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AR MPJE practice questions

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Question 1Federal and Arkansas drug laws and regulations governing pharmacy practice

Under federal law, a prescription for a Schedule II controlled substance may be refilled:

  1. As many times as the prescriber authorizes within a year
  2. Up to five times within six months
  3. Never; refills are prohibited for Schedule II drugs Correct answer.
  4. Up to two times within one month

Explanation

Federal regulations prohibit refills on Schedule II prescriptions; a new prescription is required for additional dispensing. Schedules III–IV allow up to five refills within six months, and Schedule V allows refills as authorized by the prescriber.

Question 2Federal and Arkansas drug laws and regulations governing pharmacy practice

A pharmacist receives a prescription for a Schedule II controlled substance from an out-of-state prescriber. Which statement best describes the federal requirement for dispensing?

  1. The pharmacist must obtain verbal confirmation from the prescriber before dispensing
  2. The prescription must be written on a state-issued form from the patient's state
  3. The prescription must be filled only if the prescriber is physically located in Arkansas
  4. The prescriber must be registered with DEA and the prescription must meet valid prescription requirements Correct answer.

Explanation

Federal law requires that the prescriber be DEA-registered and that the prescription meet the definition of a valid prescription (issued for a legitimate medical purpose in the usual course of professional practice). There is no federal requirement for a special out-of-state form or mandatory call-back for Schedule II.

Question 3Federal and Arkansas drug laws and regulations governing pharmacy practice

Under the Combat Methamphetamine Epidemic Act, which product requires behind-the-counter placement and logbook recordkeeping?

  1. Guaifenesin extended-release tablets
  2. Dextromethorphan cough syrup
  3. Pseudoephedrine 30 mg tablets Correct answer.
  4. Phenylephrine nasal spray

Explanation

The CMEA regulates scheduled listed chemical products, which include pseudoephedrine, ephedrine, and phenylpropanolamine. These must be kept behind the counter or in a locked cabinet and sales must be logged with photo ID.

Question 4Federal and Arkansas drug laws and regulations governing pharmacy practice

What is the maximum daily sales limit of pseudoephedrine base per purchaser under federal CMEA rules?

  1. 9.0 grams
  2. 3.6 grams Correct answer.
  3. 7.5 grams
  4. 1.5 grams

Explanation

Federal law limits retail sales of pseudoephedrine base to 3.6 grams per purchaser per day and 9 grams per purchaser per 30-day period. These limits apply to the base amount, not the salt form.

Question 5Federal and Arkansas drug laws and regulations governing pharmacy practice

A Schedule III prescription was written on March 1. Under federal law, the prescription may be filled no later than:

  1. December 1 (nine months)
  2. April 30 (60 days)
  3. June 30 (120 days)
  4. September 1 (six months) Correct answer.

Explanation

Federal law provides that a prescription for a Schedule III or IV controlled substance may not be filled more than six months after the date of issue. After six months, the prescription is no longer valid.

Question 6Federal and Arkansas drug laws and regulations governing pharmacy practice

Which of the following is required on a prescription for a controlled substance in Schedule II?

  1. Patient's diagnosis code
  2. Patient's insurance member ID
  3. Pharmacist's NPI number
  4. Prescriber's DEA registration number Correct answer.

Explanation

A valid Schedule II prescription must include the prescriber's DEA registration number, along with other required elements such as patient name, drug, strength, quantity, and date. Diagnosis codes and insurance information are not federally required prescription elements.

Question 7Federal and Arkansas drug laws and regulations governing pharmacy practice

A pharmacist receives an oral emergency Schedule II prescription for a patient in a long-term care facility. Federal rules allow the pharmacist to dispense and then must receive the written prescription within:

  1. 24 hours
  2. 30 days
  3. 14 days
  4. 7 days Correct answer.

Explanation

For emergency oral Schedule II prescriptions, the pharmacist may dispense but must receive the written prescription within seven days. Failure to receive it requires notification to DEA.

Question 8Federal and Arkansas drug laws and regulations governing pharmacy practice

Which action is required of a pharmacy that is registered with DEA as a dispenser?

