Virginia MPJE ACTUAL EXAM REVIEW 2026 COVERING
250 MOST TESTED QUESTIONS GUARANTEE OVER 85%
PASSMARK
how many compliance officers/inspectors does VA BOP have? - correct answer -9 - 5 pharmacist
inspectors assigned to inspect pharmacies, 4 non-pharmacist inspectors assigned to inspect other
facilities licensed by the BOP
how many pharmacist members are there on VA BOP? public members? - correct answer --8
pharmacist
-2 public
who can possess non-controlled legend drugs in VA? - correct answer --MD, DO, dentist, podiatrist,
vet, pharmacist
-optometrist (only drugs related to diagnosis/tx of eye and adjacent structure)
-PAs and NPs (if have been certified to have prescriptive authority may possess drugs that they are
allowed to prescribe only within their scope)
who can possess controlled substances in VA? - correct answer --dentist, podiatrist, vet, pharmacist
-MD, DO (if they hold a valid state registration)
-PA (if they hold valid DEA registration and are not under board restrictions)
-nurse midwife, NP, optometrist (limited)
which prescribers have unrestricted prescribing authority and can write for CII-CVI Rxs to treat pts
without need for an agreement with any other practitioner? - correct answer -MD, DO, dentist,
podiatrist, vet
what certification does an optometrist need in order to prescribe? - correct answer -TPA (Therapeutic
Pharmaceutical Agents) certification - a VA certification that ODs must obtain from VABOP
what meds are TPA certified optometrists allowed to prescribe and administer? - correct answer --CIII-
VI oral analgesics to relieve ocular pain
-other oral CVI controlled substances to tx dx of eye and its adnexa
,-topically applied CVI drugs (for tx of eye/adnexa)
-IM administration of epinephrine to tx emergency cases of anaphylactic shock
can a VA pharmacy fill Rxs written by out of state practitioners? - correct answer --yes, if prescriber is
MD, DO, dentist, podiatrist, or vet and the Rx meets all other requirements for valid VA issued Rx
-if NP, PA, or optometrist, Rx not valid unless prescriber is licensed in VA in addition to other state
(supervising MD also)
may pharmacists in VA initiate, modify, and/or D/C drug therapy pursuant to a CPA or protocol? -
correct answer -yes
may pharmacists in VA practice MTM outside of a pharmacy setting? - correct answer -yes, if the
service is not a required function for dispensing of the drug (i.e., an element of remote processing, a
limited-use pharmacy permit may be issued to an entity whose primary business model is providing
MTM)
may pharmacists in VA administer drugs? - correct answer -yes, definition of dispense includes
"administer"
may pharmacists in VA administer vaccines? - correct answer -yes
may pharmacists in VA prescribe naloxone? - correct answer -must be in accordance with a protocol
what is the counseling requirement for dispensing naloxone? - correct answer --counsel patient on
opioid overdose prevention, recognition, response, administration, dosing, adverse effects, storage,
shelf-life, and safety and provide *current REVIVE! brochure* from Dept. of Behavioral Health and
Developmental Services website
-Recipient *can't* waive counseling unless pharmacist verifies successful completion of REVIVE! training
program
-if naloxone being delivered to an alternate site, counseling should be provided by physician, NP, PA,
nurse, or approved REVIVE! trainer there
,what does a standing order for naloxone mean? - correct answer --issued by an individual prescriber
or by Health Commissioner to all pharmacies located and permitted in VA
-authorizes pharmacist to dispense ≥1 of the specified naloxone formulations to *any* person seeking
naloxone
how long is a standing order for naloxone valid? What information should the order contain at a
minimum? - correct answer --valid no more than 2 years from date of issuance
-name of pharmacy (if issued by prescriber for ≥1 pharmacies)
-contents of kit to be dispensed for intranasal naloxone (including quantity of drug and directions for
administration)
-prescriber's signature
-date of issuance
is a kit required for all naloxone formulations? - correct answer --no kit required for naloxone auto-
injector or Narcan Nasal Spray
-kit *required* for intranasal naloxone 2 mg/2 mL prefilled syringe - must dispense with *2 prefilled
syringes and 2 atomizers and instructions for administration*
-optional items for kits: rescue breathing masks, latex-free gloves
where can pharmacies obtain kits to have on-hand for dispensing intranasal naloxone prefilled syringes?
