1
KANSAS MPJE ACTUAL 2025/2026
QUESTIONS AND 100% CORRECT
ANSWERS
ATF-1447 - (ANSWER)Form for hospital pharmacies needing to purchase large
quantities of tax-free grain alcohol
Form 41 - (ANSWER)Form to request permission to destroy damaged, outdated,
or unwanted controlled substances
Form 106 - (ANSWER)Form to report substantial theft or loss of controlled
stubstances
Form 222 - (ANSWER)Form used to order C-II controlled substances
Form 222 - (ANSWER)Form used to send C-II controlled substances to a reverse
distributor for disposal
Form 222a - (ANSWER)Form used to order the forms used to order C-II controlled
substances
Form 224 - (ANSWER)Form used to apply for a new DEA dispenser registration
Form 224a - (ANSWER)Form used to renew a DEA dispenser registration
,2
Form 224b - (ANSWER)Form used to renew a DEA dispenser registration for a
retail chain
Form 363 - (ANSWER)Form used to apply for a new DEA narcotic treatment
program registration
Form 363a - (ANSWER)Form used to renew a DEA narcotic treatment program
registration
Form 510 - (ANSWER)Form used to apply for a new DEA chemical distributor
registration
Form 2632 - (ANSWER)Application form for approval of use of narcotic drugs in a
treatment program.
Form 2633 - (ANSWER)DEA for for physicians authorized to administer and
dispense narcotic drugs for treament of detoxification
Form 2636 - (ANSWER)Form entitled Hospital Request for Methadone
Detoxification Treatment
C-III - (ANSWER)Controlled substance schedule of a preparation containing not
more than 50 mg of morphine/100 mL or per 100g combined with non-narcotic
active ingredients
,3
C-III - (ANSWER)Controlled substance schedule of buprenorphine SL
C-V - (ANSWER)Controlled substance schedule of oral diphenoxylate with
atropine
C-V - (ANSWER)Controlled substance schedule of oral diphenoxylate/atropine
0 - (ANSWER)Number of times a C2 script can be transferred
0 - (ANSWER)Number of refills allowed for phentermine prescribed for obesity in
Kansas
1 - (ANSWER)Number of consumer members on the Kansas Board of Pharmacy
1 - (ANSWER)Number of business days within which a pharmacy must notify the
local DEA Diversion Field Office after discovery of theft or significant loss of a CS
1 - (ANSWER)Number of times a C3-C5 (with refills) can be transferred in Kansas
if pharmacies do not share a real time computer system
2 - (ANSWER)Number of pharmacy students or interns a Kansas pharmacist
preceptor may supervise
, 4
2 - (ANSWER)Number of years a vaccination protocol that establishes what
vaccines a pharmacist may administer, procedures for record keeping, and
emergency response is considered valid
3 - (ANSWER)Number of days a physician may administer a single day supply of
methadone to a patient waiting for admission into narcotic treatment program
3 - (ANSWER)Number of years a DEA dispenser registration is valid
3.6 - (ANSWER)Number of grams maximum of pseudoephedrine base that may
be sold to a single patient in a day
5 - (ANSWER)Number of times a pharmacist may refill a C3-C4 prescription if
authorized
5 - (ANSWER)Number of days within which a PIC must notify the board of ceasing
to serve as PIC
5 - (ANSWER)Number of years a pharmacist must practice in Kansas to serve on
the Board of Pharmacy
5 - (ANSWER)Number of years which incident reports must be kept in Kansas
KANSAS MPJE ACTUAL 2025/2026
QUESTIONS AND 100% CORRECT
ANSWERS
ATF-1447 - (ANSWER)Form for hospital pharmacies needing to purchase large
quantities of tax-free grain alcohol
Form 41 - (ANSWER)Form to request permission to destroy damaged, outdated,
or unwanted controlled substances
Form 106 - (ANSWER)Form to report substantial theft or loss of controlled
stubstances
Form 222 - (ANSWER)Form used to order C-II controlled substances
Form 222 - (ANSWER)Form used to send C-II controlled substances to a reverse
distributor for disposal
Form 222a - (ANSWER)Form used to order the forms used to order C-II controlled
substances
Form 224 - (ANSWER)Form used to apply for a new DEA dispenser registration
Form 224a - (ANSWER)Form used to renew a DEA dispenser registration
,2
Form 224b - (ANSWER)Form used to renew a DEA dispenser registration for a
retail chain
Form 363 - (ANSWER)Form used to apply for a new DEA narcotic treatment
program registration
Form 363a - (ANSWER)Form used to renew a DEA narcotic treatment program
registration
Form 510 - (ANSWER)Form used to apply for a new DEA chemical distributor
registration
Form 2632 - (ANSWER)Application form for approval of use of narcotic drugs in a
treatment program.
Form 2633 - (ANSWER)DEA for for physicians authorized to administer and
dispense narcotic drugs for treament of detoxification
Form 2636 - (ANSWER)Form entitled Hospital Request for Methadone
Detoxification Treatment
C-III - (ANSWER)Controlled substance schedule of a preparation containing not
more than 50 mg of morphine/100 mL or per 100g combined with non-narcotic
active ingredients
,3
C-III - (ANSWER)Controlled substance schedule of buprenorphine SL
C-V - (ANSWER)Controlled substance schedule of oral diphenoxylate with
atropine
C-V - (ANSWER)Controlled substance schedule of oral diphenoxylate/atropine
0 - (ANSWER)Number of times a C2 script can be transferred
0 - (ANSWER)Number of refills allowed for phentermine prescribed for obesity in
Kansas
1 - (ANSWER)Number of consumer members on the Kansas Board of Pharmacy
1 - (ANSWER)Number of business days within which a pharmacy must notify the
local DEA Diversion Field Office after discovery of theft or significant loss of a CS
1 - (ANSWER)Number of times a C3-C5 (with refills) can be transferred in Kansas
if pharmacies do not share a real time computer system
2 - (ANSWER)Number of pharmacy students or interns a Kansas pharmacist
preceptor may supervise
, 4
2 - (ANSWER)Number of years a vaccination protocol that establishes what
vaccines a pharmacist may administer, procedures for record keeping, and
emergency response is considered valid
3 - (ANSWER)Number of days a physician may administer a single day supply of
methadone to a patient waiting for admission into narcotic treatment program
3 - (ANSWER)Number of years a DEA dispenser registration is valid
3.6 - (ANSWER)Number of grams maximum of pseudoephedrine base that may
be sold to a single patient in a day
5 - (ANSWER)Number of times a pharmacist may refill a C3-C4 prescription if
authorized
5 - (ANSWER)Number of days within which a PIC must notify the board of ceasing
to serve as PIC
5 - (ANSWER)Number of years a pharmacist must practice in Kansas to serve on
the Board of Pharmacy
5 - (ANSWER)Number of years which incident reports must be kept in Kansas
