North Carolina MPJE 2025 questions and
answers
1. Can NC pharmacists prescribe medications?
Answer:
• Limited prescribing authority:
o Naloxone (no CPA required)
o Tobacco cessation products
o Vaccines (must complete ACPE-approved training)
o HIV PEP/PrEP (under statewide protocol)
• Cannot prescribe controlled substances (except in emergencies)
2. What is NC’s Controlled Substances Reporting System (CSRS) requirement?
Answer:
• Mandatory check before dispensing opioids, benzodiazepines, or stimulants
• Reporting: Dispensing must be reported within 1 business day
3. What are NC’s technician-to-pharmacist ratios?
Answer:
• Retail/Community Pharmacy: 1:3 (1 pharmacist max supervises 3 techs)
• Hospital/Institutional Pharmacy: 1:4 (with additional oversight)
4. Are emergency refills allowed for controlled substances in NC?
Answer:
• Non-controlled drugs: Up to a 72-hour supply permitted
• Controlled substances: Prohibited (no exceptions)
5. Does NC recognize out-of-state pharmacist licenses?
Answer:
answers
1. Can NC pharmacists prescribe medications?
Answer:
• Limited prescribing authority:
o Naloxone (no CPA required)
o Tobacco cessation products
o Vaccines (must complete ACPE-approved training)
o HIV PEP/PrEP (under statewide protocol)
• Cannot prescribe controlled substances (except in emergencies)
2. What is NC’s Controlled Substances Reporting System (CSRS) requirement?
Answer:
• Mandatory check before dispensing opioids, benzodiazepines, or stimulants
• Reporting: Dispensing must be reported within 1 business day
3. What are NC’s technician-to-pharmacist ratios?
Answer:
• Retail/Community Pharmacy: 1:3 (1 pharmacist max supervises 3 techs)
• Hospital/Institutional Pharmacy: 1:4 (with additional oversight)
4. Are emergency refills allowed for controlled substances in NC?
Answer:
• Non-controlled drugs: Up to a 72-hour supply permitted
• Controlled substances: Prohibited (no exceptions)
5. Does NC recognize out-of-state pharmacist licenses?
Answer:
