MISSOURI MPJE COMPREHENSIVE EXAMS TEST 2025/2026
QUESTIONS WITH ANSWERS RATED A+
✔✔A pharmacy location change is required when.... - ✔✔A pharmacy has a physical
address change
✔✔You must notify your _______ within __ days prior when remodeling if the remodel
consists of _______,______,______. - ✔✔Inspector or board office; 30; Change in C2
storage, new connections to water or sewer, any change in physical security of the
drugs.
✔✔Are inspections required for remodels and location changes? - ✔✔Only required for
location changes if it is an in-state pharmacy.
✔✔How do you notify the board of pharmacy of emergency relocation? - ✔✔Change of
Location form filed for the new temporary location.
✔✔Can a temporary site be out of state? - ✔✔No
✔✔How long are temporary permits good for? - ✔✔Up to 6 months
✔✔Describe the process of moving back into a permanent location from a temporary
location? - ✔✔A second change of location application must be filed.
✔✔How long are emergency temporary pharmacy permits good for? - ✔✔30 days
✔✔A ______ form must be filed with the board within __ days after the permit holder
stops operating and the permit must be returned tot he office. - ✔✔Out of business
notification; 15
✔✔Records of a pharmacy that has been closed must be provided within __ days after
a request from the board - ✔✔7
✔✔Class B pharmacy is... - ✔✔A hospital pharmacy
✔✔What are the two class B allowances? - ✔✔Dispense medication from med order or
prescription
Distribute medication to other hospital clinics or facilities
✔✔How does missouri handle label requirements for patient use off-site for class b
pharmacies? - ✔✔Medications may not be given to patients to use off-site unless they
are initiated onsite and continued offsite by an external or implanted medical delivery
devices programmed by a healthcare professional.
,✔✔Under federal law, a missouri pharmacy must enroll as a drug distributor with the
DEA if controlled substances exceed __% of drugs dispensed during the previous
calendar year, - ✔✔5
✔✔When is tech check tech allowed and not allowed. - ✔✔It is allowed when
authenticating product selection. It is not allowed when verifying final preparation (such
as with a compound).
✔✔What is a class E pharmacy - ✔✔Nuclear Pharmacy
✔✔What is a Class J permit? - ✔✔A permit that allows two or more pharmacies to
provide pharmacy functions on behalf of one another (remote data entry, verification)
✔✔What is a Class-L pharmacy? - ✔✔Veterinarian pharmacy
✔✔Does a pharmacist need to be on site at a class L pharmacy? - ✔✔No provided that
the PIC does monthly reviews of activities and records of pharmacy operations and that
controlled substances are not being dispensed.
✔✔Dispensing errors at type L pharmacies must be reported to the PIC within - ✔✔24
hours
✔✔Class M pharmacies are? - ✔✔Pharmacies for bleeding disorders (dispense clotting
factors).
✔✔Prepackaged drugs have an expiration date of... - ✔✔12 months or the
manufacturers expiration, whichever is sooner.
✔✔What are the labelling requirements? - ✔✔Date, unique number, Pt name,
Prescriber name, Directions, name and address of pharmacy, name and dosage of
drug, manufacturer (if generic).
✔✔Blood clotting factor concentrates must be delivered within __ days for established
patients and __ days for new patients. If it is an emergency, established patients must
be provided products within ____. - ✔✔2; 3; 12 hours
✔✔How can class M pharmacies offer counseling? - ✔✔By providing a toll free number
each time a rx is dispensed.
✔✔Established patient definition... - ✔✔A patient that has been dispensed to more than
3 times in a calendar year
✔✔What is class Q pharmacy? - ✔✔Charitable pharmacy
, ✔✔Define a charitable pharmacy - ✔✔Pharmacy that provides services to indigent
people that have been screened and approved by a charitable organization and
deemed not to have sufficient funds to obtain needed medications.
✔✔How can a class Q pharmacy obtain medications? - ✔✔Must be donated by a
pharmacy, distributor, healthcare entity, or provider, in its original sealed package.
✔✔Class R pharmacy definition... - ✔✔Remote dispensing pharmacy
✔✔Class R pharmacies must be supervised by - ✔✔Continuous audio and video
✔✔To be eligible for licensure, a class R pharmacy must be __ miles away and
supervised by... - ✔✔10; A missouri licensed pharmacy
✔✔Class R pharmacies can participate in Class __,__, or __ functions under their class
R permis - ✔✔A B C
✔✔Supervising pharmacies of a class R pharmacy can be no more than __ miles away
unless otherwise approved by the board. - ✔✔50
✔✔How much experience must a tech have before working at a class R pharmacy?
Must they be certified? - ✔✔1 year. Yes.
✔✔Employer training of class R techs must occur when? - ✔✔Initially then annually.
✔✔Pharmacists supervising a class R pharmacy must be employed by and located at -
✔✔The supervising pharmacy
✔✔Clsas R pharmacies must be staffed at least - ✔✔8 hours per month
✔✔The Class R PIC must visit how often? - ✔✔Weekly during the first month, then
once monthly.
✔✔Can a toll free number for patient counseling be used for class R pharmacies? -
✔✔No
✔✔Maximum prescriptions per day allowed for a class R pharmacy? If this limit is
exceeded, then what? - ✔✔150 per day in the previous quarter. Pharmacy must apply
for class A, B, and C within 10 days of discovery.
✔✔When should scripts per day of a class R be checked? - ✔✔On or before the 10th
day day following the previous quarter.
