,Q1 APPLY VIRGINIA PHARMACY STATUTES AND REGULATIONS TO DIVERSE PRACTICE
SCENARIOS
A Virginia pharmacist discovers that a prescriber has issued multiple
prescriptions for the same controlled substance to the same patient on the same
day, each for a 30-day supply, with instructions to fill sequentially. Under Virginia
law, which action is most appropriate?
A. Dispense all prescriptions immediately as written, since they are valid prescriptions.
B. Contact the prescriber to verify the intent and document the clarification, as multiple
prescriptions for the same drug on the same day may indicate abuse or diversion. CORRECT
C. Refuse to fill any of the prescriptions and report the prescriber to the Board of Pharmacy.
D. Fill only the first prescription and notify the patient that the others cannot be filled.
RATIONALE: Virginia law permits multiple prescriptions for Schedule II controlled substances to
be filled sequentially if issued for a legitimate medical purpose, but pharmacists must verify intent
and document. Immediate dispensing without verification may violate corresponding
responsibility. Refusing all or reporting without cause is premature. Thus, contacting the
prescriber is the correct professional and legal action.
Q2 APPLY VIRGINIA PHARMACY STATUTES AND REGULATIONS TO DIVERSE PRACTICE
SCENARIOS
Which of the following best describes the legal requirement for a pharmacist to
counsel a patient on a new prescription under Virginia law?
A. Counseling is required only for controlled substances.
B. Counseling is required for all new prescriptions unless the patient refuses or the pharmacist
deems it unnecessary due to prior counseling. CORRECT
C. Counseling is optional and at the pharmacist's discretion for all prescriptions.
D. Counseling is required only for Medicaid patients.
RATIONALE: Virginia regulations mandate patient counseling for all new prescriptions, with
exceptions for refills, patient refusal, or when the pharmacist determines counseling is not
necessary due to prior counseling. Counseling is not limited to controlled substances or Medicaid
patients. Therefore, option B accurately reflects the legal requirement.
Page 2
,Q3 APPLY VIRGINIA PHARMACY STATUTES AND REGULATIONS TO DIVERSE PRACTICE
SCENARIOS
A Virginia pharmacy technician is asked to perform a final check on a
compounded sterile preparation. According to Virginia law, which of the following
is true regarding this task?
A. Technicians may perform final checks if they have completed a Board-approved training
program.
B. Technicians may never perform final checks on sterile preparations; only pharmacists may do
so. CORRECT
C. Technicians may perform final checks under direct pharmacist supervision.
D. Technicians may perform final checks only for non-sterile preparations.
RATIONALE: Virginia law restricts final verification of compounded sterile preparations to
pharmacists; technicians cannot perform this task regardless of training or supervision. This
ensures patient safety and compliance with USP standards. Options A, C, and D incorrectly
expand technician scope.
Q4 APPLY VIRGINIA PHARMACY STATUTES AND REGULATIONS TO DIVERSE PRACTICE
SCENARIOS
Under Virginia law, which of the following is required for a pharmacy to operate a
remote dispensing site?
A. The remote site must be staffed by a pharmacist at all times.
B. The remote site must be under the continuous supervision of a pharmacist via telepharmacy.
CORRECT
C. The remote site must be located within 10 miles of the supervising pharmacy.
D. The remote site must obtain a separate pharmacy license and have a pharmacist on-site
during all hours of operation.
RATIONALE: Virginia permits remote dispensing sites under continuous pharmacist supervision
via telepharmacy, not requiring an on-site pharmacist. A separate license is not required if it
operates under the supervising pharmacy's license. Distance restrictions are not specified. Thus,
option B is correct.
Page 3
, Q5 APPLY VIRGINIA PHARMACY STATUTES AND REGULATIONS TO DIVERSE PRACTICE
SCENARIOS
A physician writes a prescription for a Schedule II controlled substance with a
quantity of 120 tablets, but the pharmacist determines that the quantity exceeds
the maximum allowed by Virginia law for a 30-day supply without additional
documentation. What is the pharmacist's best course of action?
A. Dispense the full quantity as written, since the prescriber's order is authoritative.
B. Dispense a partial fill of 30 tablets and inform the prescriber.
C. Contact the prescriber to verify the medical necessity and document the rationale before
dispensing. CORRECT
D. Refuse to fill the prescription and report the prescriber to the Board of Pharmacy.
RATIONALE: Virginia law allows pharmacists to dispense Schedule II prescriptions exceeding
normal limits if medically necessary, but requires verification and documentation. Dispensing
without verification may violate corresponding responsibility. Partial fill without authorization is not
appropriate. Refusing and reporting is excessive without evidence of wrongdoing. Thus,
contacting the prescriber is correct.
Q6 APPLY VIRGINIA PHARMACY STATUTES AND REGULATIONS TO DIVERSE PRACTICE
SCENARIOS
Which of the following is a violation of Virginia pharmacy law regarding the
transfer of prescriptions between pharmacies?
A. Transferring a Schedule II prescription after the original has been partially filled. CORRECT
B. Transferring a Schedule III-V prescription orally between two pharmacists.
C. Transferring a prescription for a non-controlled drug electronically.
D. Transferring a Schedule II prescription that has not been filled.
RATIONALE: Virginia law prohibits transferring Schedule II prescriptions that have been partially
filled; only unfilled Schedule II prescriptions may be transferred once. Transfers for Schedule III-V
and non-controlled drugs are permitted under specific conditions. Therefore, option A is the
violation.
