West Virginia MPJE Exam (Multistate Pharmacy
Jurisprudence Examination) WV Law, Rules, and
Controlled Substances Questions with Answers
and Rationales
Instructions: This exam contains multiple-choice questions covering the core content tested on the
West Virginia MPJE. Topics include licensure requirements, UMPJE transition, collaborative practice
agreements, controlled substances, prescription transfers, and recordkeeping.
1. A pharmacist intern in West Virginia may perform which of the following tasks?
A. Administer immunizations independently
B. Anything a pharmacist can do under the direct supervision of a pharmacist,
except immunizations
C. Only data entry and filing
D. Compound sterile preparations without supervision
Correct Answer: B — Anything a pharmacist can do under the direct supervision of
a pharmacist, except immunizations
Rationale: A pharmacy intern can perform any task that a pharmacist is permitted
to do (except administer immunizations), provided they are under the direct
supervision of a licensed pharmacist.
,2. A pharmacy technician who has completed 960 hours in 9 months must pass a
national certification exam within what time frame?
A. 1 month
B. 3 months
C. 6 months
D. 12 months
Correct Answer: B — 3 months
Rationale: After completing 960 hours in 9 months, the technician must
successfully pass a national exam (e.g., PTCB) within 3 months to become a
certified pharmacy technician (CPhT).
3. A pharmacist with a valid license is participating in a collaborative practice
agreement. What is a requirement?
A. The pharmacist must have a Doctor of Pharmacy degree
B. The pharmacist must have at least $1,000,000 in professional liability insurance
C. The pharmacist must have a Bachelor's degree in law
D. The pharmacist must complete a 40-hour compounding course
Correct Answer: B — The pharmacist must have at least $1,000,000 in
professional liability insurance
,Rationale: To participate in a CPPA, a pharmacist must have an unrestricted
license and at least $1,000,000 in professional liability insurance coverage.
4. Under West Virginia's collaborative practice agreement (CPA) rules, which
activity may a pharmacist perform under a CPA without a separate patient-
specific order?
A. Initiate therapy with a Schedule II controlled substance for chronic pain
B. Adjust the dosage of an anticoagulant based on a laboratory value per protocol
C. Dispense a 90-day supply of a maintenance medication without prescriber
notification
D. Administer vaccines to patients under 18 years old without a prescription
Correct Answer: B — Adjust the dosage of an anticoagulant based on a laboratory
value per protocol
Rationale: CPAs allow pharmacists to manage drug therapy, including dosage
adjustments, under a written protocol with a prescriber. CPAs cannot include
management of controlled substances.
5. Which of the following is a violation of West Virginia's drug product selection
law?
, A. Dispensing a generic without notifying the prescriber
B. Substituting a brand-name drug with a generic that is not AB-rated
C. Informing the patient of the cost savings of a generic
D. Dispensing a generic when the prescriber wrote 'dispense as written' unless
the patient consents
Correct Answer: B — Substituting a brand-name drug with a generic that is not
AB-rated
Rationale: AB-rated generics are the only ones that can be substituted. Dispensing
a generic that is not AB-rated is a violation. West Virginia law prohibits
substitution when the prescriber has indicated 'dispense as written' (DAW) unless
the patient provides informed consent.
6. A pharmacist discovers a medication error that caused moderate patient harm.
Under West Virginia law, what is the pharmacist's primary obligation?
A. Report the error to the FDA MedWatch program
B. Notify the patient's prescriber and document the incident
C. Report to the state board of pharmacy within 7 days
D. Disclose the error to the patient only if the patient asks
Correct Answer: B — Notify the patient's prescriber and document the incident
Jurisprudence Examination) WV Law, Rules, and
Controlled Substances Questions with Answers
and Rationales
Instructions: This exam contains multiple-choice questions covering the core content tested on the
West Virginia MPJE. Topics include licensure requirements, UMPJE transition, collaborative practice
agreements, controlled substances, prescription transfers, and recordkeeping.
1. A pharmacist intern in West Virginia may perform which of the following tasks?
A. Administer immunizations independently
B. Anything a pharmacist can do under the direct supervision of a pharmacist,
except immunizations
C. Only data entry and filing
D. Compound sterile preparations without supervision
Correct Answer: B — Anything a pharmacist can do under the direct supervision of
a pharmacist, except immunizations
Rationale: A pharmacy intern can perform any task that a pharmacist is permitted
to do (except administer immunizations), provided they are under the direct
supervision of a licensed pharmacist.
,2. A pharmacy technician who has completed 960 hours in 9 months must pass a
national certification exam within what time frame?
A. 1 month
B. 3 months
C. 6 months
D. 12 months
Correct Answer: B — 3 months
Rationale: After completing 960 hours in 9 months, the technician must
successfully pass a national exam (e.g., PTCB) within 3 months to become a
certified pharmacy technician (CPhT).
3. A pharmacist with a valid license is participating in a collaborative practice
agreement. What is a requirement?
A. The pharmacist must have a Doctor of Pharmacy degree
B. The pharmacist must have at least $1,000,000 in professional liability insurance
C. The pharmacist must have a Bachelor's degree in law
D. The pharmacist must complete a 40-hour compounding course
Correct Answer: B — The pharmacist must have at least $1,000,000 in
professional liability insurance
,Rationale: To participate in a CPPA, a pharmacist must have an unrestricted
license and at least $1,000,000 in professional liability insurance coverage.
4. Under West Virginia's collaborative practice agreement (CPA) rules, which
activity may a pharmacist perform under a CPA without a separate patient-
specific order?
A. Initiate therapy with a Schedule II controlled substance for chronic pain
B. Adjust the dosage of an anticoagulant based on a laboratory value per protocol
C. Dispense a 90-day supply of a maintenance medication without prescriber
notification
D. Administer vaccines to patients under 18 years old without a prescription
Correct Answer: B — Adjust the dosage of an anticoagulant based on a laboratory
value per protocol
Rationale: CPAs allow pharmacists to manage drug therapy, including dosage
adjustments, under a written protocol with a prescriber. CPAs cannot include
management of controlled substances.
5. Which of the following is a violation of West Virginia's drug product selection
law?
, A. Dispensing a generic without notifying the prescriber
B. Substituting a brand-name drug with a generic that is not AB-rated
C. Informing the patient of the cost savings of a generic
D. Dispensing a generic when the prescriber wrote 'dispense as written' unless
the patient consents
Correct Answer: B — Substituting a brand-name drug with a generic that is not
AB-rated
Rationale: AB-rated generics are the only ones that can be substituted. Dispensing
a generic that is not AB-rated is a violation. West Virginia law prohibits
substitution when the prescriber has indicated 'dispense as written' (DAW) unless
the patient provides informed consent.
6. A pharmacist discovers a medication error that caused moderate patient harm.
Under West Virginia law, what is the pharmacist's primary obligation?
A. Report the error to the FDA MedWatch program
B. Notify the patient's prescriber and document the incident
C. Report to the state board of pharmacy within 7 days
D. Disclose the error to the patient only if the patient asks
Correct Answer: B — Notify the patient's prescriber and document the incident
