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CT MPJE practice questions

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Question 1Connecticut Pharmacy Practice Act: licensure, registration, and scope of practice

In Connecticut, which entity issues pharmacist licenses and pharmacy permits?

  1. Department of Consumer Protection Correct answer.
  2. Office of Health Care Access
  3. Judicial Branch Superior Court
  4. Department of Public Health

Explanation

Pharmacist licenses, pharmacy permits, and pharmacy technician and intern registrations in Connecticut are issued by the Department of Consumer Protection. The Commission of Pharmacy reviews applications and advises the commissioner, but the licensing authority itself rests with the department. The other agencies listed regulate different professions, facilities, or court matters.

Question 2Connecticut Pharmacy Practice Act: licensure, registration, and scope of practice

What is the function of the Connecticut Commission of Pharmacy?

  1. Sets the passing score for the national pharmacist exam
  2. Issues and revokes pharmacist and pharmacy licenses
  3. Operates the state prescription monitoring program
  4. Advises the DCP commissioner on pharmacy matters Correct answer.

Explanation

The Commission of Pharmacy is a body of pharmacist and public members within the Department of Consumer Protection that reviews applications, recommends regulations, and advises the commissioner. It acts in an advisory capacity while the commissioner retains final licensing and disciplinary authority. National examination standards and scoring are set by outside organizations, not by the commission.

Question 3Connecticut Pharmacy Practice Act: licensure, registration, and scope of practice

A person who wishes to practice pharmacy in Connecticut must do which of the following?

  1. be certified by the Pharmacy Technician Certification Board
  2. hold a valid license from any U.S. state
  3. hold a Connecticut pharmacist license Correct answer.
  4. register with the Department of Public Health

Explanation

Connecticut requires a current Connecticut pharmacist license before a person may evaluate prescriptions, dispense medications, and counsel patients in the state. A license issued by another state does not authorize practice in Connecticut. National technician certification and registration with another state agency confer no pharmacist practice authority.

Question 4Connecticut Pharmacy Practice Act: licensure, registration, and scope of practice

A pharmacist licensed in Massachusetts accepts a staff position in Hartford. Before practicing, she must do which of the following?

  1. register as a pharmacy intern while she works
  2. obtain a Connecticut pharmacist license Correct answer.
  3. notify the Massachusetts board of pharmacy only
  4. nothing, if she practices fewer than 30 days a year

Explanation

Connecticut does not grant practice privileges based on a license from another state, so the pharmacist must be licensed by the Department of Consumer Protection before working in Hartford. Licensure requires meeting Connecticut's education, examination, and experience requirements. There is no short-term or low-volume exception that allows out-of-state practice.

Question 5Connecticut Pharmacy Practice Act: licensure, registration, and scope of practice

How does a pharmacy school graduate become authorized to gain practical experience in a Connecticut pharmacy before licensure?

  1. Register as a technician and count those hours
  2. Start working immediately under a pharmacist's supervision
  3. Ask the school's dean for a temporary license
  4. Register as a pharmacy intern with DCP Correct answer.

Explanation

Students and graduates who need practical experience in Connecticut must be registered with the Department of Consumer Protection as pharmacy interns before accruing hours. Intern registration ties the trainee to an approved program and requires supervision by a licensed pharmacist. A dean cannot confer practice authority, and technician hours do not count toward pharmacist internship requirements.

Question 6Connecticut Pharmacy Practice Act: licensure, registration, and scope of practice

A Connecticut pharmacy intern is working a shift. Which requirement applies?

  1. The intern may practice alone after 500 hours
  2. Supervision may be provided by telephone
  3. A registered technician may supervise the intern
  4. A licensed pharmacist must be on site supervising Correct answer.

Explanation

A Connecticut pharmacy intern must work under the supervision of a licensed pharmacist who is physically present in the pharmacy. Off-site or telephone supervision does not satisfy the requirement, and technicians have no authority to supervise interns. Hours completed without the required supervision do not count toward licensure.

Question 7Connecticut Pharmacy Practice Act: licensure, registration, and scope of practice

How are pharmacy technicians regulated in Connecticut?

  1. authorized to counsel patients about medications
  2. registered by DCP and supervised by a pharmacist Correct answer.
  3. certified nationally and exempt from state registration
  4. licensed by DCP to practice independently

Explanation

Connecticut regulates pharmacy technicians through registration with the Department of Consumer Protection rather than through licensure, and technicians must work under the supervision of a pharmacist. National certification may be required by an employer but does not replace state registration. Registration never authorizes independent practice or patient counseling.