  1. Maintain a biennial inventory of controlled substances Correct answer.
  2. Register separately with DEA for each pharmacist
  3. Submit every controlled substance prescription to PDMP weekly
  4. Post the DEA registration certificate in a public area

Explanation

DEA-registered handlers must take an initial inventory and a biennial inventory every two years. Registration is held by the pharmacy, not individual pharmacists, and PDMP reporting frequency is set by state law.

Question 9Federal and Arkansas drug laws and regulations governing pharmacy practice

A pharmacy discovers that 20 tablets of oxycodone are missing during a biennial inventory reconciliation. Under federal rule, the pharmacy must:

  1. Report the loss only if it exceeds 100 dosage units
  2. Take no action if the loss is due to employee theft
  3. Report the loss to DEA and complete a DEA Form 106 Correct answer.
  4. Report the loss to the state board only

Explanation

Significant losses of controlled substances must be reported to the DEA field division in writing, typically using DEA Form 106. Theft and significant loss must be reported regardless of whether the cause is known.

Question 10Federal and Arkansas drug laws and regulations governing pharmacy practice

Under the Poison Prevention Packaging Act, which drug is exempt from child-resistant packaging requirements when dispensed to a patient who requests non-CR packaging?

  1. Oxycodone tablets
  2. Methylphenidate tablets
  3. Sublingual nitroglycerin tablets Correct answer.
  4. Amoxicillin suspension

Explanation

Sublingual nitroglycerin is among the products granted an exemption from PPPA child-resistant packaging. Most other prescription drugs, including opioids and stimulants, must be dispensed in child-resistant packaging unless the patient requests otherwise and the prescriber authorizes it.

Question 11Federal and Arkansas drug laws and regulations governing pharmacy practice

A prescription for a Schedule II controlled substance may be transmitted by fax in which situation?

  1. Only for a compounded Schedule II product
  2. Only when the patient is under 18 years old
  3. For a Schedule II narcotic intended for hospice or long-term care Correct answer.
  4. Never; fax is prohibited for Schedule II

Explanation

Federal rules allow fax transmission of Schedule II prescriptions for compounded products for direct administration and for Schedule II narcotics for hospice or long-term care patients. Routine Schedule II prescriptions may not be faxed as an original prescription.

Question 12Federal and Arkansas drug laws and regulations governing pharmacy practice

Under federal law, a pharmacist may transfer a prescription for a Schedule III–V controlled substance:

  1. Never
  2. Only if the prescriber authorizes each transfer
  3. Up to five times
  4. Only once, and only if both pharmacies are DEA-registered Correct answer.

Explanation

Federal rule allows one-time transfer of Schedule III–V prescriptions between DEA-registered pharmacies, provided certain documentation requirements are met. Schedule II prescriptions cannot be transferred under federal law.

Question 13Federal and Arkansas drug laws and regulations governing pharmacy practice

A patient presents a prescription for a Schedule II controlled substance that was issued 45 days ago. Which action is most consistent with federal law?

  1. Dispense without restriction
  2. Contact the prescriber to confirm the prescription remains valid Correct answer.
  3. Dispense only half the quantity
  4. Refuse to dispense because Schedule II prescriptions expire after 30 days

Explanation

Federal law does not impose a fixed expiration date for Schedule II prescriptions, but a prescription must be filled within a reasonable time consistent with the prescriber's intent. Verifying with the prescriber is appropriate.

Question 14Federal and Arkansas drug laws and regulations governing pharmacy practice

Which of the following is a requirement for a pharmacy to dispense a controlled substance under federal law?

  1. The pharmacy must hold a valid DEA registration for that schedule Correct answer.
  2. The pharmacy must be open 24 hours a day
  3. The pharmacy must be owned by a pharmacist
  4. The pharmacist must be certified by the state board as a controlled substance specialist

Explanation

A pharmacy must hold a valid DEA registration to dispense controlled substances. Ownership, hours, and specialist certification are not federal requirements for dispensing.

Question 15Federal and Arkansas drug laws and regulations governing pharmacy practice

Which of the following is a Schedule II controlled substance?

