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IL MPJE practice questions

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Question 1Federal and state legal framework governing pharmacy practice (statutes, rules, board authority, interpretation)

Which Illinois statute is the principal law governing the licensure and regulation of pharmacists and pharmacies?

  1. Illinois Controlled Substances Act
  2. Illinois Pharmacy Practice Act Correct answer.
  3. Illinois Administrative Procedure Act
  4. Illinois Food, Drug, and Cosmetic Act

Explanation

The Illinois Pharmacy Practice Act, 225 ILCS 85, establishes the Board of Pharmacy, licensure requirements, and standards for pharmacy practice. Other statutes may also apply, but the Pharmacy Practice Act is the primary practice statute.

Question 2Federal and state legal framework governing pharmacy practice (statutes, rules, board authority, interpretation)

In Illinois, which official or body has final authority to impose discipline on a pharmacist's license after a finding of misconduct?

  1. The DEA Administrator
  2. The Director of IDFPR Correct answer.
  3. The Illinois Attorney General
  4. The Board of Pharmacy

Explanation

The Illinois Board of Pharmacy advises and may hear disciplinary matters, but the Director of the Department of Financial and Professional Regulation issues the final disciplinary decision. The Board's role is recommendatory rather than final.

Question 3Federal and state legal framework governing pharmacy practice (statutes, rules, board authority, interpretation)

A community pharmacy wants to dispense Schedule II through V controlled substances. In addition to any state license, which federal registration is required?

  1. FDA registration
  2. EPA registration
  3. DEA registration Correct answer.
  4. CMS certification

Explanation

A pharmacy that dispenses controlled substances must obtain a DEA registration for each registered location unless an exemption applies. FDA, CMS, and EPA registrations do not authorize controlled-substance dispensing.

Question 4Federal and state legal framework governing pharmacy practice (statutes, rules, board authority, interpretation)

Under federal controlled-substance law, how many refills may be authorized on a Schedule II prescription?

  1. No refills Correct answer.
  2. Up to five refills within six months
  3. Up to two refills within one year
  4. Unlimited refills if the prescriber specifies

Explanation

Schedule II prescriptions may not be refilled under federal law; a new prescription is required for additional dispensing. The five-refill and six-month limits apply to Schedule III through V prescriptions.

Question 5Federal and state legal framework governing pharmacy practice (statutes, rules, board authority, interpretation)

Illinois law requires every licensed pharmacy to have which of the following?

  1. A pharmacist-in-charge Correct answer.
  2. A DEA-registered prescriber on site
  3. A full-time clinical pharmacologist
  4. A 24-hour emergency department

Explanation

Each Illinois pharmacy must designate a pharmacist-in-charge who is responsible for compliance with pharmacy laws and rules. The pharmacist-in-charge must be a licensed pharmacist in good standing.

Question 6Federal and state legal framework governing pharmacy practice (statutes, rules, board authority, interpretation)

How often are pharmacist licenses renewed in Illinois?

  1. Every three years
  2. Every five years
  3. Every year
  4. Every two years Correct answer.

Explanation

Illinois pharmacist licenses are renewed on a biennial cycle. Continuing education requirements are tied to that renewal period.

Question 7Federal and state legal framework governing pharmacy practice (statutes, rules, board authority, interpretation)

A retail pharmacy transmits prescription information to an insurer for payment. Which federal law establishes privacy and security standards for this protected health information?

  1. The Food, Drug, and Cosmetic Act
  2. The Controlled Substances Act
  3. The Combat Methamphetamine Epidemic Act
  4. HIPAA Correct answer.

Explanation

HIPAA's Privacy and Security Rules govern protected health information held by covered entities, including most pharmacies. The other statutes address controlled substances, drug products, or methamphetamine precursor sales.

Question 8Federal and state legal framework governing pharmacy practice (statutes, rules, board authority, interpretation)

Under the federal Food, Drug, and Cosmetic Act, what determines whether a drug may be sold only by prescription?