Question 8Connecticut Pharmacy Practice Act: licensure, registration, and scope of practice

Which task may a Connecticut pharmacy technician perform?

  1. Taking a new prescription order over the telephone
  2. Counseling a patient about a new prescription
  3. Counting and pouring medications for pharmacist check Correct answer.
  4. Performing the final check on a filled prescription

Explanation

Technician duties are limited to tasks that do not require pharmacist judgment, such as counting, pouring, labeling, and recordkeeping, with the pharmacist performing the final verification. Counseling and the final check of a filled prescription are reserved to the pharmacist. Taking a new prescription order by telephone is likewise a pharmacist or intern function.

Question 9Connecticut Pharmacy Practice Act: licensure, registration, and scope of practice

An out-of-state pharmacy that mails prescription drugs to Connecticut residents must do which of the following?

  1. register with DCP as a nonresident pharmacy Correct answer.
  2. obtain a Connecticut wholesaler license
  3. nothing, if licensed in its home state
  4. hold a Connecticut pharmacy intern registration

Explanation

A pharmacy located outside Connecticut that dispenses or ships prescription drugs to Connecticut patients must register with the Department of Consumer Protection as a nonresident pharmacy. Registration subjects the pharmacy to Connecticut record and inspection requirements. Holding only a home-state license is not sufficient to serve Connecticut patients.

Question 10Connecticut Pharmacy Practice Act: licensure, registration, and scope of practice

A corporation opens three separate Connecticut pharmacy locations. How many pharmacy permits are required?

  1. No permit, if every pharmacist is licensed
  2. One permit that covers all three stores
  3. One permit for each location Correct answer.
  4. One permit for each supervising pharmacist

Explanation

A Connecticut pharmacy permit is issued for a specific physical location and practice setting, so each of the three stores needs its own permit. Common ownership does not allow one permit to cover multiple sites. Individual pharmacist licenses never substitute for a facility permit.

Question 11Connecticut Pharmacy Practice Act: licensure, registration, and scope of practice

Which product may a Connecticut pharmacist lawfully dispense to a patient without a prescription?

  1. Naloxone Correct answer.
  2. Amoxicillin
  3. Albuterol inhaler
  4. Insulin glargine

Explanation

Connecticut authorizes pharmacists to dispense naloxone without a patient-specific prescription, generally under a statewide standing order or protocol, so that opioid overdose reversal is widely accessible. Other prescription-only medications, including antibiotics, insulin, and albuterol, still require a valid prescription unless a separate authority applies. Dispensing any legend drug without proper authority would be unlawful.

Question 12Connecticut Pharmacy Practice Act: licensure, registration, and scope of practice

Which activity falls within the scope of practice of a licensed Connecticut pharmacist?

  1. Prescribing antibiotics for a new infection
  2. Performing surgery in a clinic
  3. Administering immunizations to patients Correct answer.
  4. Diagnosing a new chronic condition

Explanation

A Connecticut pharmacist license authorizes the full range of pharmacy practice, including administering immunizations under the conditions set by state law and departmental regulation. Independent prescribing for a new infection, diagnosing a new condition, and performing procedures fall outside pharmacist scope. Expanded authority in areas such as drug therapy management requires a prescriber relationship or protocol.

Question 13Connecticut Pharmacy Practice Act: licensure, registration, and scope of practice

A Connecticut pharmacist may sell hypodermic syringes and needles under which condition?

  1. without a prescription Correct answer.
  2. only to patients with diabetes
  3. only with a written prescriber order
  4. only during an emergency

Explanation

Connecticut allows pharmacies to sell hypodermic needles and syringes without a prescription, a policy adopted to support harm reduction and safe injection practices. Purchasers are not required to have diabetes or a prescriber's order. A pharmacy may set its own business practices, but state law does not limit the sale to those situations.

Question 14Connecticut Pharmacy Practice Act: licensure, registration, and scope of practice

Under Connecticut's collaborative drug therapy management provisions, a pharmacist may do which of the following?