  1. Zolpidem
  2. Lorazepam
  3. Oxycodone Correct answer.
  4. Alprazolam

Explanation

Oxycodone is a Schedule II opioid. Alprazolam and lorazepam are Schedule IV benzodiazepines, and zolpidem is a Schedule IV sedative-hypnotic.

Question 16Federal and Arkansas drug laws and regulations governing pharmacy practice

A pharmacist dispenses a Schedule V cough preparation containing codeine. Which federal requirement applies?

  1. The drug must be kept behind the counter and the pharmacist must verify the purchaser's identity Correct answer.
  2. The sale must be recorded in a logbook with the purchaser's identification
  3. The drug must be dispensed only by a pharmacist on an original prescription
  4. The drug may be sold without any special requirements

Explanation

Over-the-counter Schedule V products are subject to federal requirements including behind-the-counter placement and identification verification. When dispensed on prescription, the usual prescription requirements apply.

Question 17Federal and Arkansas drug laws and regulations governing pharmacy practice

Which of the following is a valid DEA Form 222 use?

  1. Ordering Schedule II controlled substances from a distributor Correct answer.
  2. Filing a biennial inventory
  3. Reporting a theft of controlled substances
  4. Registering a new pharmacy

Explanation

DEA Form 222 is used to order Schedule II controlled substances. As of 2019, DEA permits electronic 222 orders through the CSOS system.

Question 18Federal and Arkansas drug laws and regulations governing pharmacy practice

A prescriber issues a Schedule II prescription for a patient with a documented terminal illness. Which statement is most accurate?

  1. The prescription cannot be filled without an emergency oral order
  2. The prescription must be filled within 24 hours of issuance
  3. The prescription may be filled in multiple partial fillings up to 60 days from issuance Correct answer.
  4. The prescription must be filled in full at one time

Explanation

Federal law permits partial filling of Schedule II prescriptions for patients with terminal illness or in long-term care facilities, with the total quantity filled within 60 days of issuance.

Question 19Federal and Arkansas drug laws and regulations governing pharmacy practice

Which of the following must a pharmacy do when it receives a suspicious order for a listed chemical under federal rule?

  1. Refuse to fill the order and report it to DEA Correct answer.
  2. Fill the order and notify DEA within 30 days
  3. Fill the order only after verifying the purchaser's credit
  4. Fill the order if the purchaser signs a statement

Explanation

Federal rules require sellers of listed chemicals to refuse suspicious orders and report them to DEA. A suspicious order is one that is unusual in size, frequency, or pattern.

Question 20Federal and Arkansas drug laws and regulations governing pharmacy practice

Which federal law requires a prescription drug to carry the statement 'Caution: Federal law prohibits dispensing without prescription'?

  1. Controlled Substances Act
  2. Durham-Humphrey Amendment Correct answer.
  3. Combat Methamphetamine Epidemic Act
  4. Kefauver-Harris Amendment

Explanation

The Durham-Humphrey Amendment of 1951 established the prescription-only category and required the caution statement on legend drugs. Kefauver-Harris added efficacy requirements, and the CSA governs controlled substances.

Question 21Federal and Arkansas drug laws and regulations governing pharmacy practice

A pharmacist receives a forged prescription for a Schedule II opioid. Which action is most appropriate?

  1. Refuse to fill and notify the prescriber and appropriate authorities Correct answer.
  2. Fill the prescription and report it to DEA within 24 hours
  3. Fill it if the patient admits the forgery
  4. Confiscate the prescription and take no further action

Explanation

A pharmacist who suspects a forged prescription should not dispense it and should notify the prescriber and law enforcement or the appropriate authority. Documentation of the incident is also recommended.

Question 22Federal and Arkansas drug laws and regulations governing pharmacy practice

Which of the following describes the federal requirement for a pharmacist to provide a Medication Guide?

