IL MPJE - Controlled Substance Specific
Questions with complete solutions.
Who enforces the federal CSA? - correct answers.DEA (drug enforcement agency)
Who enforces the Illinois CSA? (hint: 3 entities) - correct answers.IDHS (IL department
of human services)
DASA (division of alcoholism and substance abuse)
IDFPR (department of financial and professional regulation)
What 3 scenarios can a controlled substance be returned to the pharmacy? - correct
answers.1. dispensing error
2. drug recall
3. pharmacy is registered as a authorized collector of controlled substances
What DEA form does the pharmacy use to register as a dispenser? - correct
answers.DEA Form 224
What DEA form does the pharmacy use to renew registration as a dispenser? - correct
answers.DEA Form 224a
How often does a pharmacy need to renew registration as a dispenser? - correct
answers.Every 3 years
True or False. The registrant for a pharmacy, using DEA Form 224 to register, is
required to be a pharmacist - correct answers.False. The registrant can be the "owner",
sole proprietor, power of attorney, or a pharmacist
What is the registration classification for a hospital or clinic? - correct
answers.Institutional practitioner
,True or False. A pharmacy must register twice, even if under the same name, if the
buildings next to one another have unique addresses - correct answers.True, a
separate registration is required for each site with a different street address (location)
True or False. A pharmacy must register twice if they dispense prescriptions and
compound for a narcotic treatment program - correct answers.True, a separate
registration is required for each activity performed (manufacturing, distributing,
dispensing, narcotic treatment program, detox compounder, etc.)
What 2 activities would trigger multiple registration for a pharmacy acting as a
distributor? - correct answers.1. It participates in joint buying activities (one large chain
pharmacy buys in bulk and sends smaller quantities to each of its sister pharmacies)
2. Its annual distribution of controlled substances to other pharmacies or practitioners
exceeds 5% of total dosage units (tablets) dispensed
note: this does not apply to your own pharmacy sales, just distribution to others
What 2 activities would trigger multiple registration for a pharmacy acting as a
manufacturer? - correct answers.1. It purchases controls for the purpose of repackaging
for sale within the pharmacy without a prescription
2. It compounds for office use, however no longer valid since compounding for office
use is considered to be manufacturing and is not permitted
True or false. Simply opening a bottle of diazepam and dispensing half to a dental office
labeled is not considered manufacturing - correct answers.False. Since the bottle was
opened, labeled, or partially dispensed, this is considered manufacturing. It would be
dispensing if the entire bottle was dispensed unopened
What DEA form does the pharmacy use to register as a manufacturer, wholesaler,
importer, exporter, researcher? - correct answers.DEA Form 225
What DEA form does the pharmacy use to renew registration as a manufacturer,
wholesaler, importer, exporter, researcher? - correct answers.DEA Form 225a
How often does a pharmacy need to renew registration as a manufacturer, wholesaler,
importer, exporter, researcher? - correct answers.Every 3 years
What 3 licenses would an IL pharmacy require to dispense all prescription drugs? -
correct answers.a pharmacy license, a federal DEA registration, and a state controlled
substance license/registration
When does IL controlled substance license/registration expire? - correct answers.the
date the certificate holders pharmacy license expires (3/31 on even numbered years
What letters of the DEA number correspond to hospital/clinic/practitioner/teaching
institution/pharmacy? - correct answers.A, B, F
, What letter of the DEA number corresponds to department of defense practitioners? -
correct answers.G
What letter of the DEA number corresponds to midlevel practitioners such as nurse
practitioners, physician assistants, optometrists, pharmacists, chiropractics,
psychologists? - correct answers.M
What letter of the DEA number corresponds to reverse distributors? - correct answers.L
What letter of the DEA number corresponds to manufacturer, distributor, researcher,
analytical lab, importer, exporter, reverse distributor, narcotic treatment program? -
correct answers.P, R
What letter of the DEA number corresponds to practitioners in the treatment of
addictions on an outpatient basis? - correct answers.X
What does the second letter of the DEA number correspond to? - correct
answers.prescribers last name
Are methamphetamine precursors, ephedrine and pseudoephedrine, scheduled under
federal law? - correct answers.Not federally scheduled
Are methamphetamine precursors, ephedrine and pseudoephedrine, scheduled under
Illinois law? - correct answers.yes, schedule 5 in Illinois
Are methamphetamine precursors, ephedrine and pseudoephedrine, available without a
prescription in Illinois? - correct answers.yes
What is the entry point for newly scheduled controlled substances? - correct
answers.Schedule 4
What are exempt narcotics? - correct answers.Schedule 5 controlled substances
containing codeine, and anti-diarrheal products, that available without a prescription
Are ephedrine and pseudoephedrine exempt narcotics? - correct answers.no, despite
being schedule 5 controlled substances, these medications are not narcotics or exempt
narcotics, they are controlled because they can be used as methamphetamine
precursors. Methamphetamine is also not a narcotic, but a stimulant.
Under federal and IL law, how many ounces of a schedule 5 controlled substance can
be obtained without a prescription? - correct answers.4 ounces
What are the purchase/dispensing limits in Illinois for schedule 5 substances containing
codeine or dihydrocodine? hint: quantity and time - correct answers.less than or equal
to 120 mL or grams in a 4 day, 96 hour, period
Questions with complete solutions.