  1. change a patient's diagnosis without telling the prescriber
  2. manage therapy under a written prescriber protocol Correct answer.
  3. prescribe any controlled substance independently
  4. switch the patient to a different drug class at will

Explanation

Connecticut permits collaborative drug therapy management, in which a pharmacist manages or modifies a patient's drug therapy under a written protocol developed with a prescriber. The protocol defines the drugs, conditions, monitoring, and adjustments the pharmacist may make. Pharmacists cannot act outside the agreement, initiate controlled substances independently, or practice at their own discretion.

Question 15Connecticut Pharmacy Practice Act: licensure, registration, and scope of practice

When dispensing a new prescription, a Connecticut pharmacist must do which of the following?

  1. offer the patient counseling Correct answer.
  2. delegate counseling to a technician
  3. counsel only if the patient asks for it
  4. counsel only on controlled substances

Explanation

Connecticut requires the pharmacist to offer counseling to each patient receiving a new prescription before the prescription is completed. The offer must be made even if the patient declines the conversation. Counseling is a pharmacist responsibility and may not routinely be delegated to a technician.

Question 16Connecticut Pharmacy Practice Act: licensure, registration, and scope of practice

A prescriber writes for a brand-name drug and does not indicate that the brand must be dispensed. In Connecticut, the pharmacist may do which of the following?

  1. decline to substitute in all circumstances
  2. substitute a therapeutically equivalent generic Correct answer.
  3. substitute only after calling the prescriber
  4. substitute any drug in the same therapeutic class

Explanation

Connecticut permits generic substitution when the prescriber has not directed that the brand be dispensed and the selected product is therapeutically equivalent. The substitution must be documented and the patient informed as required. A pharmacist may not move to a different drug within the same class without prescriber authorization.

Question 17Connecticut Pharmacy Practice Act: licensure, registration, and scope of practice

How many refills may a Connecticut pharmacist dispense on a Schedule II prescription?

  1. Up to five within six months
  2. Two
  3. One
  4. None Correct answer.

Explanation

Under the federal Controlled Substances Act, which Connecticut follows, a Schedule II prescription may not be refilled; a new prescription is required for additional medication. Narrow exceptions exist for certain emergency oral orders and specific care settings, but not a routine refill. The refill allowances described in the other options apply to lower schedules.

Question 18Connecticut Pharmacy Practice Act: licensure, registration, and scope of practice

What obligation does a Connecticut pharmacy have regarding the state prescription monitoring program?

  1. Report each controlled substance dispensed Correct answer.
  2. Report only when a patient requests it
  3. Report Schedule II drugs only
  4. No reporting, because the pharmacy is hospital-based

Explanation

Connecticut dispensers must submit data for controlled substances dispensed to the state prescription monitoring program so prescribers and pharmacists can identify risky patterns of use. The duty covers controlled substances generally, not only Schedule II drugs, and does not depend on a patient request. Hospital-based outpatient pharmacies are subject to the same reporting requirements.

Question 19Connecticut Pharmacy Practice Act: licensure, registration, and scope of practice

A Connecticut community pharmacy may remain open to the public under which circumstance?

  1. whenever the posted hours allow it
  2. if a pharmacist can be reached by phone
  3. only while a pharmacist is on duty Correct answer.
  4. as long as a technician is present

Explanation

A Connecticut pharmacy may not operate while no licensed pharmacist is on duty to supervise dispensing and provide required patient counseling. Neither a technician's presence, the posting of hours, nor telephone availability satisfies the requirement. If no pharmacist is present, the pharmacy must cease operations.

Question 20Connecticut Pharmacy Practice Act: licensure, registration, and scope of practice

Which statement about inspections of a Connecticut pharmacy is accurate?

  1. A warrant is required for every inspection
  2. Only the DEA may review prescription files
  3. The pharmacist-in-charge may refuse an inspection
  4. DCP agents may inspect the pharmacy and records Correct answer.

Explanation

By accepting a Connecticut pharmacy permit, the permit holder consents to inspections of the premises, equipment, and prescription and controlled substance records by Department of Consumer Protection agents. This authority is not displaced by federal inspection rights, which exist in addition to state authority. Objection by the pharmacist-in-charge does not bar the inspection.

Question 21Connecticut Pharmacy Practice Act: licensure, registration, and scope of practice

A pharmacist whose Connecticut license has lapsed continues to fill prescriptions. This conduct is best characterized as which of the following?