  1. It must be provided only when the patient requests it
  2. It must be provided with each dispensing of a drug that has an FDA-approved Medication Guide Correct answer.
  3. It must be provided only for new prescriptions
  4. It must be provided only for controlled substances

Explanation

FDA regulations require that a Medication Guide be provided with each dispensing of a drug for which an FDA-approved Medication Guide exists, unless an exception applies.

Question 23Federal and Arkansas drug laws and regulations governing pharmacy practice

Under federal law, when may a pharmacy accept a verbal prescription for a Schedule III controlled substance?

  1. Yes, the prescriber may authorize a verbal order for a Schedule III drug Correct answer.
  2. Never
  3. Only if the patient is in a long-term care facility
  4. Only in an emergency

Explanation

Federal law permits oral prescriptions for Schedule III, IV, and V controlled substances. Schedule II oral prescriptions are permitted only in limited emergency situations.

Question 24Federal and Arkansas drug laws and regulations governing pharmacy practice

A pharmacist is asked to dispense a Schedule II prescription written by a prescriber whose DEA registration has expired. The pharmacist should:

  1. Dispense because the prescription was previously written
  2. Dispense if the patient pays cash
  3. Contact the prescriber to confirm a valid DEA registration before dispensing Correct answer.
  4. Dispense because DEA registration is not required for Schedule II

Explanation

A valid Schedule II prescription requires the prescriber to have a valid DEA registration. Dispensing based on an expired registration may be unlawful; verification with the prescriber is appropriate.

Question 25Federal and Arkansas drug laws and regulations governing pharmacy practice

Which of the following is an example of a Schedule IV controlled substance?

  1. Alprazolam Correct answer.
  2. Methylphenidate
  3. Lysergic acid diethylamide
  4. Morphine

Explanation

Alprazolam is a benzodiazepine classified as Schedule IV. Morphine is Schedule II, methylphenidate is Schedule II, and LSD is Schedule I.

Question 26Federal and Arkansas drug laws and regulations governing pharmacy practice

Under the Federal Food, Drug, and Cosmetic Act, which drug product is classified as a prescription drug by law rather than by labeling choice?

  1. A drug whose label states it is for veterinary use only
  2. A cosmetic containing a sunscreen active ingredient
  3. A drug that is habit-forming under the federal controlled substances framework Correct answer.
  4. A dietary supplement containing a botanical extract

Explanation

The FDCA deems a drug to be prescription-only by law when it is habit-forming, unsafe for self-medication, or a new drug not shown safe for lay use. Habit-forming drugs fall into the statutory prescription category independent of labeling decisions.

Question 27Federal and Arkansas drug laws and regulations governing pharmacy practice

A manufacturer wants to market a new prescription antihypertensive. Which submission to FDA is required before marketing may begin?

  1. A supplemental veterinary feed directive
  2. An over-the-counter monograph petition
  3. A new drug application demonstrating safety and effectiveness Correct answer.
  4. An abbreviated new drug application showing bioequivalence

Explanation

A New Drug Application (NDA) is required for a novel prescription drug to demonstrate safety and effectiveness under the FDCA. Abbreviated applications are for generic copies of already-approved drugs.

Question 28Federal and Arkansas drug laws and regulations governing pharmacy practice

Which federal requirement applies to a pharmacy that compounds a sterile preparation for a patient under a valid prescription?

  1. The pharmacy must obtain a DEA manufacturing registration
  2. The pharmacy must register with FDA as a manufacturer
  3. The pharmacy must submit an NDA for the compounded product
  4. The pharmacy must follow applicable USP standards adopted by the state Correct answer.

Explanation

Traditional pharmacy compounding is governed by state law and, where adopted, USP compounding standards such as USP <797> for sterile preparations. It does not require an NDA or manufacturer registration for patient-specific compounding.

Question 29Federal and Arkansas drug laws and regulations governing pharmacy practice

A pharmacist suspects a prescriber is issuing prescriptions outside the usual course of professional practice. Which action best aligns with federal controlled substance obligations?

