CPJE REVIEW EXAMS UPDATED QUESTIONS AND
ANSWERS SURE A+
✔✔DEA Form _____: Registration form for manufacturers, distributorsm researchers,
analytical laboratories, importers, exporters to apply fort heir DEA # - ✔✔225
✔✔DEA Form _____: Registration form for narcotic treatment programs - ✔✔363
✔✔DEA Form _____: Ordering Scheduled I & II Drugs - ✔✔222
✔✔DEA Form _____: Reporting theft or significant loss of controlled substances -
✔✔106
✔✔DEA Form _____: Record of controlled substances destroyed - ✔✔41
✔✔Scheduled II drugs can be ordered w/ DEA form ______ (#) or _____ (CSOS) -
✔✔222
Controlled Substance Ordering System
✔✔When a pharmacy uses DEA Form 222 to order more Scheduled II drugs, who
keeps:
Copy 1 (brown) _____
,Copy 2 (green) _____
Copy 3 (blue) _____ - ✔✔Copy 1 (brown)- SUPPLIER (person that gives the drug)
Copy 2 (green)- DEA (supplier is responsible to send this to the DEA)
Copy 3 (blue)- PHARMACY (person that will receive the drug)
✔✔When a pharmacy wants to return Scheduled II drugs back to a supplier, who keeps:
DEA Form 222
Copy 1 (brown) _____
Copy 2 (green) _____
Copy 3 (blue) _____ - ✔✔Copy 1 (brown)- PHARMACY (person that gives the drug)
Copy 2 (green) DEA (pharmacy is responsible to send this to DEA)
Copy 3 (blue)- SUPPLIER (person that will receive the drug)
✔✔Is a DEA Form 222 required if transferring scheduled II drugs from central fill
pharmacy to its retail pharmacy? - ✔✔No
✔✔When the scheduled II order arrives at the pharmacy, it will be checked in by the
PHARMACIST, who will record the # of packages and the date received on Copy 3. The
purchaser must keep Copy 3 of the DEA form 222 (and all scheduled drug forms) for at
least _____ (time). All records related to schedule II drugs need to be kept seperate
from other forms. - ✔✔3 years
✔✔DEA Form 222 is used to order which schedule drug and can order up to how many
items? - ✔✔Schedule II only
10 items max
✔✔Unlike DEA Form 222, Controlled Substance Order System (CSOS) is used to order
which schedule drug and can order up to how many items? - ✔✔Schedule II-V
unlimited items
✔✔Checking validity of DEA #: (2 letters and then 7 random #s)
1st letter:
2nd letter:
Last number: - ✔✔1st letter: identifies type of registration
A, B, F, or G: hospiral, clinic, practitioner, teaching isntitution, pharmacy
M: practitioner (NP, PA, optometrists, etc)
P, R: Manufacturer, distributor, researcher, analytical lab, importer, exporter, reverse
distributor, narcotic treatment program
X: practitioners authorized to prescribe narcotics (ie buprenorphine) for opioid addiction
treatment
2nd letter: first letter of prescriber's last name
Last #: used to check legitimacy of DEA #
✔✔How to verify a DEA number - ✔✔Step 1: Add the 1st, 3rd, & 5th digits
, Step 2: Add 2nd, 4th, & 6th digits
Step 3: Multiply answer of Step 2 by 2
Step 4: Add answer of Step 1 and Step 3 together
The last digit of the DEA # must match the last number of Step 4 answer. Last digit is
called "check digit"
✔✔All controlled substances prescriptions are valid for _____ (time
) and must be SIGNED and DATED by the prescriber. If the prescription is written for a
controlled substance, the prescriber's DEA number MUST be included. - ✔✔6 months
✔✔Written controlled substances prescriptions (Schedule II-V) must be written on
CALIFORNIA SECURITY PRESCRIPTION FORM
A California security prescription form has the following features: - ✔✔1. If Rx is
scanned/ photocopied, the word "VOID" appears due to heat exposure in a pattern
across the Rx.
2. A CHEMICAL VOID PROTECTION that prevents altercation via chemical washing.
3. A WATERMARK is printed on the back of the Rx blank that reads "California Security
Prescription" and cannot be duplicated by copy machines.
4. A feature printed in THERMOCHROMIC INK that reacts to changes in temperature.
5. An area of OPAQUE WRITING so that the writing disappears if the Rx is lightened.
6. A DESCRIPTION of the security features included on each form.
7. Six QUANTITY CHECK OFF BOXES printed on the form (1-24, 25-49, etc.). A space
must be provided to designate the units referenced in the quantity boxes when the drug
is not in tablet or capsule form (ex: mL). The check off box must be checked by the
prescriber to correspond to the written quantity of the drug.
8. Statement that the "prescription is void if the # of drugs prescribed is not noted".
9. The preprinted name, category of licensure, license number, federal DEA registered
# of the prescribing practitioner.
10. Check boxes so that the prescriber's order not to substitute.
11. A check box by the name of each prescriber when a prescription form lists multiple
prescribers.
12. An identifying number assigned to the approved security printer by the Department
of Justice.
13. A UNIQUE SERIAL NUMBER (15-digit: 3 letters, then 12 #s) on each security form
which permits the form to be traced.
✔✔A Rx for a controlled substance is exempt from using a security form if the
prescriber has certified that the patient is terminally ill by writing the words " _____ (#)
exemption" on a plain Rx form.