- correct answer -from REVIVE! program at Dept. of Behavioral Health and Developmental Services
what is the SIG for intranasal naloxone 2 mg/2 mL prefilled syringe? - correct answer -spray 1/2 of the
syringe into each nostril upon signs of opioid overdose. Call 911. Additional doses may be given every 2-
3 min until emergency medical assistance arrives
what is the SIG for naloxone 2 mg autoinjector? - correct answer -use 1 autoinjector upon signs of
opioid overdose. Call 911. Additional doses may be given every 2-3 min until emergency medical
assistance arrives
what is the SIG for Narcan nasal spray 4 mg? - correct answer -administer a single spray intranasally
into 1 nostril. administer additional doses using new nasal spray with each dose, if pt does not respond
, or responds then relapses into respiratory depression. Call 911. Additional doses may be given every 2-3
min until emergency medical assistance arrives
how is the labeling of each vial/syringe of naloxone different than other Rxs? - correct answer -name
of patient does not have to appear on label
a standing order for naloxone issued by a prescriber or Health Commissioner shall be maintained by the
pharmacist for how long from the date of last dispensing prior to expiration or D/C of the order? -
correct answer -2 years
pharmacy, wholesale distributor, third party logistics provider, or manufacturer may distribute naloxone
via invoice to who else? - correct answer --designated law enforcement officers or firefighters who
successfully completed training program
-designated employees of Dept of Forensic Science, Office of Chief Med. Examiner, Dept. of General
Services Division of Consolidated Lab. Services who have successfully completed training program
does BOP allow centralized Rx filling facilities to be utilized? - correct answer -yes
is prescriber ownership of a pharmacy prohibited? - correct answer -no
does VA have freedom of choice legislation? - correct answer -yes
does VA require pharmacies to conduct self-inspections? - correct answer -no
does BOP require pharmacies to maintain any type of continuous quality improvement program to
monitor/prevent quality-related events? - correct answer -yes
does BOP have regulations aimed at relieving pharmacist workload? - correct answer -yes, regulations
to address max hours worked and meal breaks are pending (LOOK THIS UP)
does BOP have regulatory oversight of PBMs? - correct answer -no, unless performing the practice of
pharmacy
250 MOST TESTED QUESTIONS GUARANTEE OVER 85%
PASSMARK
how many compliance officers/inspectors does VA BOP have? - correct answer -9 - 5 pharmacist
inspectors assigned to inspect pharmacies, 4 non-pharmacist inspectors assigned to inspect other
facilities licensed by the BOP
how many pharmacist members are there on VA BOP? public members? - correct answer --8
pharmacist
-2 public
who can possess non-controlled legend drugs in VA? - correct answer --MD, DO, dentist, podiatrist,
vet, pharmacist
-optometrist (only drugs related to diagnosis/tx of eye and adjacent structure)
-PAs and NPs (if have been certified to have prescriptive authority may possess drugs that they are
allowed to prescribe only within their scope)
who can possess controlled substances in VA? - correct answer --dentist, podiatrist, vet, pharmacist
-MD, DO (if they hold a valid state registration)
-PA (if they hold valid DEA registration and are not under board restrictions)
-nurse midwife, NP, optometrist (limited)
which prescribers have unrestricted prescribing authority and can write for CII-CVI Rxs to treat pts
without need for an agreement with any other practitioner? - correct answer -MD, DO, dentist,
podiatrist, vet
what certification does an optometrist need in order to prescribe? - correct answer -TPA (Therapeutic
Pharmaceutical Agents) certification - a VA certification that ODs must obtain from VABOP
what meds are TPA certified optometrists allowed to prescribe and administer? - correct answer --CIII-
VI oral analgesics to relieve ocular pain
-other oral CVI controlled substances to tx dx of eye and its adnexa
,-topically applied CVI drugs (for tx of eye/adnexa)
-IM administration of epinephrine to tx emergency cases of anaphylactic shock
can a VA pharmacy fill Rxs written by out of state practitioners? - correct answer --yes, if prescriber is
MD, DO, dentist, podiatrist, or vet and the Rx meets all other requirements for valid VA issued Rx
-if NP, PA, or optometrist, Rx not valid unless prescriber is licensed in VA in addition to other state
(supervising MD also)
may pharmacists in VA initiate, modify, and/or D/C drug therapy pursuant to a CPA or protocol? -
correct answer -yes
may pharmacists in VA practice MTM outside of a pharmacy setting? - correct answer -yes, if the