  1. Refuse to fill and report the concern to DEA or the state authority Correct answer.
  2. Report the prescriber directly to the patient's insurer
  3. Fill once and then notify the wholesaler
  4. Fill the prescriptions and document the concern in the patient record

Explanation

A pharmacist shares a corresponding responsibility to ensure controlled substance prescriptions are issued for a legitimate medical purpose by a practitioner acting in the usual course of practice. Refusing to dispense and reporting suspected diversion to DEA or state authorities is appropriate.

Question 30Federal and Arkansas drug laws and regulations governing pharmacy practice

Under the Combat Methamphetamine Epidemic Act, which requirement applies to a pharmacy selling ephedrine or pseudoephedrine as a nonprescription product?

  1. The product must be kept behind the counter or in a locked cabinet Correct answer.
  2. The product must be stored in the refrigerator
  3. The product must be dispensed only with a prescription
  4. The product must be sold only to patients over 65

Explanation

CMEA requires that scheduled listed chemical products such as pseudoephedrine and ephedrine be stored behind the counter or in a locked cabinet not accessible to the public. Sales are also subject to logbook, identification, and quantity limits.

Question 31Federal and Arkansas drug laws and regulations governing pharmacy practice

A pharmacy receives a prescription for isotretinoin. Which federal program requirement must be satisfied before dispensing?

  1. The prescriber, patient, and pharmacy must be registered in the iPLEDGE program Correct answer.
  2. The patient must be at least 21 years old
  3. The patient must sign a paper only consent form kept at the pharmacy
  4. The pharmacy must fax the prescription to FDA

Explanation

Isotretinoin is subject to a risk evaluation and mitigation strategy (REMS) administered through iPLEDGE, requiring registration of prescriber, patient, and pharmacy before dispensing. This ensures pregnancy testing and counseling requirements are met.

Question 32Federal and Arkansas drug laws and regulations governing pharmacy practice

Which statement correctly describes the federal status of marijuana under the Controlled Substances Act?

  1. It is Schedule I with no accepted medical use under federal law Correct answer.
  2. It is Schedule II because some states permit medical use
  3. It is unscheduled when recommended by a physician
  4. It is Schedule III when dispensed by a pharmacist

Explanation

Marijuana remains in Schedule I under the CSA, meaning it has no currently accepted medical use and a high potential for abuse under federal law, regardless of state legalization. State permission does not alter federal scheduling.

Question 33Federal and Arkansas drug laws and regulations governing pharmacy practice

A pharmacy wants to destroy expired controlled substances on site. Which federal practice is required?

  1. Returning the drugs to the prescribing physician
  2. Flushing all controlled substances into the sewer system
  3. Destroying the drugs in the presence of at least two employees and documenting the destruction Correct answer.
  4. Shipping the drugs to a reverse distributor without any documentation

Explanation

On-site destruction of controlled substances generally requires witnessing by at least two authorized employees and documentation of the destruction. Alternatively, pharmacies may transfer drugs to a registered reverse distributor.

Question 34Federal and Arkansas drug laws and regulations governing pharmacy practice

Which federal law established the current framework for approving generic drugs through abbreviated applications?

  1. Kefauver-Harris Amendment
  2. Drug Price Competition and Patent Term Restoration Act Correct answer.
  3. Durham-Humphrey Amendment
  4. Combat Methamphetamine Epidemic Act

Explanation

The Drug Price Competition and Patent Term Restoration Act, commonly called the Hatch-Waxman Act, created the abbreviated new drug application pathway for generics. It also provided patent term restoration for innovator products.

Question 35Federal and Arkansas drug laws and regulations governing pharmacy practice

A pharmacy receives a suspicious order for a listed chemical. Under federal regulation, which action is required?

  1. Fill the order only if paid in cash
  2. Stop the sale and report the order to DEA Correct answer.
  3. Fill the order and notify the state board within 30 days
  4. Reduce the order quantity by half and ship

Explanation

Federal rules require a regulated seller to stop the sale and report a suspicious order to DEA. The order must not be shipped, and the report must be made promptly.

Question 36Federal and Arkansas drug laws and regulations governing pharmacy practice

Which statement about the federal labeling requirement for prescription drugs is accurate?

