TN MJPE LATEST TEST PAPER QUESTIONS AND
ANSWERS SURE A+
✔✔A written (or printed) prescription from a prescriber in Tennessee must be on
________________________ prescription paper; otherwise, the prescription cannot be
filled. - ✔✔Tamper-resistant.
Note: This requirement does not apply to prescriptions from veterinarians or institutional
patients that never actually handle the prescription paper.
✔✔True or false. Prescription paper for written (or printed) prescriptions must also
include a serial number to track potential fraud. - ✔✔False. Serial numbers may be
used for this reason, but are not required.
✔✔True or false. Written (or printed) prescriptions may be signed by the prescriber's
nurse. - ✔✔False, written prescriptions must be signed by the prescriber.
✔✔What is another term for "verbal prescription"? - ✔✔Oral prescription.
✔✔When receiving a verbal prescription order, the following 3 things must be done
immediately by the person accepting the order: - ✔✔1) Immediately reduce the verbal
prescription to writing.
2) Date the prescription.
3) Initial the prescription order.
✔✔Can a pharmacy accept a verbal prescription for a controlled substance? - ✔✔Yes,
as long as the prescription for a controlled substance is a Schedule III, IV, or V and the
prescription is communicated directly by the prescribing practitioner to the pharmacy.
✔✔Can pharmacies routinely accept verbal C-II prescriptions? - ✔✔NO.
✔✔When can a pharmacy accept a verbal order for a C-II? - ✔✔Only in an emergency
situation.
,✔✔How does federal law define "emergency situation" in this context? - ✔✔For the
situation to be considered an emergency, the following three conditions must apply:
1) Immediate administration of the drug is needed for proper treatment.
2) No appropriate treatment alternative is available.
3) It is not reasonably possible for the prescribing practitioner to provide the patient with
a written prescription prior to dispensing.
✔✔Is there a limit on the amount of medication that can be dispensed for verbal
emergency C-II orders? - ✔✔Yes, but the limit is not specific. Federal law states that the
quantity must be limited to the amount necessary to treat the patient during the
emergency period.
✔✔How does the pharmacist differentiate between fraudulent verbal emergency C-II
orders and legitimate ones? - ✔✔When receiving an oral emergency C-II order, the
pharmacist must make a reasonable effort to determine that the order came from the
actual registered medical practitioner (e.g. call the prescriber back using the telephone
number listed in the directory and verify the prescription).
✔✔Federal law states that a prescriber submitting an oral emergency order for a C-II
prescription must furnish the dispensing pharmacy a written and signed prescription
copy within how many days? - ✔✔7 days.
✔✔True or false. Prescriptions for non-controlled substances that are faxed from the
prescriber's office to the pharmacy are considered valid and may be filled. - ✔✔True.
✔✔Can a prescriber designate someone other than himself/herself (e.g. a nurse or
secretary) to fax prescriptions? - ✔✔Yes, the prescription may be faxed by the
prescriber or his/her designated agent.
✔✔Do Tennessee laws/Reles impose conditions on the faxing of controlled substance
prescriptions that are MORE stringent than federal law? - ✔✔NO.
✔✔What conditions does federal law impose on the faxing of controlled substance
prescriptions? - ✔✔1. Faxed C-III, C-IV, and C-V prescriptions are valid and may serve
as the ORIGINAL prescription for filling purposes, provided the faxed copy shows the
prescribing practitioner's MANUAL signature.
2. Faxed C-II prescriptions can serve as the ORIGINAL prescription for filling purposes
if written for any of the following patient populations:
+Hospice.
+Long-term care.
+Home infusion.
, 3. Faxed C-II prescriptions for patients that do not fall into one of the above three
categories may be filled by the pharmacy, but MUST NOT BE DISPENSED UNTIL the
original manually signed prescription is presented to the pharmacist.
✔✔Can a prescriber designate someone other than himself/herself (e.g. a nurse or
secretary) to send electronic prescriptions? - ✔✔Yes, e-prescriptions may be sent to the
pharmacy by the prescriber or his/her designated agent.
✔✔When a pharmacy receives an electronic prescription, a hard copy or
________________________ must be stored in the pharmacy as the original
prescription for filling purposes. - ✔✔Exact image.
✔✔True or false. In Tennessee, controlled substances may be e-prescribed. - ✔✔True,
assuming the software used by prescribers and pharmacies is certified by the DEA.
✔✔To obtain the DEA certification needed to transmit and receive electronic
prescriptions, the DEA requires the software/application to undergo a(n)
______________. - ✔✔Audit.
✔✔What is the purpose of the DEA software audit? - ✔✔To certify that the e-prescribing
software meets DEA requirements. This helps to ensure the security and authenticity of
electronically transmitted prescriptions (i.e. helps prevent fraud and abuse).
Note: a list of approved certification bodies are listed on the DEA's website. The
approved certification bodies are authorized to perform a software audit and grant
certification.
✔✔Is the pharmacy responsible for obtaining a software audit/certification? - ✔✔No, the
pharmacy is responsible for ensuring their software is certified before using it to receive
electronic controlled substance prescriptions. The burden to obtain the certification falls
on the software provider (aka the software vendor).
✔✔Are pharmacies in Tennessee required to have the ability to receive electronic
controlled substance prescriptions? - ✔✔NO.
✔✔Prescriptions authorized by the prescriber to be dispensed at will (I.e. PRN) expire
after ________ or on the date assigned by the prescriber. - ✔✔1 year.
✔✔Can a prescriber issue PRN refills x 2 years? - ✔✔No, the maximum expiration date
for any prescription is 1 year after the date written.
✔✔If a prescriber issues a prescription written on 6/1/14 with PRN refills x 6 months,
when does the prescription expire? - ✔✔12/1/14.
