MA MPJE COMPREHENSIVE UPDATED ALL
QUESTIONS AND ANSWERS SURE A+
✔✔Which of the following is/are TRUE about dispensing emergency contraception
under Massachusetts Pharmacy Law?
I. Before dispensing emergency contraception, a pharmacist shall complete a training
program approved by the commissioner on emergency contraception.
II. A pharmacist dispensing emergency contraception shall annually provide to the
department of public health the number of times such emergency contraception is
dispensed.
III. Reports made pursuant to this section shall include patient's name, address, gender
and age.
a. I only
b. I and II only
c. II and III only
d. All - ✔✔(b) I and II are true, [M.G.L Chapter 94C: Section 19A].
(a). As used in this section "emergency contraception" shall mean any drug approved
by the federal Food and Drug Administration as a contraceptive method for use after
sexual intercourse.
(b). A licensed pharmacist may dispense emergency contraception in accordance with
written, standardized procedures or protocols developed by an actively practicing
physician registered with the commissioner to distribute or dispense a controlled
substance in the course of professional practice if such procedures or protocols are filed
at the pharmacist's place of practice and with the board of registration in pharmacy
before implementation.
,(c). Before dispensing emergency contraception authorized under this section, a
pharmacist shall complete a training program approved by the commissioner on
emergency contraception, which training shall include but not be limited to proper
documentation, quality assurance, and referral to additional services, including
appropriate recommendation that the patient follow-up with a medical practitioner.
(d). A pharmacist dispensing emergency contraception under this section shall annually
provide to the department of public health the number of times such emergency
contraception is dispensed. Reports made pursuant to this section shall NOT identify
any individual patient, shall be confidential and shall not be public records.
Expedited Partner Therapy (EPT):
As a Massachusetts pharmacist, you may be aware that Massachusetts passed MGL
Ch111 § 121B in July 2010. This law states that certain healthcare providers can
prescribe or dispense antibiotics to treat Chlamydia infection for the sex partner of the
infected individual without examining or testing the partner. The authorization for EPT
applies only to Chlamydia infection.
As a pha
✔✔In which of the following instances, a dispensing of a drug shall be classified as
misbranded?
a. A tablet falls on a floor dispensed by a pharmacist.
b. A spider is found in an original manufacturer container.
c. A returned drug is mixed with the drug containing a different lot number.
d. A drug is compounded without properly sanitizing the compounding area. - ✔✔(c) A
returned drug is mixed with the drug containing a different lot number, [Food, Drugs And
Cosmetics 53-1-109]. The choices a, b and d are considered to be adulterated. A drug
shall be classified as misbranded if:
(a). Its labeling is false or misleading in any particular way.
(b). It is in a package form, unless it bears a label containing:
(1). the name and place of business of the manufacturer, packer, or distributor; and
(2). an accurate statement of the quantity of the contents in terms of weight, measure,
or numerical count.
(c). Any word, statement, or other information required by or under authority of this Act
to appear on the label or labeling is not prominently placed thereon with such
conspicuousness (as compared with other words, statements, designs, or devices, in
the labeling) and in such terms as to render it likely to be read and understood by the
ordinary individual under customary conditions of purchase and use.
,(d). It is a drug and its container is so made, formed, or filled as to be misleading; or
(e). It is an imitation of another drug; or
(f). It is offered for sale under the name of another drug.
(g). It is dangerous to health when used in the dosage or manner; or with the frequency
or duration prescribed, recommended, or suggested in the labeling thereof.
(h). It is a color additive the intended use of which is for the purpose of coloring only,
unless its packaging and labeling are in conformity with such packaging and labeling
requirements applicable to such color additive.
(i). It was manufactured, prepared, propagated, compounded, or processed in an
establishment in any State not duly registered under section 510 of FDCA.
✔✔If a person registered to dispense controlled substances discovers a theft or loss of
controlled substances that requires the filing of DEA Form 106 with the United States
Drug Enforcement Administration, the person shall simultaneously file a copy of that
form with the:
I. Board of Pharmacy
II. Department of city police
III. Department of state police
a. I only
b. I and II only
c. II and III only
d. All - ✔✔(c) II and III only, [M.G.L Chapter 94C: Section 15].
1. If a person registered to distribute controlled substances discovers a theft or loss of
controlled substances that requires the filing of DEA Form 106 with the United States
Drug Enforcement Administration, the person shall simultaneously file a copy of that
form with the department of state police.
2. If a person registered to dispense controlled substances discovers a theft or loss of
controlled substances that requires the filing of DEA Form 106 with the United States
Drug Enforcement Administration, the person shall simultaneously file a copy of that
form with the police department in the city or town wherein the theft or loss is alleged to
have occurred and to the department of state police.
