emergency supply? - ✔✔date and time
attempt to reach prescriber, all usual refill info, statement that RX was dispensed
without prescriber authorization
✔✔How many times can legend drugs (non CS) be transferred? - ✔✔As many times as
there are refills
✔✔How many times can CS be transferred? - ✔✔CIIs: none
,CIII-CV: one (unless the pharmacies share a real online database. Then it can be
transferred as many times as there are refills)
✔✔Transferring pharmacist must ______ the prescription and indicate it has been
transferred - ✔✔void
✔✔What must the transferring pharmacist record during a transfer? - ✔✔-name,
address, and DEA of other pharmacy
-RPh name
-date of transfer
✔✔What must the receiving pharmacist record during a transfer? - ✔✔-date of issue
-original refills, remaining refills
-date of original fill, date of last fill
-RPh name
name, address, DEA of other pharmacy
✔✔T/F: Patient has a right to transfer a RX unless deemed otherwise by a pharmacist -
✔✔True
✔✔A _____ ______ is an order from a prescriber for a hospital patient - ✔✔drug order
✔✔What info is required for a drug order? - ✔✔-patient name and bed #
-drug/device name and strength
-duration
-adequate directions for proper use
-prescriber name
✔✔Emergency drug kits for institutional use are selected by a committee and reviewed
_______ - ✔✔annually (drugs and quantities)
✔✔What is the expiration of emergency drug kits? - ✔✔earliest expiration drug inside kit
✔✔Pharmacy must be notified in a ______ _____ to restock emergency drug kits -
✔✔timely manner
✔✔Can practitioners dispense CS drug samples? - ✔✔Yes!
They can never remove any drug sample from its original package
✔✔Misbranded - ✔✔false or misleading labeling, if package fails to have on it
information required by law, if labeling is not as prominently displayed, if the name is not
an official compendium, if there is no warning on certain CS, inadequate instructions for
use
, ✔✔Adulterated - ✔✔filthy, putrid, decomposed, contaminated, poisonous, wrong
strength, labeled as compendium but fails to meet compendium standards, mixed or
packed in a manner that reduces its quality or strength
✔✔The pharmacist has equal liability as the prescriber for dispensing a prescription that
would be dangerous to the patient - ✔✔Corresponding responsibility
✔✔Insulin in IN - ✔✔All insulin requires a prescription unlike in KY
✔✔Pharmacist must be presented with a ________ drug in order for the generic sub
rule to go into effect. Sub must be a generically __________ drug - ✔✔brand name
equivalent
✔✔T/F: If prescriber writes for brand name and a substitution occurs, the patient must
be informed - ✔✔True
Pharmacist shall note the name of the manufacturer or distributor of the generic drug
✔✔What must a prescriber write on medicaid or medicare RXs to exclude generic
substitution? - ✔✔Brand medical necessary
If the RX is oral, the prescriber must provide the pharmacy with a written or electronic
RX that has "brand medically necessary" on it
✔✔What must the bottle state if a brand generic substitution occurs? - ✔✔_________
for _________
"atenolol for Tenormin"
✔✔Orange Book code: AA - ✔✔No bioequivalence problems in conventional dosage
forms
✔✔Orange Bok code: AB - ✔✔Meets necessary bioequivalence requirements
✔✔Orange Book code: EE - ✔✔Entry has been evaluated by the FDA, but a rating is
not available for this labeler's product
✔✔Orange Book code: ZZ - ✔✔FDA standard with no orange book code
✔✔Orange book code: B* - ✔✔Requires further FDA investigation and review