service is not a required function for dispensing of the drug (i.e., an element of remote processing, a
limited-use pharmacy permit may be issued to an entity whose primary business model is providing
MTM)
may pharmacists in VA administer drugs? - correct answer -yes, definition of dispense includes
"administer"
may pharmacists in VA administer vaccines? - correct answer -yes
may pharmacists in VA prescribe naloxone? - correct answer -must be in accordance with a protocol
what is the counseling requirement for dispensing naloxone? - correct answer --counsel patient on
opioid overdose prevention, recognition, response, administration, dosing, adverse effects, storage,
shelf-life, and safety and provide *current REVIVE! brochure* from Dept. of Behavioral Health and
Developmental Services website
-Recipient *can't* waive counseling unless pharmacist verifies successful completion of REVIVE! training
program
-if naloxone being delivered to an alternate site, counseling should be provided by physician, NP, PA,
nurse, or approved REVIVE! trainer there
,what does a standing order for naloxone mean? - correct answer --issued by an individual prescriber
or by Health Commissioner to all pharmacies located and permitted in VA
-authorizes pharmacist to dispense ≥1 of the specified naloxone formulations to *any* person seeking
naloxone
how long is a standing order for naloxone valid? What information should the order contain at a
minimum? - correct answer --valid no more than 2 years from date of issuance
-name of pharmacy (if issued by prescriber for ≥1 pharmacies)
-contents of kit to be dispensed for intranasal naloxone (including quantity of drug and directions for
administration)
-prescriber's signature
-date of issuance
is a kit required for all naloxone formulations? - correct answer --no kit required for naloxone auto-
injector or Narcan Nasal Spray
-kit *required* for intranasal naloxone 2 mg/2 mL prefilled syringe - must dispense with *2 prefilled
syringes and 2 atomizers and instructions for administration*
-optional items for kits: rescue breathing masks, latex-free gloves
where can pharmacies obtain kits to have on-hand for dispensing intranasal naloxone prefilled syringes?
- correct answer -from REVIVE! program at Dept. of Behavioral Health and Developmental Services
what is the SIG for intranasal naloxone 2 mg/2 mL prefilled syringe? - correct answer -spray 1/2 of the
syringe into each nostril upon signs of opioid overdose. Call 911. Additional doses may be given every 2-
3 min until emergency medical assistance arrives
what is the SIG for naloxone 2 mg autoinjector? - correct answer -use 1 autoinjector upon signs of
opioid overdose. Call 911. Additional doses may be given every 2-3 min until emergency medical
assistance arrives
what is the SIG for Narcan nasal spray 4 mg? - correct answer -administer a single spray intranasally
into 1 nostril. administer additional doses using new nasal spray with each dose, if pt does not respond
, or responds then relapses into respiratory depression. Call 911. Additional doses may be given every 2-3
min until emergency medical assistance arrives
how is the labeling of each vial/syringe of naloxone different than other Rxs? - correct answer -name
of patient does not have to appear on label
a standing order for naloxone issued by a prescriber or Health Commissioner shall be maintained by the
pharmacist for how long from the date of last dispensing prior to expiration or D/C of the order? -
correct answer -2 years
pharmacy, wholesale distributor, third party logistics provider, or manufacturer may distribute naloxone
via invoice to who else? - correct answer --designated law enforcement officers or firefighters who
successfully completed training program
-designated employees of Dept of Forensic Science, Office of Chief Med. Examiner, Dept. of General
Services Division of Consolidated Lab. Services who have successfully completed training program
does BOP allow centralized Rx filling facilities to be utilized? - correct answer -yes
is prescriber ownership of a pharmacy prohibited? - correct answer -no
does VA have freedom of choice legislation? - correct answer -yes
does VA require pharmacies to conduct self-inspections? - correct answer -no
does BOP require pharmacies to maintain any type of continuous quality improvement program to
monitor/prevent quality-related events? - correct answer -yes
does BOP have regulations aimed at relieving pharmacist workload? - correct answer -yes, regulations
to address max hours worked and meal breaks are pending (LOOK THIS UP)
does BOP have regulatory oversight of PBMs? - correct answer -no, unless performing the practice of
pharmacy
