Iowa UMPJE Pharmacy Law &
Jurisprudence Exam with Practice
Questions And Correct Answers
1. Under Iowa Administrative Code 657-6.6(155A), which of the following scenarios
most clearly constitutes a violation of the pharmacist's corresponding responsibility
when dispensing a controlled substance?
A. Filling a prescription for a Schedule II opioid written by an Iowa-licensed physician
for a patient with a documented terminal illness, after verifying the prescriber's DEA
registration.
B. Dispensing a 30-day supply of a Schedule IV benzodiazepine to a patient who
presents a prescription from an out-of-state prescriber, after confirming the prescriber's
DEA status and the patient's identity.
C. Dispensing a Schedule II stimulant to a patient who has filled identical prescriptions
at three different pharmacies within the past 30 days, without documenting any
resolution of the red flags.
D. Refusing to fill a prescription for a Schedule III anabolic steroid because the
pharmacist suspects diversion, despite the prescriber's authorization.
Answer: C. Dispensing a Schedule II stimulant to a patient who has filled identical
prescriptions at three different pharmacies within the past 30 days, without
documenting any resolution of the red flags.
Rationale: Corresponding responsibility requires the pharmacist to resolve red flags before
dispensing. Filling identical Schedule II prescriptions from multiple pharmacies without
resolution is a clear violation. Options A and B are proper practices after verification; D is
a refusal, not a violation of corresponding responsibility.
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,2. Which statement accurately describes the legal authority of an Iowa pharmacist to
administer immunizations to individuals aged 6 years and older under current Iowa
law?
A. Pharmacists may administer immunizations only pursuant to a collaborative practice
agreement with a physician.
B. Pharmacists may administer immunizations independently, but must complete a
board-approved immunization training program and report to the statewide immunization
registry.
C. Pharmacists may administer immunizations only to adults aged 18 and older, unless a
patient-specific prescription is obtained.
D. Pharmacists may administer immunizations only in a county with a declared public
health emergency.
Answer: B. Pharmacists may administer immunizations independently, but must
complete a board-approved immunization training program and report to the
statewide immunization registry.
Rationale: Iowa law (Iowa Code 155A.46) allows pharmacists to administer immunizations
to individuals aged 6 and older independently after completing a board-approved training
program and reporting to the Iowa Immunization Registry. A collaborative practice
agreement is not required for immunizations, and age restrictions are not as described in C
or D.
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,3. An Iowa pharmacy is inspected by the Board of Pharmacy. The inspector finds that
the pharmacy's drug storage area lacks a functioning refrigerator thermometer and
that expired drugs are commingled with unexpired stock. Under Iowa Administrative
Code 657-Chapter 8, what is the most likely consequence for the pharmacy?
A. Immediate license revocation without a hearing.
B. A citation and a requirement to correct the deficiencies within a specified time frame,
with potential civil penalties for noncompliance.
C. A criminal misdemeanor charge against the pharmacist-in-charge.
D. No action, because these are minor infractions that are not enforceable by the Board.
Answer: B. A citation and a requirement to correct the deficiencies within a specified
time frame, with potential civil penalties for noncompliance.
Rationale: Iowa Administrative Code 657-8.4 and 657-8.5 require proper storage and
separation of expired drugs. Violations typically result in a citation, corrective action plan,
and possible civil penalties. Immediate revocation or criminal charges are
disproportionate for these first-time administrative deficiencies.
4. Which of the following accurately reflects the requirements for a collaborative
pharmacy practice agreement (CPA) in Iowa under Iowa Code 155A.45?
A. A CPA must be with a physician who is geographically located within 50 miles of the
pharmacy.
B. A CPA must be submitted to the Board of Pharmacy for approval before it can be
implemented.
C. A CPA allows a pharmacist to initiate, modify, and discontinue drug therapy under a
protocol, and must be reviewed and updated annually.
D. A CPA may only be used in institutional settings, not in community pharmacies.
Answer: C. A CPA allows a pharmacist to initiate, modify, and discontinue drug
therapy under a protocol, and must be reviewed and updated annually.
