MA MPJE UPDATED EXAMS TEST QUESTIONS
AND ANSWERS SURE A+
✔✔out of state C3-6 scripts can be issued by any authorized doc from any state BUT -
✔✔must be filled within 30 days of the date WRITTEN
pharmacists must request and record that a written script be forwarded within 7 days for
any out of state C3-5 ORAL scripts
✔✔t/f nonnarcotic C2s can be issued by authorized docs from any state - ✔✔true, but
must be filled within 5 days of written date
✔✔t/f nonnarcotic C2 scripts can be issued only by auth prescribers who are properly
licensed and registered in CT, ME, MA, NH, NY, RI, VT - ✔✔true, but must be filled
within 5 days of written date
✔✔if a script is from a out of state for a C2-5, the refistered pharmacist shall - ✔✔verify
the script by telephone or other means
if they can't get verification, cannot fill script. as long as documentation and good faith
effort was made, rph is not liable for refusing to fill a script
✔✔any script for C2 substance filled from out of state prescriber, a pharmacist filling
such script must within 30 days after filling it - ✔✔deliver a copy to department of each
script provided that the copy does not have name and address of patient for who the
script was for and that the copy and info on there is not deemed to be public record
✔✔mid-level practitioner with independent prescriptive practice authority is NOT
required to have a supervisor and therefore - ✔✔does not need a supervisor name on
the script
rph is not expected to verify indepdentnt prescriptive practice authority
,✔✔pharmacies must transfer a script to another pharmacy in a timely manner at the
request of _____ - ✔✔a patient or their agent
✔✔for transfer, need to write what - ✔✔"transfer" on incoming script and "void" on
outgoing invalidated script
✔✔t/f all refills msut be transferred too - ✔✔true
✔✔what needs to be recorded for transfer - ✔✔rph and pharmacy name, DEA #
✔✔C3-5 transfers can be transferred how many times - ✔✔once unless federal says
otherwise
✔✔C6 rtansfers can be transferred within _____ of date of issuance - ✔✔1 year
✔✔both original and transferred scripts must be maintained for - ✔✔2 years from date
of LAST refill
✔✔unfilled original electronic scripts for controls. (EPCS) C2-5 can be -
✔✔electronically transmitted from one pharmacy to another without any alteration of
script contents on a ONE-TIME BASIS
✔✔unfilled paper, fax, or oral scripts for C2-5 - ✔✔NOT permissible to transfer these
✔✔does entering a unfilled paper, fax, or oral script into electronic database transform it
into an EPCS - ✔✔NO
these scripts remain subject to all regulations applicable to paper, fax, or oral scripts
✔✔after original of a C2-5 unfilled paper, fax, or oral script is filled, the refills can or
cannot be transferred? - ✔✔yes, refills can be transferred only after original script is
filled
✔✔can unfilled or refill electronic, paper, fax, or oral C6 scripts be transferred to another
pharmacy? - ✔✔yes
✔✔C6 meds can be provided to ensure patient continuity of care if a script has no more
refills, and pharmacist cannot - ✔✔obtain prescriber auth in timely manner
can't exceed 30 day supply or smallest unit of use package
,✔✔only C_ meds that do not require reporting to PMP can be provided for continuity of
care - ✔✔6
✔✔can gabapentin be provided for continuity of care - ✔✔no because in PMP
✔✔pharmacy does not have to develop policies and procedures for continuity of care
dispensing - ✔✔false, they must
✔✔when a prescriber-patient relationship has ended because a prescriber stopped
practicing, established drug therapy may be continued in order to enable patient time to
establish a relationship with another prescriber IF: - ✔✔-script must have been issued
pursuant to proper prescriber-patient relationship while prescriber was still in practice
- script is in expiry period based on date of issuance (ex, C3 within 6 mos)
- previously filled C3-6 script HAS remaining auth refills
- if multiple C2s had been issued, they may be honored
- pharmacist uses judgement to ensure dispensing of med remains appropriate
✔✔what needs to be on prescription labeling? - ✔✔date of fill
pharmacy name and address
filling rph initials
serial no. of script
name of patient unless vet
name of prescriber
name of controlled substance
directions for use
cautionary statements if needed
# of capsules or tabs in container
when less expensive product is substituted, the phrase interchange or "IC: generic
name of less expensive drug plus mfr name"
exp date from mfr container or one year from dispense date, whichever is earlier
BUD of compounded prep
✔✔what needs to go on labeling for compounding meds - ✔✔write that it is a sterile or
non-sterile compounded drug preparation to notify prescriberd users and practitioners
