Missouri MPJE Exam Questions And
Correct Answers
What bureau regulates controlled substance distribution in Missouri? - answer✔✔The Missouri
Bureau of Narcotics and Dangerous Drugs (BNDD)
The Missouri Department of Health and Senior Services (DHSS) has regulatory jurisdiction over
pharmacies that are __________. - answer✔✔Located within the "licensed premises" of
hospitals (except for Class-B hospital pharmacies).
What additional services can pharmacists perform in Missouri if properly certified and board
notified if required? - answer✔✔Administering medication by prescription order
Immunizing by protocol
Medication therapy services
T/F: After a name change, you must request a new license with updated name. - answer✔✔F
Address and employment changes must be reported to the board within __ days - answer✔✔15
Name change requirements - answer✔✔Written notice to the board
Legal documentation
Pharmacists must renew their license by - answer✔✔October 31st of every even numbered year
How many CEs per renewal term for pharmacist licensure - answer✔✔30
Proof of CE must be maintained in the licensee's records for - answer✔✔2 renewal cyckes
What specific CE requirements are there regarding different specialties of pharmacy? -
answer✔✔4 hours of CE for pharmacists who dispense and counsel on clotting factors, 2 hours
for immunization, and 6 hours for MTM
What adverse actions must be reported to the board and within how many days? -
answer✔✔Actions taken by other states
Any surrender of a license or authorization
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Any exclusion to participate in a state/federally funded program for fraud or abuse
Pharmacists who do not wish to practice pharmacy, but keep their license without doing CE can
apply for _______ status at the time of ______. - answer✔✔Inactive Status; Renewal
For a pharmacist to go from inactive to active licensure, what must a pharmacist do? -
answer✔✔Catch up on all CE during period of inactivity and apply to the board.
Pharmacists supervising techs/interns must be readily and immediately available in which
pharmacy settings? - answer✔✔All except for FLQR (F: Renal dialysis, L: veterinary, Q:
charitable, R: remote dispensing sites)
What does readily and immediately available mean? - answer✔✔On the same physical premise
or use technology that complies with Missouri law.
Describe what verification a technician or intern can perform? - answer✔✔Non- controlled
substances using technology assisted verification systems as long as a pharmacist verifies order
entry.
When a pharmacist is not readily available/supervising, techs/interns can... - answer✔✔Accept
written/electronic prescriptions, but cannot take verbal orders or perform any other tasks.
What type of notification is required if there is no pharmacist present? - answer✔✔No
Pharmacist on Duty at least two inches in height.
If the pharmacy is being remotely supervised, how must the public be notified? - answer✔✔No
pharmacist on duty sign
Technology assisted supervision is not allowed when techs/interns are... -
answer✔✔Administering meds/vaccines, compounding, preparing, or dispensing medication.
Technology assisted- supervision requirements - answer✔✔Two-way communication by audio,
completion of employer approved training and compliance kept for 2 years, 5-year audit trail of
all activity.
Pharmacist prescriptive authority - answer✔✔NRT
Naloxone, Naltrexone
HIV PEP
Emergency medication supply if unable to obtain refill authorizations
Pharmacists may accept a hard copy prescription where? - answer✔✔Only on pharmacy
premises.
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If a pharmacist can't accept a prescription off-site, can a tech? - answer✔✔No, but remote data
sentry techs can enter data remotely if following the law
What is a class I permit? - answer✔✔A consultant pharmacy permit
A Missouri pharmacy permit is not required for a pharmacist when - answer✔✔They are only
providing consulting services
A pharmacist located in another state can perform pharmacy services if - answer✔✔They are a
missouri licensed pharmacist or are working for a missouri licensed pharmacy.
Can pharmacists perform lab testing? - answer✔✔Yes, due to absent statutory direction.
However pharmacists can't "diagnose"
Prior to prescribing NRT, a pharmacist must... - answer✔✔Collect PMH
Screen for high risk patients
Prescribe based on clinical guidelines
Pharmacy records must be maintained for __ years - answer✔✔5
Patient medical records kept at the pharmacy must be produced immediately or within _____
after request from the BOP. Records not maintained at a pharmacy must be produced within ___.
- answer✔✔2 hours; 3 business days
What information must be collected when dispensing naltrexone - answer✔✔Pt name, dob,
address, ph#
Date pt seen
PCP
Documentation of screening/testing
PMH
Name and dosage of drug
Any recommended plan, follow-up, or referral
How many hours per week must a PIC be present? - answer✔✔There is no set amount of hours
What are the requirements that must be met for a pharmacist to be PIC at more than one
pharmacy? - answer✔✔The PIC must be present enough to be regularly engaged with the
operations of the pharmacy (subject to interpretation by the PIC and permit holder)