MISSOURI MPJE EXAM 2026 FULL QUESTIONS
WITH CORRECT ANSWERS GRADED A+
◉ How long must you retain CII records? Answer: 2 years
◉ How often is CS inventory required? Answer: Annually (in Missouri)
◉ Which drugs must be hand counted in a CS inventory? Answer: All
CIIs and CIII-V in stock bottles containing more than 1000 units
◉ Which drug counts can be estimated in a CS inventory? Answer: 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. Answer: False. Perpetual inventory
does not replace required annual inventory.
◉ How long must records of CS destruction be kept? Answer: 2 years
◉ How should CS be stored in the pharmacy? Answer: CII locked; CIII-
V locked or distributed throughout inventory
◉ What is the day supply limit on CII Rx? Answer: 30 days; unless dx is
documented can do 90 days
,◉ T/F: Prescriber may give patient 3 scripts for Adderall at one visit.
Answer: True. Cannot exceed 90 day supply. Must write "Do not fill
until ____".
◉ What is required on a CS Rx? Answer: 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? Answer: 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? Answer:
Name, name, name. Patient name, drug name, and prescriber name.
◉ When may a RPh partial fill CII? Answer: 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? Answer: The LTCF.
◉ Who regulates CS stock (E-kits) in LTCF? Answer: BNDD. DEA
does not register or regulate LTCF.
,◉ T/F Narcotic drugs can be used to ween patients off narcotics Answer:
False.
◉ Can methadone be prescribed for opioid dependence? Answer: 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.
Answer: False. Must obtain a patient-specific Rx.
◉ T/F: MO prescribers may prescribe CS for themselves. Answer: False.
◉ T/F: MO mid-level practitioners may not prescribe to family
members. Answer: True.
◉ How does BNDD define "insignificant loss"? Answer: 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? Answer: 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. Answer: False. Emergency fills
can only be verbally authorized by prescriber, not an agent.
◉ How many refills are allowable on CIII-IV Rx? Answer: 5 refills
◉ How many refills are allowable on CV Rx? Answer: As authorized by
physician.
◉ What is the quantity limit on CIII-V Rx? Answer: 90 day supply
◉ How long is a CIII-IV Rx valid? Answer: 6 months
◉ How long is a CV Rx valid? Answer: 1 year
◉ What does CMEA stand for? Answer: Combat Methamphetamine
Epidemic Act
◉ Which form is used for new pharmacy registration with DEA?
Answer: DEA Form 224
WITH CORRECT ANSWERS GRADED A+
◉ How long must you retain CII records? Answer: 2 years
◉ How often is CS inventory required? Answer: Annually (in Missouri)
◉ Which drugs must be hand counted in a CS inventory? Answer: All
CIIs and CIII-V in stock bottles containing more than 1000 units
◉ Which drug counts can be estimated in a CS inventory? Answer: 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. Answer: False. Perpetual inventory
does not replace required annual inventory.
◉ How long must records of CS destruction be kept? Answer: 2 years
◉ How should CS be stored in the pharmacy? Answer: CII locked; CIII-
V locked or distributed throughout inventory
◉ What is the day supply limit on CII Rx? Answer: 30 days; unless dx is
documented can do 90 days
,◉ T/F: Prescriber may give patient 3 scripts for Adderall at one visit.
Answer: True. Cannot exceed 90 day supply. Must write "Do not fill
until ____".
◉ What is required on a CS Rx? Answer: 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? Answer: 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? Answer:
Name, name, name. Patient name, drug name, and prescriber name.
◉ When may a RPh partial fill CII? Answer: 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? Answer: The LTCF.
◉ Who regulates CS stock (E-kits) in LTCF? Answer: BNDD. DEA
does not register or regulate LTCF.
,◉ T/F Narcotic drugs can be used to ween patients off narcotics Answer:
False.
◉ Can methadone be prescribed for opioid dependence? Answer: 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.
Answer: False. Must obtain a patient-specific Rx.
◉ T/F: MO prescribers may prescribe CS for themselves. Answer: False.
◉ T/F: MO mid-level practitioners may not prescribe to family
members. Answer: True.
◉ How does BNDD define "insignificant loss"? Answer: 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? Answer: 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. Answer: False. Emergency fills
can only be verbally authorized by prescriber, not an agent.
◉ How many refills are allowable on CIII-IV Rx? Answer: 5 refills
◉ How many refills are allowable on CV Rx? Answer: As authorized by
physician.
◉ What is the quantity limit on CIII-V Rx? Answer: 90 day supply
◉ How long is a CIII-IV Rx valid? Answer: 6 months
◉ How long is a CV Rx valid? Answer: 1 year
◉ What does CMEA stand for? Answer: Combat Methamphetamine
Epidemic Act
◉ Which form is used for new pharmacy registration with DEA?
Answer: DEA Form 224