a phone number so patients can speak to pharmacist employed at pharmacy who has
access to patient's records
(phone number shall be staffed during regular hours of operation every day and not less
than 56 hours/week)
✔✔dept of public health produces and distributes wither written or electronic forms to
pharmacies (but not institutional pharmacies) pamphlets for consumers relative to
narcotic drugs like opiates that include educational information - ✔✔the pharmacist shall
distribute the pamphlet when dispensing a narcotic or controlled substance in the C2 or
3
, ✔✔a pharmacist or designee must offer to counsel any person who presents a _____ -
✔✔new script for filling
offer made face to face or by telephone except when patient's needs require an
alternative method of counseling
✔✔who can provide counseling on each new drug and each drug that is significant to
health and safety of patient? - ✔✔pharmacist or pharmacy intern
✔✔how is this rule satisfied if person elects to get scripts delivered? - ✔✔provide the
person with a toll-free phone service for communication to facilitate communication
between person and pharmacist
number shall be printed on a label affixed to EACH container of a prescription drug
dispensed
✔✔statement next to toll-free phone number - ✔✔"dear patient, you have the right to
know about the proper use of your medication and its effects. if you need more
information please ask the pharmacist"
printed material may accompany this statement if they are informed that it is not
comprehensive and the patient should call if needed
✔✔counseling can be done by - ✔✔pharmacist or intern if supervised and must be
available at ALL times the pharmacy is open
✔✔t/f counseling is required by a pharmacist if the person presenting the script declines
the offer for counseling - ✔✔false
✔✔absence of any record of a failure to accept rph's offer to counsel shall create the
presumption that - ✔✔counseling was provided
✔✔do these counseling rules apply to inpatient meds or any setting where meds are
administered by an tuhroized individual? - ✔✔no
✔✔when does rph license expire - ✔✔december 31st on even years
✔✔when does pharm tech license expire - ✔✔biennically on birthday of licensee
✔✔pharmacy license expiration (regular and controlled substance registration) including
retail drug business within retail food store or other retail store - ✔✔december 31st on
UNeven years
AND ANSWERS SURE A+
✔✔out of state C3-6 scripts can be issued by any authorized doc from any state BUT -
✔✔must be filled within 30 days of the date WRITTEN
pharmacists must request and record that a written script be forwarded within 7 days for
any out of state C3-5 ORAL scripts
✔✔t/f nonnarcotic C2s can be issued by authorized docs from any state - ✔✔true, but
must be filled within 5 days of written date
✔✔t/f nonnarcotic C2 scripts can be issued only by auth prescribers who are properly
licensed and registered in CT, ME, MA, NH, NY, RI, VT - ✔✔true, but must be filled
within 5 days of written date
✔✔if a script is from a out of state for a C2-5, the refistered pharmacist shall - ✔✔verify
the script by telephone or other means
if they can't get verification, cannot fill script. as long as documentation and good faith
effort was made, rph is not liable for refusing to fill a script
✔✔any script for C2 substance filled from out of state prescriber, a pharmacist filling
such script must within 30 days after filling it - ✔✔deliver a copy to department of each
script provided that the copy does not have name and address of patient for who the
script was for and that the copy and info on there is not deemed to be public record
✔✔mid-level practitioner with independent prescriptive practice authority is NOT
required to have a supervisor and therefore - ✔✔does not need a supervisor name on
the script
rph is not expected to verify indepdentnt prescriptive practice authority
,✔✔pharmacies must transfer a script to another pharmacy in a timely manner at the
request of _____ - ✔✔a patient or their agent
✔✔for transfer, need to write what - ✔✔"transfer" on incoming script and "void" on
outgoing invalidated script
✔✔t/f all refills msut be transferred too - ✔✔true
✔✔what needs to be recorded for transfer - ✔✔rph and pharmacy name, DEA #
✔✔C3-5 transfers can be transferred how many times - ✔✔once unless federal says
otherwise
✔✔C6 rtansfers can be transferred within _____ of date of issuance - ✔✔1 year
✔✔both original and transferred scripts must be maintained for - ✔✔2 years from date
of LAST refill
✔✔unfilled original electronic scripts for controls. (EPCS) C2-5 can be -
✔✔electronically transmitted from one pharmacy to another without any alteration of
script contents on a ONE-TIME BASIS
✔✔unfilled paper, fax, or oral scripts for C2-5 - ✔✔NOT permissible to transfer these