  1. The legend statement is required on prescription drug labels under the FDCA Correct answer.
  2. The legend statement is a state-only requirement
  3. The legend statement is required only on controlled substances
  4. The legend statement may be omitted for generic drugs

Explanation

The FDCA requires prescription drugs to bear the legend 'Caution: Federal law prohibits dispensing without prescription' or its Rx-only symbol equivalent. This is a federal requirement applying to prescription drug labeling.

Question 37Federal and Arkansas drug laws and regulations governing pharmacy practice

A pharmacist suspects a prescription is forged. Which action best aligns with professional and legal obligations?

  1. Refuse to fill and report the forgery to appropriate authorities Correct answer.
  2. Ask the patient to sign a waiver and fill it
  3. Fill it only if the patient pays cash
  4. Fill it and report the forgery after the fact

Explanation

A pharmacist who reasonably suspects forgery should not dispense and should report the matter to law enforcement or the state board. Dispensing a known forged prescription exposes the pharmacist to liability.

Question 38Federal and Arkansas drug laws and regulations governing pharmacy practice

Which statement about the federal requirement to provide a Medication Guide is correct?

  1. Medication Guides are required for all prescription drugs
  2. Medication Guides are required only for controlled substances
  3. Medication Guides replace the package insert entirely
  4. Medication Guides are required only for drugs with serious and significant public health concerns as determined by FDA Correct answer.

Explanation

FDA requires Medication Guides for drug products that pose serious and significant public health concerns where patient labeling could prevent serious adverse events. They are not required for every prescription drug.

Question 39Federal and Arkansas drug laws and regulations governing pharmacy practice

A pharmacy is considering whether an emergency oral Schedule II prescription may be dispensed. Which statement best reflects federal requirements?

  1. It may be dispensed without any follow-up documentation
  2. It may be dispensed if the prescriber provides a written or electronic prescription within seven days Correct answer.
  3. It may never be dispensed by a community pharmacy
  4. It may be dispensed only if the patient is in a hospital

Explanation

Federal rules permit emergency oral Schedule II prescriptions when the quantity is limited and the prescriber delivers a written or electronic prescription within seven days. Failure to provide follow-up documentation requires reporting to DEA.

Question 40Federal and Arkansas drug laws and regulations governing pharmacy practice

Which statement about the federal transfer of a prescription for a Schedule III–V controlled substance is correct?

  1. Transfers may be made only by the prescriber
  2. Transfers are prohibited for all controlled substances
  3. Transfers are permitted only if both pharmacies share the same owner
  4. Transfers are permitted one time only between pharmacies for initial filling Correct answer.

Explanation

Federal rules generally allow a Schedule III–V prescription to be transferred one time only between pharmacies for the purpose of initial filling, with documentation requirements. Additional state rules may apply.

Question 41Licensure, registration, and discipline of pharmacists, pharmacies, and pharmacy personnel

Under Arkansas law, which entity issues a license to operate a pharmacy within the state?

  1. The federal Drug Enforcement Administration
  2. The Arkansas State Board of Pharmacy Correct answer.
  3. The Arkansas Department of Health
  4. The county circuit court

Explanation

The Arkansas State Board of Pharmacy is the state agency that licenses and regulates pharmacies, pharmacists, and pharmacy technicians. The Department of Health and DEA have separate roles that do not include issuing the state pharmacy license.

Question 42Licensure, registration, and discipline of pharmacists, pharmacies, and pharmacy personnel

A pharmacist licensed in Arkansas must renew that license on which schedule?

  1. Every five years
  2. Every two years Correct answer.
  3. Every three years
  4. Every year on the pharmacist's birth date

Explanation

Arkansas pharmacist licenses are renewed on a biennial basis. The Board sets the renewal cycle and requires continuing education during each period.

Question 43Licensure, registration, and discipline of pharmacists, pharmacies, and pharmacy personnel

Which action is required before a licensed Arkansas pharmacist may practice in a hospital pharmacy setting?