  1. unlicensed practice subject to discipline Correct answer.
  2. lawful if another pharmacist is on duty
  3. permitted, since no error occurred
  4. a minor paperwork issue with no penalty

Explanation

Dispensing on a lapsed or inactive license is unlicensed practice, which exposes the individual to disciplinary action by the Department of Consumer Protection and possible criminal penalties. The absence of a dispensing error does not cure the violation. The presence of another licensed pharmacist does not authorize an unlicensed person to practice.

Question 22Connecticut Pharmacy Practice Act: licensure, registration, and scope of practice

Which item must appear on the label of a prescription dispensed in a Connecticut pharmacy?

  1. The prescriber's DEA number
  2. The manufacturer's NDC number
  3. The pharmacy's wholesale cost
  4. Directions for use Correct answer.

Explanation

Connecticut requires prescription labels to show patient-specific directions for use along with other required information such as the pharmacy name and the drug name and strength. Wholesale cost and internal manufacturer codes are not label requirements. Prescriber identifiers belong in the prescription record, not on the patient's label.

Question 23Connecticut Pharmacy Practice Act: licensure, registration, and scope of practice

A patient presents a prescription that the pharmacist believes is forged. The pharmacist should do which of the following?

  1. fill it and document the concern later
  2. fill only part of the quantity requested
  3. keep the form and take no further action
  4. refuse to fill it and report as required Correct answer.

Explanation

A pharmacist who has reason to believe a prescription is forged must not dispense it, because doing so exposes the pharmacist and the pharmacy to liability. The pharmacist should decline to fill, document the circumstances, and follow the pharmacy's policy and any applicable reporting obligations to the department or law enforcement. Partial filling or silent retention of the form does not discharge that duty.

Question 24Connecticut Pharmacy Practice Act: licensure, registration, and scope of practice

In addition to its Connecticut pharmacy permit, a pharmacy that dispenses controlled substances must hold which of the following?

  1. an FDA dispensing permit
  2. a state police controlled substance permit
  3. a DCP wholesaler license
  4. a DEA registration Correct answer.

Explanation

A Connecticut pharmacy that dispenses controlled substances must be registered with the Drug Enforcement Administration in addition to holding its state pharmacy permit. The DEA registration is site-specific and must be renewed periodically. Wholesaler licenses and FDA permits relate to other activities and do not authorize dispensing.

Question 25Connecticut Pharmacy Practice Act: licensure, registration, and scope of practice

A Connecticut-licensed pharmacist accepts a position in a hospital inpatient pharmacy. Does she need an additional license?

  1. No, but she must register with DPH as a hospital provider
  2. No; the same license covers any practice setting Correct answer.
  3. Yes; a hospital permit must be added to the license
  4. Yes; an institutional pharmacist license is required

Explanation

A Connecticut pharmacist license is not limited by practice setting; it authorizes practice in community, hospital, and other permitted pharmacies. Connecticut does not issue a separate institutional pharmacist credential. The hospital pharmacy itself must hold the appropriate facility permit, but the individual does not obtain a second license.

Question 26Connecticut Pharmacy Practice Act: licensure, registration, and scope of practice

A pharmacist licensed in Connecticut wishes to keep her license active so she can continue practicing. How often must the license be renewed?

  1. Every four years, by June 30.
  2. Every two years, by December 31.
  3. Annually, by September 30. Correct answer.
  4. Every three years, on the licensee's birthday.

Explanation

Connecticut pharmacist licenses are renewed on an annual cycle, with the expiration date falling on September 30. A pharmacist must renew with the Department of Consumer Protection and pay the required fee to continue practicing after that date.

Question 27Connecticut Pharmacy Practice Act: licensure, registration, and scope of practice

Which Connecticut agency issues pharmacist licenses and pharmacy permits?

  1. The Department of Consumer Protection. Correct answer.
  2. The Board of Pharmacy within the Department of Public Health.
  3. The Department of Social Services.
  4. The Office of Health Care Access.

Explanation

Connecticut's Department of Consumer Protection administers pharmacist licensure and pharmacy permitting. The Commission of Pharmacy functions within that structure in an advisory capacity rather than as a separate licensing agency.

Question 28Connecticut Pharmacy Practice Act: licensure, registration, and scope of practice

The pharmacist-in-charge of a Connecticut community pharmacy resigns and leaves the state. What must the permit holder do?

