MA MPJE LATEST TEST REVIEW QUESTIONS AND
ANSWERS SURE A+
✔✔practitioners who want to prescribe more than one drug product shall place each
one on a ______ - ✔✔separate prescription
✔✔more than one drug product CAN be prescribed in what setting? - ✔✔hospital
setting on a single form provided the script has clear directions for use and interchange
of each drug product
✔✔what can NEVER Be changed on a script regardless of schedule? - ✔✔patient
name (diff patient)
substance prescribed (except generic sub if permitted)
prescriber name
prescriber signature
earliest fill date if a C2
✔✔what can be added or changed on a script WITHOUT consulting the prescriber? -
✔✔patient address if omitted
prescriber DEA if omitted
day supply dispensed (only if the drug does not get reported to PMP)
for schedule 4 only:
prescriber's mass controlled substance registration (MCSR) number can be added
flavoring agents can be added to script upon patient request or their agent without
consult with prescriber or auth. agent
✔✔more info on changing days supply without consulting doctor - ✔✔ex. can dispense
a 30 day with 2 refills dispensed as one 90 day supply
pharmacists are advised to exercise extreme caution with drug classes where a change
in days supply can put a patient at risk (NTI drugs like Li, warf, antipsych, antidep)
,✔✔2022 MassHealth change - ✔✔starting in 2022, Mass Health made it mandatory for
certain designated generics, low net cost drugs, and brand name preferred drugs of
MassHealth drug list to be dispensed in 90 day supply after first fill
✔✔oral contraceptives can be dispensed in a qty up to _____ month supply in single fill
- ✔✔12
✔✔what can be changed on a script WITH consultation - ✔✔NOTE: C2 changes- must
consult with prescriber; C3-5 must also consult with prescriber OR auth agent
date written can be added but ONLY if omitted
prescriber address
patient address change (can add if omitted without consult but if changing then must
confirm w agent of provider for C2-4)
directions
dosage form
strength
qty
supervisor physicians name for mid-level script
refills (C2-4)
"no sub" may be added and prescriber's office should be notified if this is omitted
"partial fill upon request" language for C2 may be added and prescriber office should be
notified if omitted
✔✔when changes are made: document the - ✔✔date, item changed or added, name of
person who authorized change, and name of rph accepting change
✔✔do you need a script for needles and syringes - ✔✔no
✔✔is there a limit to type or number of syringes that can be sold to any one customer -
✔✔no
✔✔is there age or ID reqs to buy needles or syringes - ✔✔no
✔✔hypodermic needles/syringes to admin controlled substances by injection may be
sold in the ---- - ✔✔commonwealth only by an rph or wholesale druggist, a mfr of or
dealer in surgical supplies or a mfr of, or dealer in embalming supplies
✔✔nonprescription products with pseudoephedrine or ephedrine shall be maintained
where? - ✔✔behind counter OR in a locked case
✔✔nonprescription products with pseudoephedrine or ephedrine- retailer records shall
include - ✔✔name and address of purchaser, name and qty product bought, date and
,time and purchaser ID type and # (such as license state and #) and require purchaser's
signature in log book
✔✔what needs to be shown to buy nonprescription products with pseudoephedrine or
ephedrine at retailer - ✔✔valid govt issued photo ID at point of sale
✔✔how old do you need to be to buy nonprescription products with pseudoephedrine or
ephedrine - ✔✔18
✔✔what does a retailer have to do before completing sale of nonprescription products
with pseudoephedrine or ephedrine? - ✔✔electronically submit the req info to a REAL
TIME stop system
system shall be capable of generating stop sale alert which shall tell the retailer that
completing the sale would result in them violating federal qty limits
✔✔federal qty limits on PRESCRIPTION products with pseudoephedrine or ephedrinep
- ✔✔rules do not apply
✔✔t/f MA schedules 1-5 follows federal guidelines - ✔✔true
✔✔hydrocodone-only ER med that is NOT in an abuse deterrent form (C2) has special
handling rules - ✔✔-can only be handled by rph or intern (NOT a certified tech like other