✔✔a. 180 tablets
b. 152 tablets
c. 150 tablets
, d. Cannot be partially filled. - ✔✔152 tablets,
[http://www.deadiversion.usdoj.gov/faq/general.htm].
Partial refills of schedules III and IV controlled substance prescriptions are permissible
under federal regulations provided that each partial filling is dispensed and recorded in
the same manner as a refilling (i.e., date refilled, amount dispensed, initials of
dispensing pharmacist, etc.), the total quantity dispensed in all partial fillings does not
exceed the total quantity prescribed, and no dispensing occurs after six months past the
date of issue.
In above example, the prescription expires on 10/01/2017 (six months from an issue
date of 04/01/2017). Therefore, all partial filling before this date should be considered
legal.
The second thing the pharmacist has to observe that the total quantity dispensed in all
partial fillings shall not exceed the total quantity prescribed.
The prescription is written for 180 tablets, 1 tablet by mouth qd x 30 days with additional
5 refills. When adding all the partial filling starting from 04/04/2017 to 09/05/2017, the
total quantities that the pharmacist can dispense legally come about 152 tablets.
✔✔Whenever there is a change in the pharmacist Manager of Record of a pharmacy or
pharmacy department, an application for a change in pharmacist Manager of Record
shall be obtained from and submitted to the Board within 10 days of such change.
a. True
b. False - ✔✔(b) False, [247 CMR 6.03(1)].
(1) Whenever there is a change in the pharmacist Manager of Record of a pharmacy or
pharmacy department, an application for a change in pharmacist Manager of Record
shall be obtained from and PROMPTLY (not within 10 days) submitted to the Board. **
**Please note as 247 CMR 6.07(h): Pharmacist shall notify to the Board in writing of his
or her termination as pharmacist Manager of Record within ten working days.**
A completed application shall be fully and properly completed and signed, under the
penalties of perjury, by a duly authorized representative of the pharmacy or pharmacy
department and include;
(a). a sworn statement confirming that a complete inventory of controlled substances in
Schedules II, III, IV and V signed by the outgoing pharmacist Manager of Record and
the incoming pharmacist Manager of Record has been taken and filed with the
pharmacy's controlled substance records.
In the event the outgoing pharmacist Manager of Record is unavailable due to death,
serious illness, or termination for inappropriate handling of controlled substances, a staff
QUESTIONS AND ANSWERS SURE A+
✔✔Which of the following is/are TRUE about dispensing emergency contraception
under Massachusetts Pharmacy Law?
I. Before dispensing emergency contraception, a pharmacist shall complete a training
program approved by the commissioner on emergency contraception.
II. A pharmacist dispensing emergency contraception shall annually provide to the
department of public health the number of times such emergency contraception is
dispensed.
III. Reports made pursuant to this section shall include patient's name, address, gender
and age.
a. I only
b. I and II only
c. II and III only
d. All - ✔✔(b) I and II are true, [M.G.L Chapter 94C: Section 19A].
(a). As used in this section "emergency contraception" shall mean any drug approved
by the federal Food and Drug Administration as a contraceptive method for use after
sexual intercourse.
(b). A licensed pharmacist may dispense emergency contraception in accordance with
written, standardized procedures or protocols developed by an actively practicing
physician registered with the commissioner to distribute or dispense a controlled
substance in the course of professional practice if such procedures or protocols are filed
at the pharmacist's place of practice and with the board of registration in pharmacy
before implementation.
,(c). Before dispensing emergency contraception authorized under this section, a
pharmacist shall complete a training program approved by the commissioner on
emergency contraception, which training shall include but not be limited to proper
documentation, quality assurance, and referral to additional services, including
appropriate recommendation that the patient follow-up with a medical practitioner.
(d). A pharmacist dispensing emergency contraception under this section shall annually
provide to the department of public health the number of times such emergency
contraception is dispensed. Reports made pursuant to this section shall NOT identify
any individual patient, shall be confidential and shall not be public records.
Expedited Partner Therapy (EPT):
As a Massachusetts pharmacist, you may be aware that Massachusetts passed MGL
Ch111 § 121B in July 2010. This law states that certain healthcare providers can
prescribe or dispense antibiotics to treat Chlamydia infection for the sex partner of the
infected individual without examining or testing the partner. The authorization for EPT
applies only to Chlamydia infection.
As a pha
✔✔In which of the following instances, a dispensing of a drug shall be classified as
misbranded?
a. A tablet falls on a floor dispensed by a pharmacist.
b. A spider is found in an original manufacturer container.
c. A returned drug is mixed with the drug containing a different lot number.
d. A drug is compounded without properly sanitizing the compounding area. - ✔✔(c) A
returned drug is mixed with the drug containing a different lot number, [Food, Drugs And
Cosmetics 53-1-109]. The choices a, b and d are considered to be adulterated. A drug
shall be classified as misbranded if:
(a). Its labeling is false or misleading in any particular way.
