KENTUCKY MPJE STUDY GUIDE 2026/2027 QUESTIONS
AND ANSWERS RATED A+
✔✔Can you compound a controlled drug for office use? - ✔✔No
✔✔Is flavoring considered compounding? - ✔✔No, unless it has a pharmaceutical effect
OR is >5% of the product
✔✔Can you sell codeine OTC? - ✔✔Yes, liquids (100 mL) or solids (100 g) with 100-
200 mg (by measurement of 100 mL/100 g) of codeine
✔✔How much codeine can you sell OTC? - ✔✔No more than 120 mL in 48 hours; must
be 18 y.o.; need to keep record book with patient name, date sold, address, name of
medication, quantity, and pharmacist name
✔✔Do you need an ID to buy ephedrine products? - ✔✔Yes (18 y.o.) - also keep log of
date sold, patient name, address, DOB, and drug name/amount of product sold
✔✔How long do you need to keep ephedrine records? - ✔✔2 years
✔✔What is the 30-day limit of ephedrine/pseudoephedrine/phenylpropanolamine? -
✔✔7.2 g (prescription is exempt)
✔✔What is the yearly limit of ephedrine/pseudoephedrine/phenylpropanolamine? -
✔✔24 g (unless prescription)
✔✔How many packages of ephedrine products can you purchase in 1 transaction? -
✔✔3
✔✔What organization looks at ephedrine records/stats? - ✔✔Office of Drug Control
Policy; submits annual reports to Legislative Research Commission
✔✔What is the daily limit of ephedrine/pseudoephedrine/phenylpropanolamine? -
✔✔3.6 g
✔✔What is the limit on owning dextromethorphan if you are NOT medical
professional/facility? - ✔✔1 gram of pure DM or DM extracted from things
✔✔Is there an age limit to purchasing DM? - ✔✔Yes - 18 y.o.
✔✔Can you purchase syringes/needles without a prescription? - ✔✔Yes. If no
prescription, need to offer counseling on safe disposal, syringe exchange centers, SUD
centers, and naloxone for potential OD (can be verbal, electronic, or printed material)
, ✔✔Do you have to keep logs of people buying syringes? - ✔✔Yes - needs to have
purchaser name, address, quantity, date of sale, and planned use. Need to be kept for 2
years after date of last sale.
✔✔What is KEMPT? - ✔✔Kentucky Electronic Methamphetamine Precursor Tracking
System - have to enter ephedrine information here upon purchase (date of sale entered
manually or electronically, identifying info of purchaser, ID number, and
product/amount); governed by Office of Drug Control Policy within Kentucky Cabinet
✔✔What happens if there's an issue with the KEMPT system? - ✔✔Pharmacy submits
extension request within 24 hours (or after holiday) of system failure and can request an
extension ≤72 hours. Have to include reason for request. If pharmacy hasn't heard back
(has to be within 24 hours), they can use manual logs and enter them within 72 hours of
KEMPT system working again
✔✔Who can ODCP give KEMPT records to? - ✔✔Police officer, pharmacy, pursuant to
a subpoena issued by a grand jury, or pursuant to a court order issued by a criminal
court.
✔✔Can pharmacists give immunizations to adults? - ✔✔Yes
✔✔Can pharmacists give immunizations to pediatric patients? - ✔✔Yes - 9-17 y.o. only
with consent from parent/guardian (can also give immunizations to children during state
of emergency via guidelines from CDC/NIH)
✔✔How many days does a pharmacy have to start using an electronic KEMPT system
once it's set up? - ✔✔30 days
✔✔Can you take an oral CII prescription? - ✔✔Only for immediate administration to a
patient in hospice or a resident in a long-term care facility; excluding family care or
personal care home, and the practitioner determines that immediate administration is
necessary, no alternative available, and it is not reasonably possible for the prescriber
to give written prescription
✔✔How many non-controlled medications can be in an emergency medical kit in a
LTCF? - ✔✔6 doses of ≤30 medications (can get waiver sent to board in increase >30 if
there's evidence)
✔✔How often do emergency medical kits in LTCF need to be assessed? - ✔✔Monthly
(expirations, damages, etc.)