c2)
-must be stored in securely locked cabinet within pharmacy, cannot disperse with other
C2s
-must be dispensed in childproof container or in locked box
-prescriber must supply Letter of Medical Necessity for EACH prescription (dx, tx plan,
and risk assessment)
- need written warning with each script
-rph must counsel and must check pt hx on PMP
✔✔MA board regulations prohibit physicians except in an EMERGENCY from
prescribing... - ✔✔C2s to member of immediate family
✔✔physicians are prohibited from prescribing controls in C2-4 - ✔✔for their own use
✔✔a licensee shall require that a customer identifier be presented by ultimate user or
agent of ultimate user to whom a script for C2-5 or control classified as an additional
drug is dispensed: - ✔✔customer identifier means ID # on a valid govt issued license
such as military ID, license, passport
, ✔✔licensee may dispense C2-5 or additional drug WITHOUT requiring customer ID if -
✔✔licensee has reason to think the failure to dispense the control would result in
serious hardship for ultimate user or agent of ultimate user and document the reason
AND
ultimate user or agent prints his or her name and address on reverse side of script or in
electronic or paper prescription log and signs their name
✔✔C6= - ✔✔all prescription meds not in C1-5
✔✔to establish criminal penalties for violations there are 5 classes of controlled
substances: - ✔✔violations involving class A carry most severe punishments and
violations with least severe involve class E
✔✔class A drug examples - ✔✔GHB
heroin
morphine
fentanyl
ketamine
✔✔class B examples - ✔✔opium and opiate, and any salt, compound, or derivative
MDMA
methadone
LSD
methylphenidate
amphetamine
✔✔class C examples - ✔✔BZDs
mescaline
peyote
psilocybin
<1.8 g codeine/100 mL or <90 mg per dosage unit with => quantity of isoquinoline
alkaloid of opium
✔✔class D examples - ✔✔phenobarbital
marijuana
✔✔class E examples - ✔✔<200 mg codeine /100 mL or gm
ANY prescription drug not in classes A-D
✔✔onto refill laws now - ✔✔
✔✔C2 script expiration - ✔✔30 days
✔✔C2 script refills/partials - ✔✔partials within 30 days
ANSWERS SURE A+
✔✔practitioners who want to prescribe more than one drug product shall place each
one on a ______ - ✔✔separate prescription
✔✔more than one drug product CAN be prescribed in what setting? - ✔✔hospital
setting on a single form provided the script has clear directions for use and interchange
of each drug product
✔✔what can NEVER Be changed on a script regardless of schedule? - ✔✔patient
name (diff patient)
substance prescribed (except generic sub if permitted)
prescriber name
prescriber signature
earliest fill date if a C2
✔✔what can be added or changed on a script WITHOUT consulting the prescriber? -
✔✔patient address if omitted
prescriber DEA if omitted
day supply dispensed (only if the drug does not get reported to PMP)
for schedule 4 only:
prescriber's mass controlled substance registration (MCSR) number can be added
flavoring agents can be added to script upon patient request or their agent without
consult with prescriber or auth. agent
✔✔more info on changing days supply without consulting doctor - ✔✔ex. can dispense
a 30 day with 2 refills dispensed as one 90 day supply
pharmacists are advised to exercise extreme caution with drug classes where a change
in days supply can put a patient at risk (NTI drugs like Li, warf, antipsych, antidep)
,✔✔2022 MassHealth change - ✔✔starting in 2022, Mass Health made it mandatory for
certain designated generics, low net cost drugs, and brand name preferred drugs of
MassHealth drug list to be dispensed in 90 day supply after first fill
✔✔oral contraceptives can be dispensed in a qty up to _____ month supply in single fill
- ✔✔12
✔✔what can be changed on a script WITH consultation - ✔✔NOTE: C2 changes- must
consult with prescriber; C3-5 must also consult with prescriber OR auth agent
date written can be added but ONLY if omitted
prescriber address
patient address change (can add if omitted without consult but if changing then must
confirm w agent of provider for C2-4)
directions
dosage form
strength
qty
supervisor physicians name for mid-level script
refills (C2-4)