Who enforces the federal CSA? - correct answers.DEA (drug enforcement agency)
Who enforces the Illinois CSA? (hint: 3 entities) - correct answers.IDHS (IL department
of human services)
DASA (division of alcoholism and substance abuse)
IDFPR (department of financial and professional regulation)
What 3 scenarios can a controlled substance be returned to the pharmacy? - correct
answers.1. dispensing error
2. drug recall
3. pharmacy is registered as a authorized collector of controlled substances
What DEA form does the pharmacy use to register as a dispenser? - correct
answers.DEA Form 224
What DEA form does the pharmacy use to renew registration as a dispenser? - correct
answers.DEA Form 224a
How often does a pharmacy need to renew registration as a dispenser? - correct
answers.Every 3 years
True or False. The registrant for a pharmacy, using DEA Form 224 to register, is
required to be a pharmacist - correct answers.False. The registrant can be the "owner",
sole proprietor, power of attorney, or a pharmacist
What is the registration classification for a hospital or clinic? - correct
answers.Institutional practitioner
,True or False. A pharmacy must register twice, even if under the same name, if the
buildings next to one another have unique addresses - correct answers.True, a
separate registration is required for each site with a different street address (location)
True or False. A pharmacy must register twice if they dispense prescriptions and
compound for a narcotic treatment program - correct answers.True, a separate
registration is required for each activity performed (manufacturing, distributing,
dispensing, narcotic treatment program, detox compounder, etc.)
What 2 activities would trigger multiple registration for a pharmacy acting as a
distributor? - correct answers.1. It participates in joint buying activities (one large chain
pharmacy buys in bulk and sends smaller quantities to each of its sister pharmacies)
2. Its annual distribution of controlled substances to other pharmacies or practitioners
exceeds 5% of total dosage units (tablets) dispensed
note: this does not apply to your own pharmacy sales, just distribution to others
What 2 activities would trigger multiple registration for a pharmacy acting as a
manufacturer? - correct answers.1. It purchases controls for the purpose of repackaging
for sale within the pharmacy without a prescription
2. It compounds for office use, however no longer valid since compounding for office
use is considered to be manufacturing and is not permitted
True or false. Simply opening a bottle of diazepam and dispensing half to a dental office
labeled is not considered manufacturing - correct answers.False. Since the bottle was
opened, labeled, or partially dispensed, this is considered manufacturing. It would be
dispensing if the entire bottle was dispensed unopened
What DEA form does the pharmacy use to register as a manufacturer, wholesaler,
importer, exporter, researcher? - correct answers.DEA Form 225
What DEA form does the pharmacy use to renew registration as a manufacturer,
wholesaler, importer, exporter, researcher? - correct answers.DEA Form 225a
How often does a pharmacy need to renew registration as a manufacturer, wholesaler,
importer, exporter, researcher? - correct answers.Every 3 years
What 3 licenses would an IL pharmacy require to dispense all prescription drugs? -
correct answers.a pharmacy license, a federal DEA registration, and a state controlled
substance license/registration
When does IL controlled substance license/registration expire? - correct answers.the
date the certificate holders pharmacy license expires (3/31 on even numbered years
What letters of the DEA number correspond to hospital/clinic/practitioner/teaching
institution/pharmacy? - correct answers.A, B, F
, What letter of the DEA number corresponds to department of defense practitioners? -
correct answers.G
What letter of the DEA number corresponds to midlevel practitioners such as nurse
practitioners, physician assistants, optometrists, pharmacists, chiropractics,
psychologists? - correct answers.M
What letter of the DEA number corresponds to reverse distributors? - correct answers.L
What letter of the DEA number corresponds to manufacturer, distributor, researcher,
analytical lab, importer, exporter, reverse distributor, narcotic treatment program? -
correct answers.P, R
What letter of the DEA number corresponds to practitioners in the treatment of
addictions on an outpatient basis? - correct answers.X
What does the second letter of the DEA number correspond to? - correct
answers.prescribers last name
Are methamphetamine precursors, ephedrine and pseudoephedrine, scheduled under
federal law? - correct answers.Not federally scheduled
Are methamphetamine precursors, ephedrine and pseudoephedrine, scheduled under
Illinois law? - correct answers.yes, schedule 5 in Illinois
Are methamphetamine precursors, ephedrine and pseudoephedrine, available without a
prescription in Illinois? - correct answers.yes
What is the entry point for newly scheduled controlled substances? - correct
answers.Schedule 4
What are exempt narcotics? - correct answers.Schedule 5 controlled substances
containing codeine, and anti-diarrheal products, that available without a prescription
Are ephedrine and pseudoephedrine exempt narcotics? - correct answers.no, despite
being schedule 5 controlled substances, these medications are not narcotics or exempt
narcotics, they are controlled because they can be used as methamphetamine
precursors. Methamphetamine is also not a narcotic, but a stimulant.
Under federal and IL law, how many ounces of a schedule 5 controlled substance can
be obtained without a prescription? - correct answers.4 ounces
What are the purchase/dispensing limits in Illinois for schedule 5 substances containing
codeine or dihydrocodine? hint: quantity and time - correct answers.less than or equal
to 120 mL or grams in a 4 day, 96 hour, period
