CPJE Secrets - California Pharmacy Law
UPDATED ACTUAL Exam Questions and
CORRECT Answers
According to Federal Law, what must be dispensed with an estrogenic component? - CORRECT
ANSWER - Package insert outlining the risks vs. benefits of associated with the use of
such medications
Which prescriptions MUST be dispensed in child-resistant safety containers according to the
Poison Prevention Act of 1970? What meds are exceptions? - CORRECT ANSWER - Oral
prescription meds
exceptions include: nitroglycerin SL tab, colestipol powder, erythromycin ethylsuccinate
granules or oral suspension, oral contraceptives in manufacturer's memory-aid dispenser
packages, etc.
If a patient or doctor request a prescription be dispensed in a non-compliant container (i.e. not
child-resistant), what must you do? - CORRECT ANSWER - keep documentation of the
request
The ordering of Schedule II Controlled Substances must to done on which DEA Form? -
CORRECT ANSWER - DEA Form 222
How long must paper or electronic Controlled Substance prescription records be kept for
according to Federal Law? How long must they be kept for according to California Law? Which
law is stricter and thus must be followed? - CORRECT ANSWER - 2 years according to
Federal Law
3 years according to California Law
2 years (Federal Law) is stricter and must be complied with
, What are Attorney General opinions considered as and what is an example of one? - CORRECT
ANSWER - They are considered as guidance not to the law
an example is "refill prn" for nonscheduled drugs --> this means that the prescription is valid for
a year counting from the date the prescription was written, according to the Attorney General →
If you refill it after a year without calling the prescriber, you act outside the standard of practice
(and you could potentially be found civilly liable), but you can still do it if it's in the best interest
of the patient, and you inform the prescriber as soon as possible.
What is the "Preemption Doctrine" ? - CORRECT ANSWER - When there's a conflict
between a federal and a state statute, the federal statute outweighs the state statute or regulation,
unless the state law is more stringent and, thus, mandates over the less stringent federal rule.
States cannot make laws that are less strict than federal law. They can only make laws that are
stricter than federal law.
What are the CA Continuing Education Requirements? How long must C.E. certificates be
retained for? - CORRECT ANSWER - - 30 hours over 2 years
- 2 of the 30 hours of C.E. must be on law and ethics from a course provided by the board
- 1 of the 30 hours of C.E. must be on a cultural competency and humility course (starting in
2024)
- retain C.E. certificates for 4 years
What does REMS stand for? - CORRECT ANSWER - Risk Evaluation and Mitigation
Strategy
When do medications have REMS? - CORRECT ANSWER - The pharm manufacturers
may restrict the access to meds that have shown serious S.E., teratogenicity or potential for
abuse, to
ensure appropriate prescribing & minimize patient risk.
What are common REMS requirements? - CORRECT ANSWER - Some programs require
registration of the pt/ prescriber/ pharmacy and
UPDATED ACTUAL Exam Questions and
CORRECT Answers
According to Federal Law, what must be dispensed with an estrogenic component? - CORRECT
ANSWER - Package insert outlining the risks vs. benefits of associated with the use of
such medications
Which prescriptions MUST be dispensed in child-resistant safety containers according to the
Poison Prevention Act of 1970? What meds are exceptions? - CORRECT ANSWER - Oral
prescription meds
exceptions include: nitroglycerin SL tab, colestipol powder, erythromycin ethylsuccinate
granules or oral suspension, oral contraceptives in manufacturer's memory-aid dispenser
packages, etc.
If a patient or doctor request a prescription be dispensed in a non-compliant container (i.e. not
child-resistant), what must you do? - CORRECT ANSWER - keep documentation of the
request
The ordering of Schedule II Controlled Substances must to done on which DEA Form? -
CORRECT ANSWER - DEA Form 222
How long must paper or electronic Controlled Substance prescription records be kept for
according to Federal Law? How long must they be kept for according to California Law? Which
law is stricter and thus must be followed? - CORRECT ANSWER - 2 years according to
Federal Law
3 years according to California Law
2 years (Federal Law) is stricter and must be complied with
, What are Attorney General opinions considered as and what is an example of one? - CORRECT
ANSWER - They are considered as guidance not to the law
an example is "refill prn" for nonscheduled drugs --> this means that the prescription is valid for
a year counting from the date the prescription was written, according to the Attorney General →
If you refill it after a year without calling the prescriber, you act outside the standard of practice
(and you could potentially be found civilly liable), but you can still do it if it's in the best interest
of the patient, and you inform the prescriber as soon as possible.
What is the "Preemption Doctrine" ? - CORRECT ANSWER - When there's a conflict
between a federal and a state statute, the federal statute outweighs the state statute or regulation,
unless the state law is more stringent and, thus, mandates over the less stringent federal rule.
States cannot make laws that are less strict than federal law. They can only make laws that are
stricter than federal law.
What are the CA Continuing Education Requirements? How long must C.E. certificates be
retained for? - CORRECT ANSWER - - 30 hours over 2 years
- 2 of the 30 hours of C.E. must be on law and ethics from a course provided by the board
- 1 of the 30 hours of C.E. must be on a cultural competency and humility course (starting in
2024)
- retain C.E. certificates for 4 years
What does REMS stand for? - CORRECT ANSWER - Risk Evaluation and Mitigation
Strategy
When do medications have REMS? - CORRECT ANSWER - The pharm manufacturers
may restrict the access to meds that have shown serious S.E., teratogenicity or potential for
abuse, to
ensure appropriate prescribing & minimize patient risk.
What are common REMS requirements? - CORRECT ANSWER - Some programs require
registration of the pt/ prescriber/ pharmacy and
