Missouri MPJE Test Bank - Questions
You must notify BNDD within __ days if your pharmacy changes locations. - ✔✔30 days
How long must you retain CII records? - ✔✔2 years
How often is CS inventory required? - ✔✔Annually (in Missouri)
Which drugs must be hand counted in a CS inventory? - ✔✔All CIIs and CIII-V in stock bottles
containing more than 1000 units
Which drug counts can be estimated in a CS inventory? - ✔✔CIII-V in less than 1000 count
stock bottles
T/F: If a pharmacy keeps a perpetual inventory they are not required to do an annual inventory of
CS. - ✔✔False. Perpetual inventory does not replace required annual inventory.
How long must records of CS destruction be kept? - ✔✔2 years
How should CS be stored in the pharmacy? - ✔✔CII locked; CIII-V locked or distributed
throughout inventory
What is the day supply limit on CII Rx? - ✔✔30 days; unless dx is documented can do 90 days
T/F: Prescriber may give patient 3 scripts for Adderall at one visit. - ✔✔True. Cannot exceed 90
day supply. Must write "Do not fill until ____".
What is required on a CS Rx? - ✔✔Date written; patient name and address; name, address, and
DEA number of prescriber; drug name, strength, and dosage form; quantity to dispense;
directions for use; signature of prescriber
,Can a CS Rx be faxed to the pharmacy for fill? - ✔✔Yes. CII may be faxed to get things started;
however, must have original to dispense the drug. CIII-V may be accepted via fax. CII fax is
allowable if LTCF or hospice patient.
What is MO RPh prohibited from changing on a CS Rx? - ✔✔Name, name, name. Patient name,
drug name, and prescriber name.
When may a RPh partial fill CII? - ✔✔Out of stock (must give remainder in 72 hours) and LTCF
or terminally ill patients.
Who is responsible for the CS drugs in E-Kits? - ✔✔The LTCF.
Who regulates CS stock (E-kits) in LTCF? - ✔✔BNDD. DEA does not register or regulate LTCF.
T/F Narcotic drugs can be used to ween patients off narcotics - ✔✔False.
Can methadone be prescribed for opioid dependence? - ✔✔Mostly no. Only for infants (must
document that patient is an infant) and practitioner may administer methadone for 3 days as
patient is getting placed in narcotic treatment program.
T/F: RPh may dispense CS to directly to a prescriber for office use. - ✔✔False. Must obtain a
patient-specific Rx.
T/F: MO prescribers may prescribe CS for themselves. - ✔✔False.
T/F: MO mid-level practitioners may not prescribe to family members. - ✔✔True.
How does BNDD define "insignificant loss"? - ✔✔Insignificant loss is breaking a tablet or liquid
sticking to the side of the bottle. You know where the drug is. It was not LOST. Requires
documentation and attach to inventory.
, How must you report loss or theft to BNDD? - ✔✔Immediately report via phone, fax, or email.
Must submit loss report within 7 days.
T/F An agent from a prescribers office calls to authorize an emergency fill of hydromorphone for
pain for a patient requiring potent pain meds ASAP. She states the pain is so severe only
hydromorphone will do. She only authorizes a 3 day amount and will have the Rx to you within
the next few days. This is legal. - ✔✔False. Emergency fills can only be verbally authorized by
prescriber, not an agent.
How many refills are allowable on CIII-IV Rx? - ✔✔5 refills
How many refills are allowable on CV Rx? - ✔✔As authorized by physician.
What is the quantity limit on CIII-V Rx? - ✔✔90 day supply
How long is a CIII-IV Rx valid? - ✔✔6 months
How long is a CV Rx valid? - ✔✔1 year
What does CMEA stand for? - ✔✔Combat Methamphetamine Epidemic Act
Which form is used for new pharmacy registration with DEA? - ✔✔DEA Form 224
Which form is used to renew pharmacy registration with DEA? - ✔✔DEA Form 224a
Which form can be used to renew pharmacy registration with DEA for a chain pharmacy? -
✔✔DEA Form 224b
What is required when a pharmacy chooses to terminate its registration with the DEA? -
✔✔Return DEA registration certificate and unused DEA 222 Forms.