Page 4
SCENARIOS
A Virginia pharmacist discovers that a prescriber has issued multiple
prescriptions for the same controlled substance to the same patient on the same
day, each for a 30-day supply, with instructions to fill sequentially. Under Virginia
law, which action is most appropriate?
A. Dispense all prescriptions immediately as written, since they are valid prescriptions.
B. Contact the prescriber to verify the intent and document the clarification, as multiple
prescriptions for the same drug on the same day may indicate abuse or diversion. CORRECT
C. Refuse to fill any of the prescriptions and report the prescriber to the Board of Pharmacy.
D. Fill only the first prescription and notify the patient that the others cannot be filled.
RATIONALE: Virginia law permits multiple prescriptions for Schedule II controlled substances to
be filled sequentially if issued for a legitimate medical purpose, but pharmacists must verify intent
and document. Immediate dispensing without verification may violate corresponding
responsibility. Refusing all or reporting without cause is premature. Thus, contacting the
prescriber is the correct professional and legal action.
Q2 APPLY VIRGINIA PHARMACY STATUTES AND REGULATIONS TO DIVERSE PRACTICE
SCENARIOS
Which of the following best describes the legal requirement for a pharmacist to
counsel a patient on a new prescription under Virginia law?
A. Counseling is required only for controlled substances.
B. Counseling is required for all new prescriptions unless the patient refuses or the pharmacist
deems it unnecessary due to prior counseling. CORRECT
C. Counseling is optional and at the pharmacist's discretion for all prescriptions.
D. Counseling is required only for Medicaid patients.
RATIONALE: Virginia regulations mandate patient counseling for all new prescriptions, with
exceptions for refills, patient refusal, or when the pharmacist determines counseling is not
necessary due to prior counseling. Counseling is not limited to controlled substances or Medicaid
patients. Therefore, option B accurately reflects the legal requirement.
Page 2
,Q3 APPLY VIRGINIA PHARMACY STATUTES AND REGULATIONS TO DIVERSE PRACTICE
SCENARIOS
A Virginia pharmacy technician is asked to perform a final check on a
compounded sterile preparation. According to Virginia law, which of the following
is true regarding this task?
A. Technicians may perform final checks if they have completed a Board-approved training
program.
B. Technicians may never perform final checks on sterile preparations; only pharmacists may do
so. CORRECT
C. Technicians may perform final checks under direct pharmacist supervision.
D. Technicians may perform final checks only for non-sterile preparations.
RATIONALE: Virginia law restricts final verification of compounded sterile preparations to
pharmacists; technicians cannot perform this task regardless of training or supervision. This
ensures patient safety and compliance with USP standards. Options A, C, and D incorrectly
expand technician scope.
Q4 APPLY VIRGINIA PHARMACY STATUTES AND REGULATIONS TO DIVERSE PRACTICE
SCENARIOS
Under Virginia law, which of the following is required for a pharmacy to operate a
remote dispensing site?
A. The remote site must be staffed by a pharmacist at all times.
B. The remote site must be under the continuous supervision of a pharmacist via telepharmacy.
CORRECT
C. The remote site must be located within 10 miles of the supervising pharmacy.
D. The remote site must obtain a separate pharmacy license and have a pharmacist on-site
during all hours of operation.
RATIONALE: Virginia permits remote dispensing sites under continuous pharmacist supervision
via telepharmacy, not requiring an on-site pharmacist. A separate license is not required if it
operates under the supervising pharmacy's license. Distance restrictions are not specified. Thus,
option B is correct.
Page 3
, Q5 APPLY VIRGINIA PHARMACY STATUTES AND REGULATIONS TO DIVERSE PRACTICE
SCENARIOS
A physician writes a prescription for a Schedule II controlled substance with a
quantity of 120 tablets, but the pharmacist determines that the quantity exceeds
the maximum allowed by Virginia law for a 30-day supply without additional
documentation. What is the pharmacist's best course of action?
A. Dispense the full quantity as written, since the prescriber's order is authoritative.
B. Dispense a partial fill of 30 tablets and inform the prescriber.
C. Contact the prescriber to verify the medical necessity and document the rationale before
dispensing. CORRECT
D. Refuse to fill the prescription and report the prescriber to the Board of Pharmacy.
RATIONALE: Virginia law allows pharmacists to dispense Schedule II prescriptions exceeding
normal limits if medically necessary, but requires verification and documentation. Dispensing
without verification may violate corresponding responsibility. Partial fill without authorization is not
appropriate. Refusing and reporting is excessive without evidence of wrongdoing. Thus,
contacting the prescriber is correct.
Q6 APPLY VIRGINIA PHARMACY STATUTES AND REGULATIONS TO DIVERSE PRACTICE
SCENARIOS
Which of the following is a violation of Virginia pharmacy law regarding the
transfer of prescriptions between pharmacies?
A. Transferring a Schedule II prescription after the original has been partially filled. CORRECT
B. Transferring a Schedule III-V prescription orally between two pharmacists.
C. Transferring a prescription for a non-controlled drug electronically.
D. Transferring a Schedule II prescription that has not been filled.
RATIONALE: Virginia law prohibits transferring Schedule II prescriptions that have been partially
filled; only unfilled Schedule II prescriptions may be transferred once. Transfers for Schedule III-V
and non-controlled drugs are permitted under specific conditions. Therefore, option A is the
violation.
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