IA MPJE case studies
IA MPJE · Put your knowledge to work in context.
The Uniform Multistate Pharmacy Jurisprudence Exam (UMPJE) is the jurisprudence examination Iowa has adopted for pharmacist licensure. According to the Iowa Board of Pharmacy page hosted by the Department of Inspections, Appeals, & Licensing (DIAL), applicants for licensure as a pharmacist in Iowa are required to take the Uniform Multistate Pharmacy Jurisprudence Exam effective April 1, 2026. The IA MPJE case studies are 5 cases and about 2,583 words.
1Friday Night Emergency Oral CII Order
on a Friday, a 41-year-old man arrives at an independent pharmacy in Ames, Iowa, with a closed distal radius fracture reduced in the emergency department. The ED physician calls the pharmacist and gives an oral order for hydrocodone/acetaminophen 5/325 mg, quantity 15, directions 'one tablet every 6 hours as needed for severe pain,' no refills.
538 words, about 3 min2Patient-Requested Partial Fill of a Stimulant
On March 3, a 19-year-old college student in Iowa City presents an electronic prescription dated February 21 for amphetamine/dextroamphetamine 20 mg, quantity 60, 'one capsule daily,' no refills, from a psychiatrist 30 miles away. The pharmacist has the full quantity in stock.
506 words, about 3 min3Cash Pay, Early Refill, and Multiple Prescribers
A 34-year-old man presents at a Des Moines pharmacy with two paper prescriptions: oxycodone 30 mg, quantity 120, 'one tablet every 6 hours as needed,' and alprazolam 2 mg, quantity 60, 'one tablet twice daily,' both dated today from a physician 70 miles away. He pays cash, says he is visiting family, and asks to fill 10 days early because he 'lost his bottle.' The Iowa PMP shows fills from three prescribers and two pharmacies in the past 60 days, including morphine sulfate ER 30 mg and a different benzodiazepine.
500 words, about 3 min4School Naloxone Request Under Iowa Protocol
A school nurse from a rural Iowa district asks a community pharmacy to dispense four doses of naloxone nasal spray 4 mg for the district's emergency kits. The district has no prescription and no physician's standing order.
511 words, about 3 min5One-Time Transfer of a Schedule IV Prescription
A 58-year-old woman moves from Cedar Rapids to Sioux City and presents at a new pharmacy with a prescription for lorazepam 1 mg, quantity 30, 'one tablet at bedtime,' with two refills remaining. The prescription was originally filled at a Cedar Rapids pharmacy on January 15; one refill was dispensed on February 10.
528 words, about 3 min