You must notify BNDD within __ days if your pharmacy changes locations. - ✔✔30 days
How long must you retain CII records? - ✔✔2 years
How often is CS inventory required? - ✔✔Annually (in Missouri)
Which drugs must be hand counted in a CS inventory? - ✔✔All CIIs and CIII-V in stock bottles
containing more than 1000 units
Which drug counts can be estimated in a CS inventory? - ✔✔CIII-V in less than 1000 count
stock bottles
T/F: If a pharmacy keeps a perpetual inventory they are not required to do an annual inventory of
CS. - ✔✔False. Perpetual inventory does not replace required annual inventory.
How long must records of CS destruction be kept? - ✔✔2 years
How should CS be stored in the pharmacy? - ✔✔CII locked; CIII-V locked or distributed
throughout inventory
What is the day supply limit on CII Rx? - ✔✔30 days; unless dx is documented can do 90 days
T/F: Prescriber may give patient 3 scripts for Adderall at one visit. - ✔✔True. Cannot exceed 90
day supply. Must write "Do not fill until ____".
What is required on a CS Rx? - ✔✔Date written; patient name and address; name, address, and
DEA number of prescriber; drug name, strength, and dosage form; quantity to dispense;
directions for use; signature of prescriber
,Can a CS Rx be faxed to the pharmacy for fill? - ✔✔Yes. CII may be faxed to get things started;
however, must have original to dispense the drug. CIII-V may be accepted via fax. CII fax is
allowable if LTCF or hospice patient.
What is MO RPh prohibited from changing on a CS Rx? - ✔✔Name, name, name. Patient name,
drug name, and prescriber name.
When may a RPh partial fill CII? - ✔✔Out of stock (must give remainder in 72 hours) and LTCF
or terminally ill patients.
Who is responsible for the CS drugs in E-Kits? - ✔✔The LTCF.
Who regulates CS stock (E-kits) in LTCF? - ✔✔BNDD. DEA does not register or regulate LTCF.
T/F Narcotic drugs can be used to ween patients off narcotics - ✔✔False.
Can methadone be prescribed for opioid dependence? - ✔✔Mostly no. Only for infants (must
document that patient is an infant) and practitioner may administer methadone for 3 days as
patient is getting placed in narcotic treatment program.
T/F: RPh may dispense CS to directly to a prescriber for office use. - ✔✔False. Must obtain a
patient-specific Rx.
T/F: MO prescribers may prescribe CS for themselves. - ✔✔False.
T/F: MO mid-level practitioners may not prescribe to family members. - ✔✔True.
How does BNDD define "insignificant loss"? - ✔✔Insignificant loss is breaking a tablet or liquid
sticking to the side of the bottle. You know where the drug is. It was not LOST. Requires
documentation and attach to inventory.
, How must you report loss or theft to BNDD? - ✔✔Immediately report via phone, fax, or email.
Must submit loss report within 7 days.
T/F An agent from a prescribers office calls to authorize an emergency fill of hydromorphone for
pain for a patient requiring potent pain meds ASAP. She states the pain is so severe only
hydromorphone will do. She only authorizes a 3 day amount and will have the Rx to you within
the next few days. This is legal. - ✔✔False. Emergency fills can only be verbally authorized by
prescriber, not an agent.
How many refills are allowable on CIII-IV Rx? - ✔✔5 refills
How many refills are allowable on CV Rx? - ✔✔As authorized by physician.
What is the quantity limit on CIII-V Rx? - ✔✔90 day supply
How long is a CIII-IV Rx valid? - ✔✔6 months
How long is a CV Rx valid? - ✔✔1 year
What does CMEA stand for? - ✔✔Combat Methamphetamine Epidemic Act
Which form is used for new pharmacy registration with DEA? - ✔✔DEA Form 224
Which form is used to renew pharmacy registration with DEA? - ✔✔DEA Form 224a
Which form can be used to renew pharmacy registration with DEA for a chain pharmacy? -
✔✔DEA Form 224b
What is required when a pharmacy chooses to terminate its registration with the DEA? -
✔✔Return DEA registration certificate and unused DEA 222 Forms.