Rationale: Iowa Code 155A.45 permits pharmacists to enter into CPAs with prescribers to
initiate, modify, and discontinue drug therapy under protocol. The agreement must be
reviewed at least annually. There is no geographic proximity requirement, no Board
pre-approval, and it applies to community settings.
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, 5. A patient presents a prescription for a Schedule II opioid that was transmitted
electronically. The prescriber's electronic prescription was sent to the pharmacy, but
the pharmacist notices the prescription lacks the prescriber's DEA number. Under
federal and Iowa law, what is the pharmacist's best course of action?
A. Dispense the prescription as written because electronic prescriptions are exempt from
DEA number requirements.
B. Call the prescriber to obtain the DEA number and document the clarification on the
prescription.
C. Refuse to dispense and return the prescription to the patient.
D. Dispense the prescription and annotate that the DEA number was missing.
Answer: B. Call the prescriber to obtain the DEA number and document the
clarification on the prescription.
Rationale: Federal law (21 CFR 1306.05) requires a Schedule II prescription to include the
prescriber's DEA number. The pharmacist should verify and document the DEA number
before dispensing. Dispensing without it or refusing without clarification are not
appropriate.
6. Under Iowa law, which of the following is a permissible basis for the Board of
Pharmacy to impose disciplinary action against a pharmacist?
A. The pharmacist was convicted of a misdemeanor for driving while intoxicated,
unrelated to practice.
B. The pharmacist failed to report a change of address within 30 days.
C. The pharmacist dispensed a medication pursuant to a valid prescription but the patient
experienced an adverse effect.
D. The pharmacist refused to fill a prescription due to a conscientious objection.
Answer: B. The pharmacist failed to report a change of address within 30 days.
Rationale: Iowa Administrative Code 657-Chapter 10 requires licensees to notify the Board
of address changes within 30 days; failure is grounds for discipline. A DUI not related to
practice may not be automatically disciplinary, adverse effects from valid dispensing are
not violations, and conscientious refusal is generally protected.
Page 4 of 94
Jurisprudence Exam with Practice
Questions And Correct Answers
1. Under Iowa Administrative Code 657-6.6(155A), which of the following scenarios
most clearly constitutes a violation of the pharmacist's corresponding responsibility
when dispensing a controlled substance?
A. Filling a prescription for a Schedule II opioid written by an Iowa-licensed physician
for a patient with a documented terminal illness, after verifying the prescriber's DEA
registration.
B. Dispensing a 30-day supply of a Schedule IV benzodiazepine to a patient who
presents a prescription from an out-of-state prescriber, after confirming the prescriber's
DEA status and the patient's identity.
C. Dispensing a Schedule II stimulant to a patient who has filled identical prescriptions
at three different pharmacies within the past 30 days, without documenting any
resolution of the red flags.
D. Refusing to fill a prescription for a Schedule III anabolic steroid because the
pharmacist suspects diversion, despite the prescriber's authorization.
Answer: C. Dispensing a Schedule II stimulant to a patient who has filled identical
prescriptions at three different pharmacies within the past 30 days, without
documenting any resolution of the red flags.
Rationale: Corresponding responsibility requires the pharmacist to resolve red flags before
dispensing. Filling identical Schedule II prescriptions from multiple pharmacies without
resolution is a clear violation. Options A and B are proper practices after verification; D is
a refusal, not a violation of corresponding responsibility.
Page 1 of 94
,2. Which statement accurately describes the legal authority of an Iowa pharmacist to
administer immunizations to individuals aged 6 years and older under current Iowa
law?
A. Pharmacists may administer immunizations only pursuant to a collaborative practice
agreement with a physician.
B. Pharmacists may administer immunizations independently, but must complete a
board-approved immunization training program and report to the statewide immunization
registry.
C. Pharmacists may administer immunizations only to adults aged 18 and older, unless a
patient-specific prescription is obtained.
D. Pharmacists may administer immunizations only in a county with a declared public
health emergency.
Answer: B. Pharmacists may administer immunizations independently, but must
complete a board-approved immunization training program and report to the
statewide immunization registry.