  1. Hold a current active Arkansas pharmacist license Correct answer.
  2. Obtain a separate hospital pharmacist endorsement from the Board
  3. Register with the Arkansas Department of Health
  4. Notify the DEA of the practice location

Explanation

A single active Arkansas pharmacist license authorizes practice in any practice setting in the state. The Board does not issue separate setting-specific pharmacist endorsements.

Question 44Licensure, registration, and discipline of pharmacists, pharmacies, and pharmacy personnel

A pharmacy technician in Arkansas generally performs duties under what arrangement?

  1. Independent authority granted by the Board
  2. Direct supervision by a licensed pharmacist Correct answer.
  3. Delegation from a prescribing physician
  4. Oversight by a certified pharmacy technician lead

Explanation

Technicians support pharmacy operations but work under the supervision of a licensed pharmacist. Their permissible duties are defined by Board rule and pharmacist oversight.

Question 45Licensure, registration, and discipline of pharmacists, pharmacies, and pharmacy personnel

Which of the following is a recognized ground for discipline of an Arkansas pharmacist license?

  1. Dispensing a prescription drug while impaired by alcohol Correct answer.
  2. Dispensing a drug pursuant to a valid prescription
  3. Completing more continuing education than required
  4. Refusing to fill a prescription for a documented clinical reason

Explanation

Impairment while practicing is a disciplinary ground because it endangers patients. Proper dispensing and clinically justified refusals are not violations.

Question 46Licensure, registration, and discipline of pharmacists, pharmacies, and pharmacy personnel

After a pharmacist's Arkansas license lapses for nonrenewal, what is generally required to resume practice?

  1. Reinstatement through the Board, which may include fees and CE Correct answer.
  2. Nothing, because the license reactivates automatically
  3. Passing the NAPLEX again in all cases
  4. Payment of a late fee only

Explanation

A lapsed license does not reactivate automatically; the pharmacist must apply for reinstatement and satisfy the Board's requirements, which can include fees and continuing education. Reexamination is not universally required.

Question 47Licensure, registration, and discipline of pharmacists, pharmacies, and pharmacy personnel

Which body has authority to adopt rules that interpret and implement the Arkansas Pharmacy Practice Act?

  1. The Arkansas Supreme Court
  2. The Arkansas State Board of Pharmacy Correct answer.
  3. The Arkansas General Assembly
  4. The Governor's office

Explanation

The Board is the administrative agency empowered to adopt rules implementing the Pharmacy Practice Act. The legislature enacts the statute, and the Board supplies the detailed rules.

Question 48Licensure, registration, and discipline of pharmacists, pharmacies, and pharmacy personnel

Continuing education for Arkansas pharmacist renewal is intended primarily to do which of the following?

  1. Increase pharmacy revenue
  2. Replace the need for licensure
  3. Satisfy federal Medicaid conditions
  4. Maintain and update professional competence Correct answer.

Explanation

CE requirements exist to keep practitioners current and competent throughout their careers. They supplement, rather than replace, licensure requirements.

Question 49Licensure, registration, and discipline of pharmacists, pharmacies, and pharmacy personnel

A pharmacist moving from another state wants to practice in Arkansas. Which statement best describes the typical pathway?

  1. Any active out-of-state license transfers automatically
  2. The pharmacist may practice for one year while applying
  3. The pharmacist must obtain an Arkansas license through the Board's licensure process Correct answer.
  4. Only NAPLEX scores matter for transfer

Explanation

Practice in Arkansas requires an Arkansas license obtained through the Board's process, which may include licensure by reciprocity or score transfer under Board rules. An out-of-state license alone does not confer Arkansas practice authority.

Question 50Licensure, registration, and discipline of pharmacists, pharmacies, and pharmacy personnel

A pharmacist's employer asks her to dispense prescriptions from a location that has not been licensed as a pharmacy. What is the most appropriate response?

  1. Proceed if the prescriptions are noncontrolled
  2. Decline until the location is properly licensed Correct answer.
  3. Proceed because a licensed pharmacist is present
  4. Proceed if the location is inside Arkansas

Explanation

Dispensing may occur only from a licensed pharmacy location. A pharmacist's personal license does not license the physical site, and controlled status of the drug is irrelevant to site licensure.