For this purpose, "terminally ill" means a pt who is suffering from an incurable/
irreversible illness that is expected to cause death within _____ (time). - ✔✔1159.2
exemption
1 year
ANSWERS SURE A+
✔✔DEA Form _____: Registration form for manufacturers, distributorsm researchers,
analytical laboratories, importers, exporters to apply fort heir DEA # - ✔✔225
✔✔DEA Form _____: Registration form for narcotic treatment programs - ✔✔363
✔✔DEA Form _____: Ordering Scheduled I & II Drugs - ✔✔222
✔✔DEA Form _____: Reporting theft or significant loss of controlled substances -
✔✔106
✔✔DEA Form _____: Record of controlled substances destroyed - ✔✔41
✔✔Scheduled II drugs can be ordered w/ DEA form ______ (#) or _____ (CSOS) -
✔✔222
Controlled Substance Ordering System
✔✔When a pharmacy uses DEA Form 222 to order more Scheduled II drugs, who
keeps:
Copy 1 (brown) _____
,Copy 2 (green) _____
Copy 3 (blue) _____ - ✔✔Copy 1 (brown)- SUPPLIER (person that gives the drug)
Copy 2 (green)- DEA (supplier is responsible to send this to the DEA)
Copy 3 (blue)- PHARMACY (person that will receive the drug)
✔✔When a pharmacy wants to return Scheduled II drugs back to a supplier, who keeps:
DEA Form 222
Copy 1 (brown) _____
Copy 2 (green) _____
Copy 3 (blue) _____ - ✔✔Copy 1 (brown)- PHARMACY (person that gives the drug)
Copy 2 (green) DEA (pharmacy is responsible to send this to DEA)
Copy 3 (blue)- SUPPLIER (person that will receive the drug)
✔✔Is a DEA Form 222 required if transferring scheduled II drugs from central fill
pharmacy to its retail pharmacy? - ✔✔No
✔✔When the scheduled II order arrives at the pharmacy, it will be checked in by the
PHARMACIST, who will record the # of packages and the date received on Copy 3. The
purchaser must keep Copy 3 of the DEA form 222 (and all scheduled drug forms) for at
least _____ (time). All records related to schedule II drugs need to be kept seperate
from other forms. - ✔✔3 years
✔✔DEA Form 222 is used to order which schedule drug and can order up to how many
items? - ✔✔Schedule II only
10 items max
✔✔Unlike DEA Form 222, Controlled Substance Order System (CSOS) is used to order
which schedule drug and can order up to how many items? - ✔✔Schedule II-V
unlimited items
✔✔Checking validity of DEA #: (2 letters and then 7 random #s)
1st letter:
2nd letter:
Last number: - ✔✔1st letter: identifies type of registration
A, B, F, or G: hospiral, clinic, practitioner, teaching isntitution, pharmacy
M: practitioner (NP, PA, optometrists, etc)
P, R: Manufacturer, distributor, researcher, analytical lab, importer, exporter, reverse
distributor, narcotic treatment program
X: practitioners authorized to prescribe narcotics (ie buprenorphine) for opioid addiction
treatment
2nd letter: first letter of prescriber's last name
Last #: used to check legitimacy of DEA #
✔✔How to verify a DEA number - ✔✔Step 1: Add the 1st, 3rd, & 5th digits
, Step 2: Add 2nd, 4th, & 6th digits
Step 3: Multiply answer of Step 2 by 2
Step 4: Add answer of Step 1 and Step 3 together
The last digit of the DEA # must match the last number of Step 4 answer. Last digit is
called "check digit"
✔✔All controlled substances prescriptions are valid for _____ (time
) and must be SIGNED and DATED by the prescriber. If the prescription is written for a
controlled substance, the prescriber's DEA number MUST be included. - ✔✔6 months
✔✔Written controlled substances prescriptions (Schedule II-V) must be written on
CALIFORNIA SECURITY PRESCRIPTION FORM
A California security prescription form has the following features: - ✔✔1. If Rx is
scanned/ photocopied, the word "VOID" appears due to heat exposure in a pattern
across the Rx.
2. A CHEMICAL VOID PROTECTION that prevents altercation via chemical washing.
3. A WATERMARK is printed on the back of the Rx blank that reads "California Security
Prescription" and cannot be duplicated by copy machines.
4. A feature printed in THERMOCHROMIC INK that reacts to changes in temperature.
5. An area of OPAQUE WRITING so that the writing disappears if the Rx is lightened.
6. A DESCRIPTION of the security features included on each form.
7. Six QUANTITY CHECK OFF BOXES printed on the form (1-24, 25-49, etc.). A space
must be provided to designate the units referenced in the quantity boxes when the drug
is not in tablet or capsule form (ex: mL). The check off box must be checked by the
prescriber to correspond to the written quantity of the drug.
8. Statement that the "prescription is void if the # of drugs prescribed is not noted".
9. The preprinted name, category of licensure, license number, federal DEA registered
# of the prescribing practitioner.
10. Check boxes so that the prescriber's order not to substitute.
11. A check box by the name of each prescriber when a prescription form lists multiple
prescribers.
12. An identifying number assigned to the approved security printer by the Department
of Justice.
13. A UNIQUE SERIAL NUMBER (15-digit: 3 letters, then 12 #s) on each security form
which permits the form to be traced.
✔✔A Rx for a controlled substance is exempt from using a security form if the
prescriber has certified that the patient is terminally ill by writing the words " _____ (#)
exemption" on a plain Rx form.
For this purpose, "terminally ill" means a pt who is suffering from an incurable/
irreversible illness that is expected to cause death within _____ (time). - ✔✔1159.2
exemption
1 year