QUESTIONS WITH ANSWERS RATED A+
✔✔A pharmacy location change is required when.... - ✔✔A pharmacy has a physical
address change
✔✔You must notify your _______ within __ days prior when remodeling if the remodel
consists of _______,______,______. - ✔✔Inspector or board office; 30; Change in C2
storage, new connections to water or sewer, any change in physical security of the
drugs.
✔✔Are inspections required for remodels and location changes? - ✔✔Only required for
location changes if it is an in-state pharmacy.
✔✔How do you notify the board of pharmacy of emergency relocation? - ✔✔Change of
Location form filed for the new temporary location.
✔✔Can a temporary site be out of state? - ✔✔No
✔✔How long are temporary permits good for? - ✔✔Up to 6 months
✔✔Describe the process of moving back into a permanent location from a temporary
location? - ✔✔A second change of location application must be filed.
✔✔How long are emergency temporary pharmacy permits good for? - ✔✔30 days
✔✔A ______ form must be filed with the board within __ days after the permit holder
stops operating and the permit must be returned tot he office. - ✔✔Out of business
notification; 15
✔✔Records of a pharmacy that has been closed must be provided within __ days after
a request from the board - ✔✔7
✔✔Class B pharmacy is... - ✔✔A hospital pharmacy
✔✔What are the two class B allowances? - ✔✔Dispense medication from med order or
prescription
Distribute medication to other hospital clinics or facilities
✔✔How does missouri handle label requirements for patient use off-site for class b
pharmacies? - ✔✔Medications may not be given to patients to use off-site unless they
are initiated onsite and continued offsite by an external or implanted medical delivery
devices programmed by a healthcare professional.
,✔✔Under federal law, a missouri pharmacy must enroll as a drug distributor with the
DEA if controlled substances exceed __% of drugs dispensed during the previous
calendar year, - ✔✔5
✔✔When is tech check tech allowed and not allowed. - ✔✔It is allowed when
authenticating product selection. It is not allowed when verifying final preparation (such
as with a compound).
✔✔What is a class E pharmacy - ✔✔Nuclear Pharmacy
✔✔What is a Class J permit? - ✔✔A permit that allows two or more pharmacies to
provide pharmacy functions on behalf of one another (remote data entry, verification)
✔✔What is a Class-L pharmacy? - ✔✔Veterinarian pharmacy
✔✔Does a pharmacist need to be on site at a class L pharmacy? - ✔✔No provided that
the PIC does monthly reviews of activities and records of pharmacy operations and that
controlled substances are not being dispensed.
✔✔Dispensing errors at type L pharmacies must be reported to the PIC within - ✔✔24
hours
✔✔Class M pharmacies are? - ✔✔Pharmacies for bleeding disorders (dispense clotting
factors).
✔✔Prepackaged drugs have an expiration date of... - ✔✔12 months or the
manufacturers expiration, whichever is sooner.
✔✔What are the labelling requirements? - ✔✔Date, unique number, Pt name,
Prescriber name, Directions, name and address of pharmacy, name and dosage of
drug, manufacturer (if generic).
✔✔Blood clotting factor concentrates must be delivered within __ days for established
patients and __ days for new patients. If it is an emergency, established patients must
be provided products within ____. - ✔✔2; 3; 12 hours
✔✔How can class M pharmacies offer counseling? - ✔✔By providing a toll free number
each time a rx is dispensed.
✔✔Established patient definition... - ✔✔A patient that has been dispensed to more than
3 times in a calendar year
✔✔What is class Q pharmacy? - ✔✔Charitable pharmacy
, ✔✔Define a charitable pharmacy - ✔✔Pharmacy that provides services to indigent
people that have been screened and approved by a charitable organization and
deemed not to have sufficient funds to obtain needed medications.
✔✔How can a class Q pharmacy obtain medications? - ✔✔Must be donated by a
pharmacy, distributor, healthcare entity, or provider, in its original sealed package.
✔✔Class R pharmacy definition... - ✔✔Remote dispensing pharmacy
✔✔Class R pharmacies must be supervised by - ✔✔Continuous audio and video
✔✔To be eligible for licensure, a class R pharmacy must be __ miles away and
supervised by... - ✔✔10; A missouri licensed pharmacy
✔✔Class R pharmacies can participate in Class __,__, or __ functions under their class
R permis - ✔✔A B C
✔✔Supervising pharmacies of a class R pharmacy can be no more than __ miles away
unless otherwise approved by the board. - ✔✔50
✔✔How much experience must a tech have before working at a class R pharmacy?
Must they be certified? - ✔✔1 year. Yes.
✔✔Employer training of class R techs must occur when? - ✔✔Initially then annually.
✔✔Pharmacists supervising a class R pharmacy must be employed by and located at -
✔✔The supervising pharmacy
✔✔Clsas R pharmacies must be staffed at least - ✔✔8 hours per month
✔✔The Class R PIC must visit how often? - ✔✔Weekly during the first month, then
once monthly.
✔✔Can a toll free number for patient counseling be used for class R pharmacies? -
✔✔No
✔✔Maximum prescriptions per day allowed for a class R pharmacy? If this limit is
exceeded, then what? - ✔✔150 per day in the previous quarter. Pharmacy must apply
for class A, B, and C within 10 days of discovery.
✔✔When should scripts per day of a class R be checked? - ✔✔On or before the 10th
day day following the previous quarter.