  1. The drug's FDA-approved labeling as prescription Correct answer.
  2. The pharmacy's policy
  3. The manufacturer's package insert
  4. The state board's annual list

Explanation

Federal law ties prescription status to the drug's FDA-approved labeling; prescription drugs must bear the required prescription legend. A pharmacy cannot unilaterally change a drug's legal status.

Question 9Federal and state legal framework governing pharmacy practice (statutes, rules, board authority, interpretation)

What is the Illinois Board of Pharmacy's role in a contested disciplinary case against a pharmacist?

  1. It hears the matter and recommends action to the IDFPR Director Correct answer.
  2. It registers the pharmacist with DEA
  3. It prosecutes the case before a circuit court
  4. It issues the final order suspending the license

Explanation

The Board of Pharmacy functions in an advisory and quasi-judicial review role, hearing evidence and recommending disposition. Final disciplinary authority rests with the IDFPR Director.

Question 10Federal and state legal framework governing pharmacy practice (statutes, rules, board authority, interpretation)

An Illinois pharmacy already holds a pharmacy license and a DEA registration. What additional Illinois credential is generally required to handle controlled substances?

  1. An FDA wholesale distributor license
  2. A local controlled-substance permit from the county sheriff
  3. An Illinois controlled-substance license Correct answer.
  4. A federal opioid treatment certification

Explanation

Illinois requires a state controlled-substance license for entities that manufacture, distribute, or dispense controlled substances. This is separate from the pharmacy license and the federal DEA registration.

Question 11Federal and state legal framework governing pharmacy practice (statutes, rules, board authority, interpretation)

Which statement describes an Illinois pharmacy's duty under the state prescription monitoring program?

  1. It must report dispensing of controlled substances to the Illinois PMP Correct answer.
  2. It must report only cash-paid prescriptions
  3. It must report only Schedule II opioids
  4. It must obtain patient consent before every PMP query

Explanation

Illinois dispensers are required to report controlled-substance dispensing to the Illinois Prescription Monitoring Program. Reporting is not limited to cash payments or Schedule II opioids.

Question 12Federal and state legal framework governing pharmacy practice (statutes, rules, board authority, interpretation)

Under federal law, a prescription for a Schedule III drug may be refilled how many times and within what period?

  1. Up to five refills within six months Correct answer.
  2. Up to two refills within six months
  3. Up to five refills within one year
  4. No refills; a new prescription is required

Explanation

Schedule III through V prescriptions may be refilled up to five times, and each refill must occur within six months of the issue date. Schedule II prescriptions may not be refilled.

Question 13Federal and state legal framework governing pharmacy practice (statutes, rules, board authority, interpretation)

A prescriber telephones an emergency oral prescription for a Schedule II opioid. Under federal law, what must the prescriber do to comply?

  1. Obtain DEA approval before the pharmacist dispenses
  2. Convert the prescription to a Schedule III drug
  3. Send a written prescription within thirty days
  4. Send a written or electronic prescription within seven days Correct answer.

Explanation

Federal law permits an emergency oral Schedule II prescription only if the prescriber delivers a written or electronic prescription within seven days. The pharmacist must also document the emergency dispensing as required.

Question 14Federal and state legal framework governing pharmacy practice (statutes, rules, board authority, interpretation)

In Illinois, when may a pharmacist substitute a therapeutically equivalent generic drug for a prescribed brand-name drug?

  1. Only after obtaining the prescriber's oral permission for each refill
  2. Only for controlled substances
  3. Only if the patient pays cash
  4. Unless the prescriber has indicated that the brand is medically necessary or the patient refuses Correct answer.

Explanation

Illinois permits generic substitution of therapeutically equivalent products unless the prescriber directs otherwise or the patient refuses the substitution. The pharmacist must follow applicable labeling and notification requirements.

Question 15Federal and state legal framework governing pharmacy practice (statutes, rules, board authority, interpretation)

Under Illinois law, how may a pharmacist dispense naloxone to a person at risk of opioid overdose?

  1. Only with a patient-specific prescription
  2. Only in a hospital pharmacy
  3. Only after the person is evaluated by a physician
  4. Under a statewide standing order without a patient-specific prescription Correct answer.