✔✔How much drug stock can a LTCF have of non-controlled drugs? - ✔✔≤15 doses of
150 medications (personal care home is ≤5 doses of 30 medications)
AND ANSWERS RATED A+
✔✔Can you compound a controlled drug for office use? - ✔✔No
✔✔Is flavoring considered compounding? - ✔✔No, unless it has a pharmaceutical effect
OR is >5% of the product
✔✔Can you sell codeine OTC? - ✔✔Yes, liquids (100 mL) or solids (100 g) with 100-
200 mg (by measurement of 100 mL/100 g) of codeine
✔✔How much codeine can you sell OTC? - ✔✔No more than 120 mL in 48 hours; must
be 18 y.o.; need to keep record book with patient name, date sold, address, name of
medication, quantity, and pharmacist name
✔✔Do you need an ID to buy ephedrine products? - ✔✔Yes (18 y.o.) - also keep log of
date sold, patient name, address, DOB, and drug name/amount of product sold
✔✔How long do you need to keep ephedrine records? - ✔✔2 years
✔✔What is the 30-day limit of ephedrine/pseudoephedrine/phenylpropanolamine? -
✔✔7.2 g (prescription is exempt)
✔✔What is the yearly limit of ephedrine/pseudoephedrine/phenylpropanolamine? -
✔✔24 g (unless prescription)
✔✔How many packages of ephedrine products can you purchase in 1 transaction? -
✔✔3
✔✔What organization looks at ephedrine records/stats? - ✔✔Office of Drug Control
Policy; submits annual reports to Legislative Research Commission
✔✔What is the daily limit of ephedrine/pseudoephedrine/phenylpropanolamine? -
✔✔3.6 g
✔✔What is the limit on owning dextromethorphan if you are NOT medical
professional/facility? - ✔✔1 gram of pure DM or DM extracted from things
✔✔Is there an age limit to purchasing DM? - ✔✔Yes - 18 y.o.
✔✔Can you purchase syringes/needles without a prescription? - ✔✔Yes. If no
prescription, need to offer counseling on safe disposal, syringe exchange centers, SUD
centers, and naloxone for potential OD (can be verbal, electronic, or printed material)
, ✔✔Do you have to keep logs of people buying syringes? - ✔✔Yes - needs to have
purchaser name, address, quantity, date of sale, and planned use. Need to be kept for 2
years after date of last sale.
✔✔What is KEMPT? - ✔✔Kentucky Electronic Methamphetamine Precursor Tracking
System - have to enter ephedrine information here upon purchase (date of sale entered
manually or electronically, identifying info of purchaser, ID number, and
product/amount); governed by Office of Drug Control Policy within Kentucky Cabinet
✔✔What happens if there's an issue with the KEMPT system? - ✔✔Pharmacy submits
extension request within 24 hours (or after holiday) of system failure and can request an
extension ≤72 hours. Have to include reason for request. If pharmacy hasn't heard back
(has to be within 24 hours), they can use manual logs and enter them within 72 hours of
KEMPT system working again
✔✔Who can ODCP give KEMPT records to? - ✔✔Police officer, pharmacy, pursuant to
a subpoena issued by a grand jury, or pursuant to a court order issued by a criminal
court.
✔✔Can pharmacists give immunizations to adults? - ✔✔Yes
✔✔Can pharmacists give immunizations to pediatric patients? - ✔✔Yes - 9-17 y.o. only
with consent from parent/guardian (can also give immunizations to children during state
of emergency via guidelines from CDC/NIH)
✔✔How many days does a pharmacy have to start using an electronic KEMPT system
once it's set up? - ✔✔30 days
✔✔Can you take an oral CII prescription? - ✔✔Only for immediate administration to a
patient in hospice or a resident in a long-term care facility; excluding family care or
personal care home, and the practitioner determines that immediate administration is
necessary, no alternative available, and it is not reasonably possible for the prescriber
to give written prescription
✔✔How many non-controlled medications can be in an emergency medical kit in a
LTCF? - ✔✔6 doses of ≤30 medications (can get waiver sent to board in increase >30 if
there's evidence)
✔✔How often do emergency medical kits in LTCF need to be assessed? - ✔✔Monthly
(expirations, damages, etc.)
✔✔How much drug stock can a LTCF have of non-controlled drugs? - ✔✔≤15 doses of
150 medications (personal care home is ≤5 doses of 30 medications)