ANSWERS SURE A+
✔✔A written (or printed) prescription from a prescriber in Tennessee must be on
________________________ prescription paper; otherwise, the prescription cannot be
filled. - ✔✔Tamper-resistant.
Note: This requirement does not apply to prescriptions from veterinarians or institutional
patients that never actually handle the prescription paper.
✔✔True or false. Prescription paper for written (or printed) prescriptions must also
include a serial number to track potential fraud. - ✔✔False. Serial numbers may be
used for this reason, but are not required.
✔✔True or false. Written (or printed) prescriptions may be signed by the prescriber's
nurse. - ✔✔False, written prescriptions must be signed by the prescriber.
✔✔What is another term for "verbal prescription"? - ✔✔Oral prescription.
✔✔When receiving a verbal prescription order, the following 3 things must be done
immediately by the person accepting the order: - ✔✔1) Immediately reduce the verbal
prescription to writing.
2) Date the prescription.
3) Initial the prescription order.
✔✔Can a pharmacy accept a verbal prescription for a controlled substance? - ✔✔Yes,
as long as the prescription for a controlled substance is a Schedule III, IV, or V and the
prescription is communicated directly by the prescribing practitioner to the pharmacy.
✔✔Can pharmacies routinely accept verbal C-II prescriptions? - ✔✔NO.
✔✔When can a pharmacy accept a verbal order for a C-II? - ✔✔Only in an emergency
situation.
,✔✔How does federal law define "emergency situation" in this context? - ✔✔For the
situation to be considered an emergency, the following three conditions must apply:
1) Immediate administration of the drug is needed for proper treatment.
2) No appropriate treatment alternative is available.
3) It is not reasonably possible for the prescribing practitioner to provide the patient with
a written prescription prior to dispensing.
✔✔Is there a limit on the amount of medication that can be dispensed for verbal
emergency C-II orders? - ✔✔Yes, but the limit is not specific. Federal law states that the
quantity must be limited to the amount necessary to treat the patient during the
emergency period.
✔✔How does the pharmacist differentiate between fraudulent verbal emergency C-II
orders and legitimate ones? - ✔✔When receiving an oral emergency C-II order, the
pharmacist must make a reasonable effort to determine that the order came from the
actual registered medical practitioner (e.g. call the prescriber back using the telephone
number listed in the directory and verify the prescription).
✔✔Federal law states that a prescriber submitting an oral emergency order for a C-II
prescription must furnish the dispensing pharmacy a written and signed prescription
copy within how many days? - ✔✔7 days.
✔✔True or false. Prescriptions for non-controlled substances that are faxed from the
prescriber's office to the pharmacy are considered valid and may be filled. - ✔✔True.
✔✔Can a prescriber designate someone other than himself/herself (e.g. a nurse or
secretary) to fax prescriptions? - ✔✔Yes, the prescription may be faxed by the
prescriber or his/her designated agent.
✔✔Do Tennessee laws/Reles impose conditions on the faxing of controlled substance
prescriptions that are MORE stringent than federal law? - ✔✔NO.
✔✔What conditions does federal law impose on the faxing of controlled substance
prescriptions? - ✔✔1. Faxed C-III, C-IV, and C-V prescriptions are valid and may serve
as the ORIGINAL prescription for filling purposes, provided the faxed copy shows the
prescribing practitioner's MANUAL signature.
2. Faxed C-II prescriptions can serve as the ORIGINAL prescription for filling purposes
if written for any of the following patient populations:
+Hospice.
+Long-term care.
+Home infusion.
, 3. Faxed C-II prescriptions for patients that do not fall into one of the above three
categories may be filled by the pharmacy, but MUST NOT BE DISPENSED UNTIL the
original manually signed prescription is presented to the pharmacist.
✔✔Can a prescriber designate someone other than himself/herself (e.g. a nurse or
secretary) to send electronic prescriptions? - ✔✔Yes, e-prescriptions may be sent to the
pharmacy by the prescriber or his/her designated agent.
✔✔When a pharmacy receives an electronic prescription, a hard copy or
________________________ must be stored in the pharmacy as the original
prescription for filling purposes. - ✔✔Exact image.
✔✔True or false. In Tennessee, controlled substances may be e-prescribed. - ✔✔True,
assuming the software used by prescribers and pharmacies is certified by the DEA.
✔✔To obtain the DEA certification needed to transmit and receive electronic
prescriptions, the DEA requires the software/application to undergo a(n)
______________. - ✔✔Audit.
✔✔What is the purpose of the DEA software audit? - ✔✔To certify that the e-prescribing
software meets DEA requirements. This helps to ensure the security and authenticity of
electronically transmitted prescriptions (i.e. helps prevent fraud and abuse).
Note: a list of approved certification bodies are listed on the DEA's website. The
approved certification bodies are authorized to perform a software audit and grant
certification.
✔✔Is the pharmacy responsible for obtaining a software audit/certification? - ✔✔No, the
pharmacy is responsible for ensuring their software is certified before using it to receive
electronic controlled substance prescriptions. The burden to obtain the certification falls
on the software provider (aka the software vendor).
✔✔Are pharmacies in Tennessee required to have the ability to receive electronic
controlled substance prescriptions? - ✔✔NO.
✔✔Prescriptions authorized by the prescriber to be dispensed at will (I.e. PRN) expire
after ________ or on the date assigned by the prescriber. - ✔✔1 year.
✔✔Can a prescriber issue PRN refills x 2 years? - ✔✔No, the maximum expiration date
for any prescription is 1 year after the date written.
✔✔If a prescriber issues a prescription written on 6/1/14 with PRN refills x 6 months,
when does the prescription expire? - ✔✔12/1/14.