Explanation

Illinois authorizes pharmacists to dispense naloxone under a statewide standing order to persons at risk or to family members and others in a position to assist. A patient-specific prescription is not required for that authority.

Question 16Federal and state legal framework governing pharmacy practice (statutes, rules, board authority, interpretation)

What credential does an Illinois pharmacy technician generally need before performing technician duties?

  1. A pharmacist license
  2. An NPI number
  3. A DEA registration
  4. Registration with IDFPR Correct answer.

Explanation

Illinois requires pharmacy technicians to be registered with the Department of Financial and Professional Regulation. A technician registration is distinct from a pharmacist license.

Question 17Federal and state legal framework governing pharmacy practice (statutes, rules, board authority, interpretation)

An Illinois pharmacy plans to move to a different street address. What is required for licensure?

  1. A new pharmacy license or board-approved relocation for the new location Correct answer.
  2. Only a change-of-address postcard to DEA
  3. A new federal FDA registration
  4. No action if ownership is unchanged

Explanation

A pharmacy license is location-specific, so moving to a new address requires appropriate board approval or a new license for that location. Ownership continuity alone does not authorize operation at a new site.

Question 18Federal and state legal framework governing pharmacy practice (statutes, rules, board authority, interpretation)

Which item is required on an Illinois prescription dispensing label?

  1. The pharmacy's wholesale cost
  2. The prescriber's home telephone number
  3. The pharmacist's social security number
  4. The patient's name and directions for use Correct answer.

Explanation

Dispensing labels must include patient-identifying information and directions for use, along with other required pharmacy and prescription details. Confidential prescriber and pharmacist information is not placed on the label.

Question 19Federal and state legal framework governing pharmacy practice (statutes, rules, board authority, interpretation)

A prescription for a Schedule II controlled substance is presented to an Illinois pharmacy. Which prescriber identifier is required for the controlled-substance prescription to be valid?

  1. The prescriber's hospital ID number
  2. The prescriber's NPI only
  3. The prescriber's DEA registration number Correct answer.
  4. The prescriber's state medical license number only

Explanation

A controlled-substance prescription must include the prescriber's DEA registration number when required by federal law. An NPI or state license number alone does not satisfy the DEA identifier requirement.

Question 20Federal and state legal framework governing pharmacy practice (statutes, rules, board authority, interpretation)

How many continuing education hours must an Illinois pharmacist generally complete each renewal cycle?

  1. 15 hours
  2. 10 hours
  3. 30 hours Correct answer.
  4. 20 hours

Explanation

Illinois pharmacists generally must complete 30 hours of approved continuing education per biennial renewal cycle, subject to specific topic requirements. The other amounts are below the standard requirement.

Question 21Federal and state legal framework governing pharmacy practice (statutes, rules, board authority, interpretation)

Which body formally adopts the administrative rules that implement the Illinois Pharmacy Practice Act?

  1. The Illinois Department of Financial and Professional Regulation under the Administrative Procedure Act Correct answer.
  2. The Illinois Board of Pharmacy by majority vote
  3. The Joint Committee on Administrative Rules without agency action
  4. The Illinois General Assembly by resolution

Explanation

The Pharmacy Practice Act is implemented through rules adopted by IDFPR using the Illinois Administrative Procedure Act process. The Board of Pharmacy advises, and JCAR reviews rules, but the agency formally adopts them.

Question 22Federal and state legal framework governing pharmacy practice (statutes, rules, board authority, interpretation)

A pharmacist receives a controlled-substance prescription with several red flags but fills it without resolving them. Which legal principle is most directly implicated?

  1. The patient's right to a generic substitution
  2. The pharmacist's corresponding responsibility to resolve red flags and ensure a legitimate medical purpose Correct answer.
  3. The pharmacy's duty to provide a Spanish-language label
  4. The pharmacy's obligation to report the prescriber to the FDA

Explanation

Federal controlled-substance law places a corresponding responsibility on the pharmacist to ensure that a prescription is issued for a legitimate medical purpose by an authorized prescriber. Unexplained red flags must be resolved before dispensing.