"no sub" may be added and prescriber's office should be notified if this is omitted
"partial fill upon request" language for C2 may be added and prescriber office should be
notified if omitted
✔✔when changes are made: document the - ✔✔date, item changed or added, name of
person who authorized change, and name of rph accepting change
✔✔do you need a script for needles and syringes - ✔✔no
✔✔is there a limit to type or number of syringes that can be sold to any one customer -
✔✔no
✔✔is there age or ID reqs to buy needles or syringes - ✔✔no
✔✔hypodermic needles/syringes to admin controlled substances by injection may be
sold in the ---- - ✔✔commonwealth only by an rph or wholesale druggist, a mfr of or
dealer in surgical supplies or a mfr of, or dealer in embalming supplies
✔✔nonprescription products with pseudoephedrine or ephedrine shall be maintained
where? - ✔✔behind counter OR in a locked case
✔✔nonprescription products with pseudoephedrine or ephedrine- retailer records shall
include - ✔✔name and address of purchaser, name and qty product bought, date and
,time and purchaser ID type and # (such as license state and #) and require purchaser's
signature in log book
✔✔what needs to be shown to buy nonprescription products with pseudoephedrine or
ephedrine at retailer - ✔✔valid govt issued photo ID at point of sale
✔✔how old do you need to be to buy nonprescription products with pseudoephedrine or
ephedrine - ✔✔18
✔✔what does a retailer have to do before completing sale of nonprescription products
with pseudoephedrine or ephedrine? - ✔✔electronically submit the req info to a REAL
TIME stop system
system shall be capable of generating stop sale alert which shall tell the retailer that
completing the sale would result in them violating federal qty limits
✔✔federal qty limits on PRESCRIPTION products with pseudoephedrine or ephedrinep
- ✔✔rules do not apply
✔✔t/f MA schedules 1-5 follows federal guidelines - ✔✔true
✔✔hydrocodone-only ER med that is NOT in an abuse deterrent form (C2) has special
handling rules - ✔✔-can only be handled by rph or intern (NOT a certified tech like other
c2)
-must be stored in securely locked cabinet within pharmacy, cannot disperse with other
C2s
-must be dispensed in childproof container or in locked box
-prescriber must supply Letter of Medical Necessity for EACH prescription (dx, tx plan,
and risk assessment)
- need written warning with each script
-rph must counsel and must check pt hx on PMP
✔✔MA board regulations prohibit physicians except in an EMERGENCY from
prescribing... - ✔✔C2s to member of immediate family
✔✔physicians are prohibited from prescribing controls in C2-4 - ✔✔for their own use
✔✔a licensee shall require that a customer identifier be presented by ultimate user or
agent of ultimate user to whom a script for C2-5 or control classified as an additional
drug is dispensed: - ✔✔customer identifier means ID # on a valid govt issued license
such as military ID, license, passport
, ✔✔licensee may dispense C2-5 or additional drug WITHOUT requiring customer ID if -
✔✔licensee has reason to think the failure to dispense the control would result in
serious hardship for ultimate user or agent of ultimate user and document the reason
AND
ultimate user or agent prints his or her name and address on reverse side of script or in
electronic or paper prescription log and signs their name
✔✔C6= - ✔✔all prescription meds not in C1-5
✔✔to establish criminal penalties for violations there are 5 classes of controlled
substances: - ✔✔violations involving class A carry most severe punishments and
violations with least severe involve class E
✔✔class A drug examples - ✔✔GHB
heroin
morphine
fentanyl
ketamine
✔✔class B examples - ✔✔opium and opiate, and any salt, compound, or derivative
MDMA
methadone
LSD
methylphenidate
amphetamine
✔✔class C examples - ✔✔BZDs
mescaline
peyote
psilocybin
<1.8 g codeine/100 mL or <90 mg per dosage unit with => quantity of isoquinoline
alkaloid of opium
✔✔class D examples - ✔✔phenobarbital
marijuana
✔✔class E examples - ✔✔<200 mg codeine /100 mL or gm
ANY prescription drug not in classes A-D
✔✔onto refill laws now - ✔✔
✔✔C2 script expiration - ✔✔30 days
✔✔C2 script refills/partials - ✔✔partials within 30 days