  1. Continue operating without any pharmacist-in-charge until the permit comes up for renewal.
  2. Designate another licensed pharmacist as pharmacist-in-charge and report the change to the Department of Consumer Protection. Correct answer.
  3. Surrender the permit permanently, because a pharmacy may not change its pharmacist-in-charge mid-cycle.
  4. Appoint a registered pharmacy technician to serve as pharmacist-in-charge on an interim basis.

Explanation

A Connecticut pharmacy must at all times have a licensed pharmacist designated as pharmacist-in-charge, and a change in that designation must be reported to the Department of Consumer Protection. The pharmacy may not operate with a vacancy in that role or with a non-pharmacist filling it.

Question 29Connecticut Pharmacy Practice Act: licensure, registration, and scope of practice

A Connecticut pharmacist wants to begin administering immunizations to patients at her pharmacy. Which requirement must she satisfy first?

  1. Complete a pharmacy residency in ambulatory care.
  2. Obtain a written physician order for each individual patient she immunizes.
  3. Hold a separate immunization license issued by the Department of Public Health.
  4. Complete a Commission-approved training program in vaccine administration. Correct answer.

Explanation

Connecticut allows pharmacists to administer vaccines after they complete a training program in vaccine administration approved by the Commission of Pharmacy. A separate immunization license and a patient-specific physician order are not the mechanism the state uses to authorize this activity.

Question 30Connecticut Pharmacy Practice Act: licensure, registration, and scope of practice

A Connecticut-licensed pharmacist is convicted of a felony involving insurance fraud that has nothing to do with pharmacy practice. Which statement best describes the regulatory consequence for the pharmacist's license?

  1. No action is possible because the offense is unrelated to pharmacy practice.
  2. The license is automatically revoked on the date of conviction.
  3. The conviction may serve as grounds for disciplinary action against the license. Correct answer.
  4. Only a federal agency may take action, because the offense was not practice-related.

Explanation

Connecticut law treats conviction of a crime as a basis on which the licensing authority may impose discipline, and the connection to pharmacy practice is not a prerequisite. The sanction actually imposed, which may range from a reprimand to suspension or revocation, is determined through the disciplinary process rather than automatically.

Question 31Prescription requirements, dispensing, and labeling

Under Connecticut and federal law, how many times may a pharmacist refill a prescription for a Schedule II controlled substance?

  1. No refills are permitted Correct answer.
  2. Five refills within six months
  3. One refill
  4. Refills as authorized by the prescriber

Explanation

Schedule II prescriptions may not be refilled under the federal Controlled Substances Act, and Connecticut follows that rule. Additional quantity requires a new prescription from the practitioner. The refill limits that apply to Schedules III through V do not apply to Schedule II.

Question 32Prescription requirements, dispensing, and labeling

Which item is required on the label of a prescription dispensed by a Connecticut pharmacy?

  1. The patient's diagnosis
  2. The pharmacy's wholesale acquisition cost
  3. The prescriber's DEA registration number
  4. The name and address of the pharmacy Correct answer.

Explanation

Connecticut labeling requirements include identifying the dispensing pharmacy by name and address, along with the prescription number, date, patient name, prescriber, drug name and strength, quantity, and directions. Diagnosis, prescriber DEA numbers, and acquisition cost are not label elements.

Question 33Prescription requirements, dispensing, and labeling

In Connecticut, a practitioner who prescribes controlled substances must hold which of the following in addition to a professional license?

  1. An FDA establishment license
  2. Only a Connecticut controlled substance registration
  3. Both a DEA registration and a Connecticut controlled substance registration Correct answer.
  4. Only a DEA registration

Explanation

Connecticut requires practitioners to hold a state controlled substance registration in addition to the federal DEA registration before they may prescribe controlled substances. A professional license alone does not confer controlled substance prescribing authority. FDA establishment licensing applies to manufacturers and processors, not prescribers.

Question 34Prescription requirements, dispensing, and labeling

A pharmacist accepts an emergency oral order for a Schedule II controlled substance. Within what period must the prescriber furnish a written or electronic prescription?

  1. 24 hours
  2. 14 days
  3. 72 hours
  4. 7 days Correct answer.

Explanation

Federal law, followed in Connecticut, permits an oral Schedule II order only in a genuine emergency, and the prescriber must deliver a written or electronic prescription within seven days. If the follow-up prescription does not arrive, the pharmacist must notify DEA.