Question 23Federal and state legal framework governing pharmacy practice (statutes, rules, board authority, interpretation)

An Illinois administrative rule conflicts with a federal statute on the same subject. Which principle governs?

  1. The Supremacy Clause makes the federal statute controlling Correct answer.
  2. The conflict automatically voids both laws
  3. The Board of Pharmacy decides which law applies
  4. The Illinois rule controls because pharmacy practice is state-regulated

Explanation

Under the Supremacy Clause, valid federal law prevails over conflicting state law, including state administrative rules. Pharmacy remains subject to state regulation, but states may not override controlling federal requirements.

Question 24Federal and state legal framework governing pharmacy practice (statutes, rules, board authority, interpretation)

Under the federal Combat Methamphetamine Epidemic Act, what is required for retail sales of pseudoephedrine products?

  1. No recordkeeping if the product is behind the counter
  2. A prescription for every sale
  3. Logbook recordkeeping and daily/monthly quantity limits Correct answer.
  4. Sale only by a pharmacist

Explanation

The Combat Methamphetamine Epidemic Act imposes recordkeeping, identification, and quantity-limit requirements on retail sales of scheduled listed chemical products such as pseudoephedrine. A prescription is not required for every sale under that Act.

Question 25Federal and state legal framework governing pharmacy practice (statutes, rules, board authority, interpretation)

In Illinois, who appoints members of the Board of Pharmacy?

  1. The Governor Correct answer.
  2. The IDFPR Director
  3. The Illinois Pharmacy Association
  4. The Attorney General

Explanation

Members of the Illinois Board of Pharmacy are appointed by the Governor, subject to the applicable advice and consent process. Professional associations may recommend candidates but do not appoint Board members.

Question 26Federal and state legal framework governing pharmacy practice (statutes, rules, board authority, interpretation)

Which Illinois statute is the primary source of authority for licensing pharmacists and pharmacies and for defining the scope of pharmacy practice in the state?

  1. The Illinois Medical Practice Act
  2. The Illinois Controlled Substances Act
  3. The Illinois Food, Drug and Cosmetic Act
  4. The Illinois Pharmacy Practice Act Correct answer.

Explanation

The Illinois Pharmacy Practice Act establishes licensure requirements for pharmacists, pharmacy technicians, and pharmacies, defines the practice of pharmacy, and provides the grounds for discipline. The Department of Financial and Professional Regulation administers it with the Board of Pharmacy acting in an advisory capacity. The other statutes address controlled substances, food and drug standards, and physician licensure respectively.

Question 27Federal and state legal framework governing pharmacy practice (statutes, rules, board authority, interpretation)

An adult patient asks a pharmacist to dispense her newly prescribed oral antibiotic without child-resistant packaging. Under the federal Poison Prevention Packaging Act, how may the pharmacist proceed?

  1. Refuse, because prescription drugs must always use child-resistant packaging
  2. Honor it only after obtaining the prescriber's written authorization
  3. Honor it only if the patient signs a waiver retained for five years
  4. Honor the request, because a patient may direct noncomplying packaging Correct answer.

Explanation

The Poison Prevention Packaging Act requires child-resistant packaging for most oral prescription drugs, but it permits the purchaser to request noncomplying packaging for a specific prescription. No prescriber authorization or written waiver is required for that patient-directed exception. Prescriber direction is relevant when the prescriber is the one requesting noncomplying packaging.

Question 28Federal and state legal framework governing pharmacy practice (statutes, rules, board authority, interpretation)

A patient presents a new Schedule II prescription for 60 tablets, but the pharmacy has only 20 in stock. Under federal regulations, which action is permitted?

  1. Dispense 20 tablets and cancel the remainder of the prescription
  2. Decline to dispense, because Schedule II prescriptions cannot be partially filled
  3. Dispense 20 tablets and supply the balance within 72 hours Correct answer.
  4. Dispense 20 tablets and supply the balance within 30 days

Explanation

Federal regulations permit a pharmacist who is unable to supply the full quantity of a Schedule II prescription to make a partial fill, provided the remaining quantity is supplied within 72 hours. If the balance is not supplied within that window, the pharmacist must notify the prescriber and no further quantity may be dispensed. Separate rules allow longer partial-fill periods for long-term care residents and terminally ill patients.

