RHODE ISLAND MPJE STUDY GUIDE 2026
VERIFIED QUESTIONS WITH COMPLETE
CORRECT ANSWERS GRADED A+
⩥ How many doses of an opioid can someone under 18yrs old be
prescribed?
Answer: 20 doses
⩥ How many MMEs of an opioid can someone under 18 yrs old
receive?
Answer: No limit, but doc must record rationale for prescribing more
than 30MME per day for a minor.
⩥ Who is considered a practitioner?
Answer: APRN (advanced practicing RN), PA, physician, dentist,
scientific investigator if can prescribe/dispense/administer controlled
meds in professional practice or research.
⩥ "Initial prescription" in regards to opioids
Answer: Not having received opioids in 30 days. Even if given inpatient;
once discharge and prescribed after going home if before hospital stay
had not been prescribed in 30 days.
,⩥ Initial prescription for acute pain cannot exceed _______ MME total
dose per day of opioids and for a max of ______ doses.
Answer: 30 MME; 20 doses
⩥ Hospice care life expectancy
Answer: <6 months
⩥ "Chronic pain"
Answer: .>90 days; excludes pain requiring palliative care
⩥ Co-prescribe naloxone when:
Answer: 1) Patient receiving more than 50 MME (morphine miligram
equivalents) of opioids per day.
2)Any dose of opioid prescribed and along with benzodiazepine
prescription in the past 30 days (must note medical necessity in chart).
3) Prior history of opioid abuse disorder or overdose
⩥ Who has to fill out PDMP and how often?
Answer: Any pharmacy that fills controlled substances must report
within 24hrs; with the exception of inpatient pharmacy (outpatient still
needs to report).
,⩥ On a non-prescription opium containing med; a pharmacist can
dispense up to ______oz or ________doses in ______hr period, if
patient over 18 yrs old.
Answer: 8oz (240cc); 48 doses in 48 hr period
⩥ On CII-CV non-prescription other than opium, pharmacist can
dispense up to ______oz or _______doses in _____hr period for patient
18 or over.
Answer: 4oz(120cc); 24 dose in 48hr period
⩥ A bound record book kept for dispensing non-rx opioids contains
following information:
Answer: 1) Name and address of purchaser
2) Name and quantity of drug
3) Name or Initials of dispensing RPh
⩥ Who must fill out zero fill report in PDMP?
Answer: Any pharmacy that dispenses controlled substances but is not
dispensing any for the day; except institutional pharmacies (ie: hospital).
⩥ How long is a variance for a rule or regulation good for?
Answer: 1 year
, ⩥ When complaint is filed against person, how long do they have to
respond and who do they respond?
Answer: They must respond to Board in writing within 21 days of
receiving notice of complaint.
⩥ If RPh declines to dispense a drug or device due to ethical, moral or
religious beliefs what must be done?
Answer: RPh must have already notified pharmacy owner in writing of
drugs or device that they object to and owner must be able to provide
reasonable accommodations without causing undue hardship. Must have
protocol set up for patient to get timely access to denied product.
⩥ Pharmacy license can be revoked if prescriber:
Answer: 1) Has financial interest that exceeds 10% of ownership
2) Or Prescriber for more than 40% of prescriptions in a 3mo. period.
⩥ How long must be inventory records be kept? And how long does
distributer have to produce these records when requested by officials?
Answer: 2 years; records must be produced within 2 working days
⩥ Designated facility manager must not be convicted of:
Answer: Crime related to compounding RX drugs or product tampering
⩥ Where can Distributor or Wholesaler ship to?
VERIFIED QUESTIONS WITH COMPLETE
CORRECT ANSWERS GRADED A+
⩥ How many doses of an opioid can someone under 18yrs old be
prescribed?
Answer: 20 doses
⩥ How many MMEs of an opioid can someone under 18 yrs old
receive?
Answer: No limit, but doc must record rationale for prescribing more
than 30MME per day for a minor.
⩥ Who is considered a practitioner?
Answer: APRN (advanced practicing RN), PA, physician, dentist,
scientific investigator if can prescribe/dispense/administer controlled
meds in professional practice or research.
⩥ "Initial prescription" in regards to opioids
Answer: Not having received opioids in 30 days. Even if given inpatient;
once discharge and prescribed after going home if before hospital stay
had not been prescribed in 30 days.
,⩥ Initial prescription for acute pain cannot exceed _______ MME total
dose per day of opioids and for a max of ______ doses.
Answer: 30 MME; 20 doses
⩥ Hospice care life expectancy
Answer: <6 months
⩥ "Chronic pain"
Answer: .>90 days; excludes pain requiring palliative care
⩥ Co-prescribe naloxone when:
Answer: 1) Patient receiving more than 50 MME (morphine miligram
equivalents) of opioids per day.
2)Any dose of opioid prescribed and along with benzodiazepine
prescription in the past 30 days (must note medical necessity in chart).
3) Prior history of opioid abuse disorder or overdose
⩥ Who has to fill out PDMP and how often?
Answer: Any pharmacy that fills controlled substances must report
within 24hrs; with the exception of inpatient pharmacy (outpatient still
needs to report).
,⩥ On a non-prescription opium containing med; a pharmacist can
dispense up to ______oz or ________doses in ______hr period, if
patient over 18 yrs old.
Answer: 8oz (240cc); 48 doses in 48 hr period
⩥ On CII-CV non-prescription other than opium, pharmacist can
dispense up to ______oz or _______doses in _____hr period for patient
18 or over.
Answer: 4oz(120cc); 24 dose in 48hr period
⩥ A bound record book kept for dispensing non-rx opioids contains
following information:
Answer: 1) Name and address of purchaser
2) Name and quantity of drug
3) Name or Initials of dispensing RPh
⩥ Who must fill out zero fill report in PDMP?
Answer: Any pharmacy that dispenses controlled substances but is not
dispensing any for the day; except institutional pharmacies (ie: hospital).
⩥ How long is a variance for a rule or regulation good for?
Answer: 1 year
, ⩥ When complaint is filed against person, how long do they have to
respond and who do they respond?
Answer: They must respond to Board in writing within 21 days of
receiving notice of complaint.
⩥ If RPh declines to dispense a drug or device due to ethical, moral or
religious beliefs what must be done?
Answer: RPh must have already notified pharmacy owner in writing of
drugs or device that they object to and owner must be able to provide
reasonable accommodations without causing undue hardship. Must have
protocol set up for patient to get timely access to denied product.
⩥ Pharmacy license can be revoked if prescriber:
Answer: 1) Has financial interest that exceeds 10% of ownership
2) Or Prescriber for more than 40% of prescriptions in a 3mo. period.
⩥ How long must be inventory records be kept? And how long does
distributer have to produce these records when requested by officials?
Answer: 2 years; records must be produced within 2 working days
⩥ Designated facility manager must not be convicted of:
Answer: Crime related to compounding RX drugs or product tampering
⩥ Where can Distributor or Wholesaler ship to?
