, Question 1
Under West Virginia Board of Pharmacy rules, which action best satisfies the
requirement for a pharmacist to report a suspected forged prescription for a
controlled substance?
A. Notify the prescriber and document the interaction in the patient
profile.
B. Report to the Board of Pharmacy within 24 hours and retain a copy of
the prescription.
C. Contact local law enforcement and submit a written report to the Board
within 72 hours.
D. Refuse to fill, return the prescription to the patient, and document the
refusal.
Correct Answer: C - Contact local law enforcement and submit a
written report to the Board within 72 hours.
RATIONALE
West Virginia requires pharmacists to report suspected forgery to law
enforcement and file a written report with the Board within 72 hours.
Option C correctly reflects this dual obligation. Options A, B, and D
either omit required reporting or misstate timelines and disposition of
the prescription.
Question 2
A pharmacy in West Virginia seeks to implement a collaborative practice
agreement (CPA) with a physician for managing warfarin therapy. Which
element is essential for the CPA to be valid under West Virginia law?
A. The CPA must be approved by the Board of Pharmacy and the Board
of Medicine.
B. The CPA must include a written protocol specifying drug therapy
management and be signed by both parties.
C. The CPA must be limited to a maximum of 10 patients per pharmacist.
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, D. The CPA must be renewed annually with the Board of Pharmacy.
Correct Answer: B - The CPA must include a written protocol
specifying drug therapy management and be signed by both
parties.
RATIONALE
West Virginia requires a written protocol signed by the pharmacist and
physician that defines the scope of drug therapy management.
Approval by both boards is not required for a CPA, and there is no
statutory patient limit or annual Board renewal requirement, making B
the correct essential element.
Question 3
Which statement accurately reflects West Virginia law regarding a pharmacist's
authority to administer immunizations to individuals aged 18 and older?
A. Pharmacists may administer any vaccine without a prescription if they
complete a Board-approved immunization training program.
B. Pharmacists may administer only influenza vaccines under a standing
order.
C. Pharmacists may administer vaccines only with a patient-specific
prescription from a physician.
D. Pharmacists may administer vaccines only in a public health clinic
setting.
Correct Answer: A - Pharmacists may administer any vaccine
without a prescription if they complete a Board-approved
immunization training program.
Page 3
, RATIONALE
West Virginia allows pharmacists who complete a Board-approved
training program to administer vaccines to adults without a
prescription. This broad authority is not limited to influenza, does not
require a patient-specific prescription, and is not restricted to public
health clinics, making A correct.
Question 4
A pharmacist in West Virginia dispenses a compounded sterile preparation
(CSP) that is assigned a beyond-use date (BUD) of 14 days at room
temperature. Which factor most likely justifies this BUD under USP <797>
and West Virginia Board rules?
A. The CSP was prepared in an ISO Class 5 environment with a low-risk
level.
B. The CSP was prepared in an ISO Class 7 buffer room with a
medium-risk level.
C. The CSP was prepared in an ISO Class 8 cleanroom with a high-risk
level.
D. The CSP was prepared in a segregated compounding area without a
buffer room.
Correct Answer: A - The CSP was prepared in an ISO Class 5
environment with a low-risk level.
RATIONALE
USP <797> permits a 14-day BUD at room temperature for low-risk
CSPs prepared in an ISO Class 5 environment. Medium-risk and
high-risk preparations have shorter BUDs unless sterility testing is
performed. A segregated compounding area without a buffer room
does not allow this BUD, making A correct.
Page 4
Under West Virginia Board of Pharmacy rules, which action best satisfies the
requirement for a pharmacist to report a suspected forged prescription for a
controlled substance?
A. Notify the prescriber and document the interaction in the patient
profile.
B. Report to the Board of Pharmacy within 24 hours and retain a copy of
the prescription.
C. Contact local law enforcement and submit a written report to the Board
within 72 hours.
D. Refuse to fill, return the prescription to the patient, and document the
refusal.
Correct Answer: C - Contact local law enforcement and submit a
written report to the Board within 72 hours.
RATIONALE
West Virginia requires pharmacists to report suspected forgery to law
enforcement and file a written report with the Board within 72 hours.
Option C correctly reflects this dual obligation. Options A, B, and D
either omit required reporting or misstate timelines and disposition of
the prescription.
Question 2
A pharmacy in West Virginia seeks to implement a collaborative practice
agreement (CPA) with a physician for managing warfarin therapy. Which
element is essential for the CPA to be valid under West Virginia law?
A. The CPA must be approved by the Board of Pharmacy and the Board
of Medicine.
B. The CPA must include a written protocol specifying drug therapy
management and be signed by both parties.
C. The CPA must be limited to a maximum of 10 patients per pharmacist.
Page 2
, D. The CPA must be renewed annually with the Board of Pharmacy.
Correct Answer: B - The CPA must include a written protocol
specifying drug therapy management and be signed by both
parties.
RATIONALE
West Virginia requires a written protocol signed by the pharmacist and
physician that defines the scope of drug therapy management.
Approval by both boards is not required for a CPA, and there is no
statutory patient limit or annual Board renewal requirement, making B
the correct essential element.
Question 3
Which statement accurately reflects West Virginia law regarding a pharmacist's
authority to administer immunizations to individuals aged 18 and older?
A. Pharmacists may administer any vaccine without a prescription if they
complete a Board-approved immunization training program.
B. Pharmacists may administer only influenza vaccines under a standing
order.
C. Pharmacists may administer vaccines only with a patient-specific
prescription from a physician.
D. Pharmacists may administer vaccines only in a public health clinic
setting.
Correct Answer: A - Pharmacists may administer any vaccine
without a prescription if they complete a Board-approved
immunization training program.
Page 3
, RATIONALE
West Virginia allows pharmacists who complete a Board-approved
training program to administer vaccines to adults without a
prescription. This broad authority is not limited to influenza, does not
require a patient-specific prescription, and is not restricted to public
health clinics, making A correct.
Question 4
A pharmacist in West Virginia dispenses a compounded sterile preparation
(CSP) that is assigned a beyond-use date (BUD) of 14 days at room
temperature. Which factor most likely justifies this BUD under USP <797>
and West Virginia Board rules?
A. The CSP was prepared in an ISO Class 5 environment with a low-risk
level.
B. The CSP was prepared in an ISO Class 7 buffer room with a
medium-risk level.
C. The CSP was prepared in an ISO Class 8 cleanroom with a high-risk
level.
D. The CSP was prepared in a segregated compounding area without a
buffer room.
Correct Answer: A - The CSP was prepared in an ISO Class 5
environment with a low-risk level.
RATIONALE
USP <797> permits a 14-day BUD at room temperature for low-risk
CSPs prepared in an ISO Class 5 environment. Medium-risk and
high-risk preparations have shorter BUDs unless sterility testing is
performed. A segregated compounding area without a buffer room
does not allow this BUD, making A correct.
Page 4