Question 29Licensure, registration, renewal, and scope of practice of pharmacists, technicians, interns, and pharmacy establishments

A pharmacist owns a licensed pharmacy in Springfield and opens a second pharmacy at a different address in Peoria. Before dispensing at the Peoria site, the pharmacist must obtain...

  1. a copy of the Springfield license posted at both sites
  2. a new personal pharmacist license covering the Peoria region
  3. a federal pharmacy permit that replaces state licensure
  4. a separate pharmacy license for the Peoria location Correct answer.

Explanation

Illinois licenses pharmacies by location, so each address where prescriptions are dispensed must hold its own pharmacy license. The pharmacist's personal license does not authorize an unlicensed location to dispense.

Question 30Licensure, registration, renewal, and scope of practice of pharmacists, technicians, interns, and pharmacy establishments

Which requirement applies to every licensed pharmacy in Illinois?

  1. It must be open at least 40 hours each week.
  2. It must hold a federal pharmacy license.
  3. It must employ at least two registered technicians on each shift.
  4. It must have a designated pharmacist in charge. Correct answer.

Explanation

Illinois requires each licensed pharmacy to designate a pharmacist in charge who is responsible for compliance with pharmacy law. Technician staffing levels, minimum operating hours, and federal licensure are not conditions of pharmacy licensure.

Question 31Licensure, registration, renewal, and scope of practice of pharmacists, technicians, interns, and pharmacy establishments

A pharmacy technician has counted, labeled, and packaged a new prescription. Which step must be completed by a pharmacist before the prescription leaves the pharmacy?

  1. Applying the auxiliary labels to the vial
  2. Verifying the finished prescription Correct answer.
  3. Recording the prescription in the patient profile
  4. Collecting the patient's insurance information

Explanation

Final verification of a dispensed prescription is a professional judgment reserved to the pharmacist. Technicians may perform mechanical and clerical steps such as counting, labeling, and data entry, but not the final check.

Question 32Licensure, registration, renewal, and scope of practice of pharmacists, technicians, interns, and pharmacy establishments

Which credential must a pharmacy student hold to perform intern duties in an Illinois pharmacy?

  1. A student membership in a pharmacy association
  2. A national technician certification
  3. A pharmacy intern registration issued by the Department Correct answer.
  4. A temporary pharmacist license issued at graduation

Explanation

Illinois requires pharmacy students to register with the Department as pharmacy interns before performing intern duties. National certification, association membership, and post-graduation licenses do not authorize intern practice.

Question 33Licensure, registration, renewal, and scope of practice of pharmacists, technicians, interns, and pharmacy establishments

How often must an Illinois pharmacist renew the license to practice?

  1. Every three years
  2. Every two years Correct answer.
  3. Every five years
  4. Every year

Explanation

Illinois pharmacist licenses run on a two-year renewal cycle, with continuing education due each cycle. Practicing after expiration without renewal is unlicensed practice.

Question 34Licensure, registration, renewal, and scope of practice of pharmacists, technicians, interns, and pharmacy establishments

How many continuing education hours must an Illinois pharmacist complete during each renewal cycle?

  1. 10 hours
  2. 45 hours
  3. 60 hours
  4. 30 hours Correct answer.

Explanation

Illinois requires 30 hours of approved continuing education per two-year pharmacist renewal cycle. Failure to complete the hours can block renewal and subject the licensee to discipline.

Question 35Licensure, registration, renewal, and scope of practice of pharmacists, technicians, interns, and pharmacy establishments

Which activity falls within the practice of pharmacy in Illinois?

  1. Diagnosing a patient's medical condition
  2. Repairing durable medical equipment
  3. Performing minor surgical procedures
  4. Interpreting prescription orders Correct answer.

Explanation

The practice of pharmacy includes interpreting and evaluating prescription orders, compounding, dispensing, and counseling. Diagnosis and surgery are medical acts outside the pharmacist's scope.

Question 36Licensure, registration, renewal, and scope of practice of pharmacists, technicians, interns, and pharmacy establishments

When a new prescription is dispensed, the pharmacist's counseling duty is satisfied when...

