VA MPJE COMPREHENSIVE EXAM 2026/2027
QUESTIONS AND ANSWERS RATED A+
✔✔What is required on compound label? - ✔✔Active ingredients and ratios
"this is a compounded rx"
strength/qty
Lot number
BUD
Storage instructions
✔✔How often must glove fingertip sampling occur for sterile compounds?
How often is building/environmental monitoring required? - ✔✔Initially, then quarterly
Every 6 months
✔✔How many interns can RPh supervise at once? - ✔✔1
✔✔Who may have keys to pharmacy? - ✔✔Only pharmacists with PIC approval
✔✔When can a tech enter a closed pharmacy without an RPh? - ✔✔To obtain a verified
and filled Rx if the pharmacist is absent for an unforeseen reason during normal
business hours
✔✔How far in advance must you request a specific inspection date? - ✔✔14 days
✔✔When do pharmacy permits expire? - ✔✔Annually on December 31
✔✔Which schedules require prescriber address and phone on rx? - ✔✔All CS, not
legend (DEA also not required on legend)
✔✔Max number of prescriptions on one blank? - ✔✔1
✔✔How should a generically subbed drug be labeled - ✔✔Brand, generic, and
manufacturer
Ex: Atorvastatin, GENERIC FOR Lipitor (Teva)
✔✔What things aren't required on Rx label? - ✔✔refills and patient address
Address of pharmacy, phone, quantity, MD name are all required
✔✔What is required for non-safety caps? - ✔✔A posted sign offering them, and record
kept for 2 years if accepted.
✔✔When do legend scripts expire? - ✔✔1 year from issue unless prescriber specifies
longer time (max 2 years)
, ✔✔Restrictions for emergency refills? - ✔✔Up to quantity authorized on original rx can
be given
No CS
Original Rx must have had a refill
✔✔CS transfers? - ✔✔Same as federal
If never filled, cannot transfer unless electronic Rx
✔✔How can hard copies/inventory records be filed? - ✔✔C2 must be separate, C3-5
can be separate or with legend
✔✔Can C2s be interspersed with legend? - ✔✔Yes
If in a cabinet, it may remain unlocked while RPh is on duty
✔✔Can finished Rx be sold when RPh not on duty? - ✔✔Yes, may be left in secure
area with staff and logged if RPh approves
Keep log 1 year
✔✔How far in advance to notify BOP of drug destruction? - ✔✔14 days (must be
destroyed by PIC and non-employee pharmacist)
✔✔When can drugs be returned to pharmacy to redispense? - ✔✔When not left
possession of pharmacy or delivery person
In hospitals with on-site pharmacy
✔✔How long are unit dose records kept? - ✔✔1 year for legend
2 years for CS
✔✔Is VA a may or must sub state? - ✔✔May, if generic is cheaper
✔✔How is DAW indicated? (check box, signature line, etc) - ✔✔Signature line
✔✔Max day supply for acute pain opioid? - ✔✔7 days
✔✔Max day supply for post-op opioid? - ✔✔14 days
✔✔When must naloxone be prescribed? - ✔✔>120 MME/day
Patient does not have to fill, RPh doesn't have to demand it be provided
✔✔Exp date on all CS scripts (including C2)? - ✔✔6 months
✔✔Refills on C3-5? - ✔✔5 in 6 months
QUESTIONS AND ANSWERS RATED A+
✔✔What is required on compound label? - ✔✔Active ingredients and ratios
"this is a compounded rx"
strength/qty
Lot number
BUD
Storage instructions
✔✔How often must glove fingertip sampling occur for sterile compounds?
How often is building/environmental monitoring required? - ✔✔Initially, then quarterly
Every 6 months
✔✔How many interns can RPh supervise at once? - ✔✔1
✔✔Who may have keys to pharmacy? - ✔✔Only pharmacists with PIC approval
✔✔When can a tech enter a closed pharmacy without an RPh? - ✔✔To obtain a verified
and filled Rx if the pharmacist is absent for an unforeseen reason during normal
business hours
✔✔How far in advance must you request a specific inspection date? - ✔✔14 days
✔✔When do pharmacy permits expire? - ✔✔Annually on December 31
✔✔Which schedules require prescriber address and phone on rx? - ✔✔All CS, not
legend (DEA also not required on legend)
✔✔Max number of prescriptions on one blank? - ✔✔1
✔✔How should a generically subbed drug be labeled - ✔✔Brand, generic, and
manufacturer
Ex: Atorvastatin, GENERIC FOR Lipitor (Teva)
✔✔What things aren't required on Rx label? - ✔✔refills and patient address
Address of pharmacy, phone, quantity, MD name are all required
✔✔What is required for non-safety caps? - ✔✔A posted sign offering them, and record
kept for 2 years if accepted.
✔✔When do legend scripts expire? - ✔✔1 year from issue unless prescriber specifies
longer time (max 2 years)
, ✔✔Restrictions for emergency refills? - ✔✔Up to quantity authorized on original rx can
be given
No CS
Original Rx must have had a refill
✔✔CS transfers? - ✔✔Same as federal
If never filled, cannot transfer unless electronic Rx
✔✔How can hard copies/inventory records be filed? - ✔✔C2 must be separate, C3-5
can be separate or with legend
✔✔Can C2s be interspersed with legend? - ✔✔Yes
If in a cabinet, it may remain unlocked while RPh is on duty
✔✔Can finished Rx be sold when RPh not on duty? - ✔✔Yes, may be left in secure
area with staff and logged if RPh approves
Keep log 1 year
✔✔How far in advance to notify BOP of drug destruction? - ✔✔14 days (must be
destroyed by PIC and non-employee pharmacist)
✔✔When can drugs be returned to pharmacy to redispense? - ✔✔When not left
possession of pharmacy or delivery person
In hospitals with on-site pharmacy
✔✔How long are unit dose records kept? - ✔✔1 year for legend
2 years for CS
✔✔Is VA a may or must sub state? - ✔✔May, if generic is cheaper
✔✔How is DAW indicated? (check box, signature line, etc) - ✔✔Signature line
✔✔Max day supply for acute pain opioid? - ✔✔7 days
✔✔Max day supply for post-op opioid? - ✔✔14 days
✔✔When must naloxone be prescribed? - ✔✔>120 MME/day
Patient does not have to fill, RPh doesn't have to demand it be provided
✔✔Exp date on all CS scripts (including C2)? - ✔✔6 months
✔✔Refills on C3-5? - ✔✔5 in 6 months
