AR MPJE study materials
AR MPJE study resources

AR MPJE common mistakes

AR MPJE · Understand the traps and how to avoid them.

Mistake 1

Applying the federal CSA schedule for a drug without checking whether Arkansas has placed it in a stricter schedule or added state-specific controls (e.g., additional reporting, quantity limits, or schedule placement for substances like gabapentin-type drugs).

Candidates learn the federal five-schedule table fluently and treat it as the complete answer, forgetting that states may schedule more restrictively and that Arkansas law controls Arkansas practice.

What to do instead

For every controlled-substance question, run a two-step check: federal schedule first, then 'does Arkansas differ?' Build a short personal list of Arkansas-specific scheduling/reporting rules and review it before the exam.

Mistake 2

Treating the DEA power of attorney as something the pharmacist or pharmacy holds, or assuming a pharmacist can delegate prescriptive authority to unregistered staff.

Candidates conflate 'who may handle CS ordering/records' with 'who may prescribe,' and they blur registration, power of attorney, and prescriptive authority into one concept.

What to do instead

Memorize the distinct roles: practitioner registration, DEA Form 222/power of attorney for ordering, and state prescriptive authority. Practice classifying scenarios by which credential is actually at issue.

Mistake 3

Dispensing a controlled substance on an expired, partially complete, or otherwise defective prescription without recognizing which defects are curable by pharmacist clarification versus which require a new prescription.

Candidates memorize blanket rules ('no refills on CII') but not the specific required elements and the narrow correction pathways, so they misjudge edge cases.

What to do instead

Build a checklist of required prescription elements for CII vs. CIII–V and note which items a pharmacist may clarify. Drill scenarios where one element is missing and decide the lawful action.

Mistake 4

Confusing Arkansas-specific prescription validity periods, refill limits, and transfer rules with the federal default or with another state's rules.

Federal law sets floors and ceilings but leaves many details to states; candidates default to federal numbers or to remembered rules from other jurisdictions.

What to do instead

Create a one-page Arkansas 'numbers sheet' (validity period, refill window, transfer limits, emergency supply) and quiz yourself until you can state each without hesitation.

Mistake 5

Mishandling controlled-substance inventory: performing the biennial inventory without capturing the required elements (exact counts for CII, estimated counts for CIII–V, date/time, signature, whether done at opening or close of business).

Candidates treat inventory as a generic 'count the drugs' task and skip the documentation requirements that exam questions target.

What to do instead

Memorize the required inventory elements as a fixed list and practice writing a compliant inventory entry from memory for both a CII and a CIII–V item.

Mistake 6

Failing to distinguish recordkeeping retention periods and which records must be readily retrievable versus kept on-site, applying one blanket retention number to all records.

Multiple record types (CS records, prescription files, purchase records, immunization records) have different retention rules, and candidates collapse them into one.

What to do instead

Make a table of record type vs. retention period vs. storage/retrievability requirement, then practice matching a given record to its rule.

Mistake 7

Answering licensure questions by mixing up the roles of the Arkansas State Board of Pharmacy and other agencies (e.g., assuming the Board licenses technicians, or that DEA registration substitutes for state licensure).

Candidates learn 'licensure' as a single concept and don't separate Board authority, state registration, and federal DEA registration.

What to do instead

Map each credential (pharmacist license, pharmacy permit, technician registration, DEA registration) to its issuing authority and renewal cycle, and practice 'who issues this?' questions.

Mistake 8

Skipping or misjudging the counseling obligation: assuming counseling is optional, or that a signed waiver alone satisfies the requirement without a documented offer to counsel.

Candidates remember 'offer to counsel' language but not the operational steps (offer, document refusal, provide information) that exam scenarios test.

What to do instead

Learn the counseling workflow as a sequence and practice identifying the exact step missing in a scenario (offer made? refusal documented? information provided?).

Mistake 9

Treating immunization authority as unlimited: assuming any pharmacist may administer any vaccine to any age under a standing order, without checking Arkansas-specific age limits, protocol/order requirements, and reporting to the state immunization registry.

Immunization rules changed rapidly and vary by state and by patient age; candidates rely on general impressions rather than the specific Arkansas framework.

What to do instead

Build a matrix of vaccine/age/protocol/reporting requirements for Arkansas and drill scenario questions where one variable (age, protocol, reporting) is out of bounds.

Mistake 10

Applying collaborative practice or protocol authority beyond its scope-e.g., initiating or adjusting therapy without a valid Arkansas collaborative practice agreement or protocol on file, or assuming a protocol covers drugs/conditions it does not list.

Candidates generalize from 'pharmacists can do more now' without pinning authority to a written agreement and its specific terms.

What to do instead

For any collaborative-practice scenario, verify three things: a valid agreement exists, the action falls within its listed scope, and required documentation/notification occurs. Practice flagging which element fails.