Rationale: Iowa law (Iowa Code 155A.46) allows pharmacists to administer immunizations
to individuals aged 6 and older independently after completing a board-approved training
program and reporting to the Iowa Immunization Registry. A collaborative practice
agreement is not required for immunizations, and age restrictions are not as described in C
or D.
Page 2 of 94
,3. An Iowa pharmacy is inspected by the Board of Pharmacy. The inspector finds that
the pharmacy's drug storage area lacks a functioning refrigerator thermometer and
that expired drugs are commingled with unexpired stock. Under Iowa Administrative
Code 657-Chapter 8, what is the most likely consequence for the pharmacy?
A. Immediate license revocation without a hearing.
B. A citation and a requirement to correct the deficiencies within a specified time frame,
with potential civil penalties for noncompliance.
C. A criminal misdemeanor charge against the pharmacist-in-charge.
D. No action, because these are minor infractions that are not enforceable by the Board.
Answer: B. A citation and a requirement to correct the deficiencies within a specified
time frame, with potential civil penalties for noncompliance.
Rationale: Iowa Administrative Code 657-8.4 and 657-8.5 require proper storage and
separation of expired drugs. Violations typically result in a citation, corrective action plan,
and possible civil penalties. Immediate revocation or criminal charges are
disproportionate for these first-time administrative deficiencies.
4. Which of the following accurately reflects the requirements for a collaborative
pharmacy practice agreement (CPA) in Iowa under Iowa Code 155A.45?
A. A CPA must be with a physician who is geographically located within 50 miles of the
pharmacy.
B. A CPA must be submitted to the Board of Pharmacy for approval before it can be
implemented.
C. A CPA allows a pharmacist to initiate, modify, and discontinue drug therapy under a
protocol, and must be reviewed and updated annually.
D. A CPA may only be used in institutional settings, not in community pharmacies.
Answer: C. A CPA allows a pharmacist to initiate, modify, and discontinue drug
therapy under a protocol, and must be reviewed and updated annually.
Rationale: Iowa Code 155A.45 permits pharmacists to enter into CPAs with prescribers to
initiate, modify, and discontinue drug therapy under protocol. The agreement must be
reviewed at least annually. There is no geographic proximity requirement, no Board
pre-approval, and it applies to community settings.
Page 3 of 94
, 5. A patient presents a prescription for a Schedule II opioid that was transmitted
electronically. The prescriber's electronic prescription was sent to the pharmacy, but
the pharmacist notices the prescription lacks the prescriber's DEA number. Under
federal and Iowa law, what is the pharmacist's best course of action?
A. Dispense the prescription as written because electronic prescriptions are exempt from
DEA number requirements.
B. Call the prescriber to obtain the DEA number and document the clarification on the
prescription.
C. Refuse to dispense and return the prescription to the patient.
D. Dispense the prescription and annotate that the DEA number was missing.
Answer: B. Call the prescriber to obtain the DEA number and document the
clarification on the prescription.
Rationale: Federal law (21 CFR 1306.05) requires a Schedule II prescription to include the
prescriber's DEA number. The pharmacist should verify and document the DEA number
before dispensing. Dispensing without it or refusing without clarification are not
appropriate.
6. Under Iowa law, which of the following is a permissible basis for the Board of
Pharmacy to impose disciplinary action against a pharmacist?
A. The pharmacist was convicted of a misdemeanor for driving while intoxicated,
unrelated to practice.
B. The pharmacist failed to report a change of address within 30 days.
C. The pharmacist dispensed a medication pursuant to a valid prescription but the patient
experienced an adverse effect.
D. The pharmacist refused to fill a prescription due to a conscientious objection.
Answer: B. The pharmacist failed to report a change of address within 30 days.
Rationale: Iowa Administrative Code 657-Chapter 10 requires licensees to notify the Board
of address changes within 30 days; failure is grounds for discipline. A DUI not related to
practice may not be automatically disciplinary, adverse effects from valid dispensing are
not violations, and conscientious refusal is generally protected.
Page 4 of 94
