MPJE Exam Review Questions and
Answers17
How many members serve on the BOP? How many are public members? - ANSWERS-3 public
members
6 pharmacists (w/ 5+ yrs practice experience)
appointed by governor
4 year terms
Who can prescribe legend drugs? Can they use them for use in their practice? -
ANSWERS-MD/DO, PA, podiatrist
DDS, Dental Therapists
APRN
Vet
Optometrist
yes, can use in practice
Who can sign a valid Rx if protocol in place with practitioner? - ANSWERS-PharmD, RN, dietician,
nutritionist, med student/resident
Who can prescribe CS Rxs? What classes? - ANSWERS-MD/DO/APRN/PA
DDS
Vet
Podiatrist
Optometrist - limited to schedule IV-V
,How long are Rxs valid from date issued? - ANSWERS-12 months, unless CS
Max number of refills for non-CS? - ANSWERS-May not exceed # of refills for 12 month period
How long are CII, CIII, CIV, CV Rx valid? - ANSWERS-CII - 30 days, if opioid
CIII - 6 mo
CIV - 6 mo
CV - 12 mo
Max # refills for CII, CIII, CIV, CV? - ANSWERS-CII - ZERO
CIII - 5
CIV - 5
CV - not limited to 5
Label requirements for outpatient Rx? - ANSWERS-Pharmacy name, address, phone
Pt name
Prescriber name
Rx #
Generic or trade name, drug strength
Directions, manufacturer, physical description
Aux labels
Date of issue/renewal
Can the prescribed brand name be placed on the label when a generic is dispensed? If so, what
wording is required? - ANSWERS-Can place brand name only in addition to generic name
(example: atorvastatin 40 mg - generic for Lipitor)
, How does a pharmacist determine whether a particular generic drug is suitable as a substitute
for a brand name drug? - ANSWERS-May rely on professional judgement, may consult Orange
Book (but not required)
Must generic savings be passed on to patients? If so, what proportion, and how determined? -
ANSWERS-No legal requirement to pass along cost savings
How can a prescriber indicate that substitution is or is not permitted? - ANSWERS-Write DAW
on Rx, indicate on E-Rx
If taken as verbal order, must indicate DAW
Do patients have the option of demanding the brand name when substitution is permitted?
How about patients whose prescriptions are paid for by public funds? - ANSWERS-Patients may
demand brand name drugs, but insurers do not have to pay for it (assuming on commercial
plan)
If on public fund-sponsored plan, w/closed formulary, does not apply - must fill from formulary
What documentation is required of the pharmacist when product interchange is performed? -
ANSWERS-Pharmacist shall notify the purchaser if the pharmacist is dispensing a drug or
biological product other than the specific drug or biological product prescribed
Under what conditions, if any, is therapeutic substitution allowed? - ANSWERS--Prescriber did
not indicate DAW
-prescribed drug is not covered by pt's ins
-PharmD has written protocol w/prescriber outlining class of drugs for same indication that can
be subbed
Answers17
How many members serve on the BOP? How many are public members? - ANSWERS-3 public
members
6 pharmacists (w/ 5+ yrs practice experience)
appointed by governor
4 year terms
Who can prescribe legend drugs? Can they use them for use in their practice? -
ANSWERS-MD/DO, PA, podiatrist
DDS, Dental Therapists
APRN
Vet
Optometrist
yes, can use in practice
Who can sign a valid Rx if protocol in place with practitioner? - ANSWERS-PharmD, RN, dietician,
nutritionist, med student/resident
Who can prescribe CS Rxs? What classes? - ANSWERS-MD/DO/APRN/PA
DDS
Vet
Podiatrist
Optometrist - limited to schedule IV-V
,How long are Rxs valid from date issued? - ANSWERS-12 months, unless CS
Max number of refills for non-CS? - ANSWERS-May not exceed # of refills for 12 month period
How long are CII, CIII, CIV, CV Rx valid? - ANSWERS-CII - 30 days, if opioid
CIII - 6 mo
CIV - 6 mo
CV - 12 mo
Max # refills for CII, CIII, CIV, CV? - ANSWERS-CII - ZERO
CIII - 5
CIV - 5
CV - not limited to 5
Label requirements for outpatient Rx? - ANSWERS-Pharmacy name, address, phone
Pt name
Prescriber name
Rx #
Generic or trade name, drug strength
Directions, manufacturer, physical description
Aux labels
Date of issue/renewal
Can the prescribed brand name be placed on the label when a generic is dispensed? If so, what
wording is required? - ANSWERS-Can place brand name only in addition to generic name
(example: atorvastatin 40 mg - generic for Lipitor)
, How does a pharmacist determine whether a particular generic drug is suitable as a substitute
for a brand name drug? - ANSWERS-May rely on professional judgement, may consult Orange
Book (but not required)
Must generic savings be passed on to patients? If so, what proportion, and how determined? -
ANSWERS-No legal requirement to pass along cost savings
How can a prescriber indicate that substitution is or is not permitted? - ANSWERS-Write DAW
on Rx, indicate on E-Rx
If taken as verbal order, must indicate DAW
Do patients have the option of demanding the brand name when substitution is permitted?
How about patients whose prescriptions are paid for by public funds? - ANSWERS-Patients may
demand brand name drugs, but insurers do not have to pay for it (assuming on commercial
plan)
If on public fund-sponsored plan, w/closed formulary, does not apply - must fill from formulary
What documentation is required of the pharmacist when product interchange is performed? -
ANSWERS-Pharmacist shall notify the purchaser if the pharmacist is dispensing a drug or
biological product other than the specific drug or biological product prescribed
Under what conditions, if any, is therapeutic substitution allowed? - ANSWERS--Prescriber did
not indicate DAW
-prescribed drug is not covered by pt's ins
-PharmD has written protocol w/prescriber outlining class of drugs for same indication that can
be subbed