✔✔does entering a unfilled paper, fax, or oral script into electronic database transform it
into an EPCS - ✔✔NO
these scripts remain subject to all regulations applicable to paper, fax, or oral scripts
✔✔after original of a C2-5 unfilled paper, fax, or oral script is filled, the refills can or
cannot be transferred? - ✔✔yes, refills can be transferred only after original script is
filled
✔✔can unfilled or refill electronic, paper, fax, or oral C6 scripts be transferred to another
pharmacy? - ✔✔yes
✔✔C6 meds can be provided to ensure patient continuity of care if a script has no more
refills, and pharmacist cannot - ✔✔obtain prescriber auth in timely manner
can't exceed 30 day supply or smallest unit of use package
,✔✔only C_ meds that do not require reporting to PMP can be provided for continuity of
care - ✔✔6
✔✔can gabapentin be provided for continuity of care - ✔✔no because in PMP
✔✔pharmacy does not have to develop policies and procedures for continuity of care
dispensing - ✔✔false, they must
✔✔when a prescriber-patient relationship has ended because a prescriber stopped
practicing, established drug therapy may be continued in order to enable patient time to
establish a relationship with another prescriber IF: - ✔✔-script must have been issued
pursuant to proper prescriber-patient relationship while prescriber was still in practice
- script is in expiry period based on date of issuance (ex, C3 within 6 mos)
- previously filled C3-6 script HAS remaining auth refills
- if multiple C2s had been issued, they may be honored
- pharmacist uses judgement to ensure dispensing of med remains appropriate
✔✔what needs to be on prescription labeling? - ✔✔date of fill
pharmacy name and address
filling rph initials
serial no. of script
name of patient unless vet
name of prescriber
name of controlled substance
directions for use
cautionary statements if needed
# of capsules or tabs in container
when less expensive product is substituted, the phrase interchange or "IC: generic
name of less expensive drug plus mfr name"
exp date from mfr container or one year from dispense date, whichever is earlier
BUD of compounded prep
✔✔what needs to go on labeling for compounding meds - ✔✔write that it is a sterile or
non-sterile compounded drug preparation to notify prescriberd users and practitioners
a phone number so patients can speak to pharmacist employed at pharmacy who has
access to patient's records
(phone number shall be staffed during regular hours of operation every day and not less
than 56 hours/week)
✔✔dept of public health produces and distributes wither written or electronic forms to
pharmacies (but not institutional pharmacies) pamphlets for consumers relative to
narcotic drugs like opiates that include educational information - ✔✔the pharmacist shall
distribute the pamphlet when dispensing a narcotic or controlled substance in the C2 or
3
, ✔✔a pharmacist or designee must offer to counsel any person who presents a _____ -
✔✔new script for filling
offer made face to face or by telephone except when patient's needs require an
alternative method of counseling
✔✔who can provide counseling on each new drug and each drug that is significant to
health and safety of patient? - ✔✔pharmacist or pharmacy intern
✔✔how is this rule satisfied if person elects to get scripts delivered? - ✔✔provide the
person with a toll-free phone service for communication to facilitate communication
between person and pharmacist
number shall be printed on a label affixed to EACH container of a prescription drug
dispensed
✔✔statement next to toll-free phone number - ✔✔"dear patient, you have the right to
know about the proper use of your medication and its effects. if you need more
information please ask the pharmacist"
printed material may accompany this statement if they are informed that it is not
comprehensive and the patient should call if needed
✔✔counseling can be done by - ✔✔pharmacist or intern if supervised and must be
available at ALL times the pharmacy is open
✔✔t/f counseling is required by a pharmacist if the person presenting the script declines
the offer for counseling - ✔✔false
✔✔absence of any record of a failure to accept rph's offer to counsel shall create the
presumption that - ✔✔counseling was provided
✔✔do these counseling rules apply to inpatient meds or any setting where meds are
administered by an tuhroized individual? - ✔✔no
✔✔when does rph license expire - ✔✔december 31st on even years
✔✔when does pharm tech license expire - ✔✔biennically on birthday of licensee
✔✔pharmacy license expiration (regular and controlled substance registration) including
retail drug business within retail food store or other retail store - ✔✔december 31st on
UNeven years