Question 35Prescription requirements, dispensing, and labeling

When a pharmacist dispenses a new prescription to a patient in Connecticut, the pharmacist must:

  1. Refer all patient questions to the prescriber
  2. Provide a printed monograph only if the patient specifically requests one
  3. Counsel only when a controlled substance is being dispensed
  4. Offer to discuss the medication and answer questions Correct answer.

Explanation

Connecticut requires the pharmacist to offer counseling on new prescriptions and to give the patient an opportunity to ask questions; the patient may decline. Counseling is not limited to controlled substances, and referring all questions to the prescriber does not satisfy the duty.

Question 36Prescription requirements, dispensing, and labeling

What is the maximum number of refills and the maximum period for a prescription for a Schedule IV controlled substance?

  1. Unlimited refills within one year
  2. Five refills within six months Correct answer.
  3. One refill within six months
  4. Three refills within one year

Explanation

Federal law, which Connecticut follows, permits a Schedule III or IV prescription to be refilled up to five times within six months of the date of issue. After that, a new prescription is required.

Question 37Prescription requirements, dispensing, and labeling

Which of the following must appear on the container label of a dispensed prescription?

  1. The patient's diagnosis
  2. Directions for use Correct answer.
  3. The prescriber's DEA number
  4. The pharmacy's NPI number

Explanation

Directions for use must appear on the prescription container label so the patient knows how to take the medication. Diagnosis, DEA numbers, and NPI numbers are not required label elements.

Question 38Prescription requirements, dispensing, and labeling

Connecticut pharmacies must retain prescription records for at least:

  1. Two years
  2. Three years Correct answer.
  3. One year
  4. Five years

Explanation

Connecticut requires prescription records to be maintained for at least three years and to be readily retrievable for inspection. Retention periods shorter than that do not satisfy state recordkeeping requirements.

Question 39Prescription requirements, dispensing, and labeling

Connecticut permits a pharmacist to substitute a less expensive therapeutically equivalent generic drug unless:

  1. The drug is a maintenance medication
  2. The pharmacy does not stock the generic equivalent at that location
  3. The patient is 65 years of age or older
  4. The prescriber writes "dispense as written" on the prescription Correct answer.

Explanation

Connecticut's substitution law allows interchange of therapeutically equivalent products unless the prescriber indicates that no substitution is permitted. A patient's age or the drug's chronic-use status does not bar substitution. Lack of stock is an operational issue, not a legal prohibition on substitution.

Question 40Prescription requirements, dispensing, and labeling

Under what circumstance may a Schedule II prescription lawfully be transmitted to a pharmacy by fax as an original prescription?

  1. Only if the prescriber's office calls to confirm the fax
  2. Any Schedule II prescription may be faxed to the pharmacy
  3. Only if the patient signs a waiver at the pharmacy
  4. For a patient in a long-term care facility or hospice Correct answer.

Explanation

Federal rules, adopted in Connecticut, allow a faxed Schedule II prescription to serve as the original when the patient is in a long-term care facility or receiving hospice care, and in a few other narrow situations such as compounding for direct administration. Routine office faxes for ambulatory patients do not qualify.

Question 41Prescription requirements, dispensing, and labeling

A patient asks the pharmacist to partially fill a Schedule II prescription and to supply the remainder later. The balance must be dispensed no later than how many days after the date the prescription was written?

  1. 30 days Correct answer.
  2. 60 days
  3. 14 days
  4. 7 days

Explanation

When a Schedule II prescription is partially filled at the patient's request, the remainder must be dispensed within 30 days of the date the prescription was written; otherwise the balance is void and the prescriber must be notified. The 60-day period is reserved for long-term care and terminally ill patients.

Question 42Prescription requirements, dispensing, and labeling

A Schedule II prescription is partially filled for a patient in a long-term care facility. The remaining quantity may be dispensed up to how many days after the date the prescription was written?

  1. 14 days
  2. 60 days Correct answer.
  3. 30 days
  4. 7 days

Explanation

Federal law allows a pharmacy to partially fill a Schedule II prescription for a long-term care facility resident or a terminally ill patient and to supply the balance within 60 days of the date written. The standard 30-day partial fill window does not apply to these patients.

Question 43Prescription requirements, dispensing, and labeling

How many times may a prescription for a Schedule IV controlled substance be transferred between pharmacies?

  1. Two times
  2. Unlimited times
  3. Never
  4. One time only Correct answer.

Explanation

Federal law permits a controlled substance prescription in Schedules III through V to be transferred between pharmacies one time only, with documentation by the transferring pharmacist. Additional transfers, including to a third pharmacy, are not permitted.