(b). It is in a package form, unless it bears a label containing:
(1). the name and place of business of the manufacturer, packer, or distributor; and
(2). an accurate statement of the quantity of the contents in terms of weight, measure,
or numerical count.
(c). Any word, statement, or other information required by or under authority of this Act
to appear on the label or labeling is not prominently placed thereon with such
conspicuousness (as compared with other words, statements, designs, or devices, in
the labeling) and in such terms as to render it likely to be read and understood by the
ordinary individual under customary conditions of purchase and use.
,(d). It is a drug and its container is so made, formed, or filled as to be misleading; or
(e). It is an imitation of another drug; or
(f). It is offered for sale under the name of another drug.
(g). It is dangerous to health when used in the dosage or manner; or with the frequency
or duration prescribed, recommended, or suggested in the labeling thereof.
(h). It is a color additive the intended use of which is for the purpose of coloring only,
unless its packaging and labeling are in conformity with such packaging and labeling
requirements applicable to such color additive.
(i). It was manufactured, prepared, propagated, compounded, or processed in an
establishment in any State not duly registered under section 510 of FDCA.
✔✔If a person registered to dispense controlled substances discovers a theft or loss of
controlled substances that requires the filing of DEA Form 106 with the United States
Drug Enforcement Administration, the person shall simultaneously file a copy of that
form with the:
I. Board of Pharmacy
II. Department of city police
III. Department of state police
a. I only
b. I and II only
c. II and III only
d. All - ✔✔(c) II and III only, [M.G.L Chapter 94C: Section 15].
1. If a person registered to distribute controlled substances discovers a theft or loss of
controlled substances that requires the filing of DEA Form 106 with the United States
Drug Enforcement Administration, the person shall simultaneously file a copy of that
form with the department of state police.
2. If a person registered to dispense controlled substances discovers a theft or loss of
controlled substances that requires the filing of DEA Form 106 with the United States
Drug Enforcement Administration, the person shall simultaneously file a copy of that
form with the police department in the city or town wherein the theft or loss is alleged to
have occurred and to the department of state police.
✔✔a. 180 tablets
b. 152 tablets
c. 150 tablets
, d. Cannot be partially filled. - ✔✔152 tablets,
[http://www.deadiversion.usdoj.gov/faq/general.htm].
Partial refills of schedules III and IV controlled substance prescriptions are permissible
under federal regulations provided that each partial filling is dispensed and recorded in
the same manner as a refilling (i.e., date refilled, amount dispensed, initials of
dispensing pharmacist, etc.), the total quantity dispensed in all partial fillings does not
exceed the total quantity prescribed, and no dispensing occurs after six months past the
date of issue.
In above example, the prescription expires on 10/01/2017 (six months from an issue
date of 04/01/2017). Therefore, all partial filling before this date should be considered
legal.
The second thing the pharmacist has to observe that the total quantity dispensed in all
partial fillings shall not exceed the total quantity prescribed.
The prescription is written for 180 tablets, 1 tablet by mouth qd x 30 days with additional
5 refills. When adding all the partial filling starting from 04/04/2017 to 09/05/2017, the
total quantities that the pharmacist can dispense legally come about 152 tablets.
✔✔Whenever there is a change in the pharmacist Manager of Record of a pharmacy or
pharmacy department, an application for a change in pharmacist Manager of Record
shall be obtained from and submitted to the Board within 10 days of such change.
a. True
b. False - ✔✔(b) False, [247 CMR 6.03(1)].
(1) Whenever there is a change in the pharmacist Manager of Record of a pharmacy or
pharmacy department, an application for a change in pharmacist Manager of Record
shall be obtained from and PROMPTLY (not within 10 days) submitted to the Board. **
**Please note as 247 CMR 6.07(h): Pharmacist shall notify to the Board in writing of his
or her termination as pharmacist Manager of Record within ten working days.**
A completed application shall be fully and properly completed and signed, under the
penalties of perjury, by a duly authorized representative of the pharmacy or pharmacy
department and include;
(a). a sworn statement confirming that a complete inventory of controlled substances in
Schedules II, III, IV and V signed by the outgoing pharmacist Manager of Record and
the incoming pharmacist Manager of Record has been taken and filed with the
pharmacy's controlled substance records.
In the event the outgoing pharmacist Manager of Record is unavailable due to death,
serious illness, or termination for inappropriate handling of controlled substances, a staff