Question 44Prescription requirements, dispensing, and labeling

A nurse employed in a prescriber's office telephones a pharmacy. Which prescriptions may the nurse communicate on the prescriber's behalf?

  1. Schedule III through V and non-controlled prescriptions Correct answer.
  2. Controlled substances in all schedules
  3. No prescription may be telephoned by anyone other than the prescriber
  4. Schedule II prescriptions only

Explanation

An agent of the prescriber, such as an office nurse, may communicate prescriptions for non-controlled drugs and for Schedule III through V controlled substances. Schedule II orders are restricted to genuine emergencies and cannot be delegated in the ordinary course.

Question 45Prescription requirements, dispensing, and labeling

An out-of-state pharmacy that ships prescription drugs to patients located in Connecticut must:

  1. Register with the Connecticut DCP Correct answer.
  2. Notify the FDA of each shipment
  3. Nothing, if it is licensed in its home state
  4. Obtain a DEA registration for a Connecticut location

Explanation

Connecticut requires a nonresident pharmacy that dispenses to Connecticut patients to register with the Department of Consumer Protection and to comply with Connecticut labeling and recordkeeping requirements. A home-state license alone is not sufficient.

Question 46Prescription requirements, dispensing, and labeling

A patient presents a prescription obtained from a website after completing an online questionnaire, with no interaction with the prescriber. The pharmacist should:

  1. Decline; no valid prescriber-patient relationship exists Correct answer.
  2. Dispense if the drug is not a controlled substance
  3. Dispense if the patient signs a consent form at the counter
  4. Dispense if the prescriber is licensed in another state and the drug is not controlled

Explanation

A prescription must arise from a valid practitioner-patient relationship; a questionnaire alone generally does not establish one. Connecticut law prohibits dispensing on a prescription issued without that relationship. Non-controlled status does not cure the defect.

Question 47Prescription requirements, dispensing, and labeling

A prescription for a legend drug omits the quantity to be dispensed and the prescriber cannot be reached. The pharmacist should:

  1. Contact the prescriber for the intended quantity Correct answer.
  2. Dispense a 30-day supply based on the directions
  3. Dispense the smallest package size available in the pharmacy
  4. Dispense the manufacturer's unit-of-use package

Explanation

A prescription must specify the quantity to be dispensed, and the pharmacist may not supply an assumed amount. The pharmacist must obtain the missing element from the prescriber before dispensing. Defaulting to a package size or an estimated supply is not permitted.

Question 48Prescription requirements, dispensing, and labeling

A prescriber writes a prescription for a non-controlled maintenance drug and leaves the refill field blank. How many refills may the pharmacist dispense?

  1. One, as an emergency courtesy
  2. Unlimited refills for one year
  3. Up to five over six months
  4. None; the prescription authorizes no refills Correct answer.

Explanation

If the prescriber does not specify refills, the prescription authorizes none, and the pharmacist must obtain new authorization for any additional supply. Refill authority must be affirmative and stated by the prescriber.

Question 49Prescription requirements, dispensing, and labeling

A prescriber issues three separate Schedule II prescriptions dated today, each for a 30-day supply, with "do not fill before" dates on the second and third. The patient presents all three at once. The pharmacist may:

  1. Fill all three immediately because they bear today's date
  2. Refuse all three and require a new prescription each month
  3. Fill two now and hold the third for 30 days
  4. Fill the first now and the rest on their fill dates Correct answer.

Explanation

Federal law permits a prescriber to issue multiple Schedule II prescriptions covering up to a 90-day supply, with directions about the earliest date each may be filled. The pharmacist may dispense each prescription only on or after its stated date.

Question 50Prescription requirements, dispensing, and labeling

Connecticut generally requires controlled substance prescriptions to be transmitted electronically. Which situation is recognized as an exception?

  1. The prescription covers more than a 30-day supply
  2. The pharmacy is unable to receive electronic prescriptions Correct answer.
  3. The patient requests a paper prescription for privacy reasons
  4. The prescription is for a Schedule IV drug

Explanation

Connecticut's electronic prescribing mandate for controlled substances contains defined exceptions, including technological or electrical failure and situations where the dispensing pharmacy cannot receive electronic prescriptions. Patient preference or drug schedule alone does not create an exception.