  1. a printed leaflet is placed in the bag
  2. counseling is given only if the patient asks a question
  3. a technician reads the label directions aloud
  4. counseling is offered and the patient declines Correct answer.

Explanation

Illinois requires the pharmacist to offer counseling to the patient or caregiver on new prescriptions. The offer may be declined by the patient, but counseling may not be replaced by a leaflet or delegated to a technician.

Question 37Licensure, registration, renewal, and scope of practice of pharmacists, technicians, interns, and pharmacy establishments

Before administering immunizations in Illinois, a pharmacist must have...

  1. a hospital pharmacy license
  2. current CPR certification and immunization training Correct answer.
  3. a written prescription for every dose given
  4. a DEA registration for each vaccine that is administered

Explanation

Illinois requires pharmacists who administer vaccines to hold current CPR certification and to complete approved immunization training. Administration may occur under a prescription or a valid standing order, and no DEA registration or hospital license applies to vaccines.

Question 38Licensure, registration, renewal, and scope of practice of pharmacists, technicians, interns, and pharmacy establishments

An Illinois pharmacist dispenses naloxone to a person who has no individual prescription. This is lawful because...

  1. naloxone is not a prescription drug
  2. a technician may authorize the dispensing
  3. a statewide standing order authorizes it Correct answer.
  4. pharmacists may prescribe any antidote

Explanation

Illinois has a statewide standing order that allows pharmacists to dispense naloxone without a patient-specific prescription. The pharmacist must follow the standing order's training, labeling, and recordkeeping requirements.

Question 39Licensure, registration, renewal, and scope of practice of pharmacists, technicians, interns, and pharmacy establishments

Besides a pharmacy license, what must a pharmacy have before it dispenses controlled substances in Illinois?

  1. Separate written approval from each prescriber
  2. A Board certificate for each drug schedule
  3. A municipal permit from the city where it operates
  4. An Illinois controlled substances license Correct answer.

Explanation

Illinois requires a controlled substances license from the Department in addition to federal DEA registration before a pharmacy may dispense controlled substances. Municipal permits and prescriber-by-prescriber approvals are not part of this framework.

Question 40Licensure, registration, renewal, and scope of practice of pharmacists, technicians, interns, and pharmacy establishments

An Illinois pharmacist wants to manage drug therapy for patients together with a local physician. The pharmacist needs...

  1. a standing order signed by each patient
  2. a written collaborative agreement Correct answer.
  3. only the hospital's internal policy
  4. a verbal agreement with the physician

Explanation

Illinois allows pharmacists to provide patient care services under a written collaborative practice agreement with a prescriber. The agreement defines the services and must meet statutory requirements; verbal arrangements and patient-signed standing orders are not sufficient.

Question 41Licensure, registration, renewal, and scope of practice of pharmacists, technicians, interns, and pharmacy establishments

A pharmacy manager schedules an employee who has no Illinois registration to perform technician duties for a week. This arrangement is...

  1. permitted only in a hospital pharmacy
  2. permitted if a pharmacist supervises closely
  3. unlawful and grounds for discipline Correct answer.
  4. permitted if the employee is in training

Explanation

Only registered pharmacy technicians may perform technician duties in Illinois. Aiding unlicensed or unregistered practice is unlawful and subjects the pharmacist and the pharmacy to discipline.

Question 42Licensure, registration, renewal, and scope of practice of pharmacists, technicians, interns, and pharmacy establishments

An out-of-state pharmacy ships prescriptions to patients in Illinois. The pharmacy must...

  1. obtain a federal mail-order permit
  2. be licensed only in its home state
  3. an Illinois nonresident pharmacy license Correct answer.
  4. be owned by an Illinois-licensed pharmacist

Explanation

Illinois requires a nonresident pharmacy license for out-of-state pharmacies that dispense to Illinois patients. The nonresident pharmacy must also comply with Illinois law, including the requirement for a pharmacist in charge.

Question 43Licensure, registration, renewal, and scope of practice of pharmacists, technicians, interns, and pharmacy establishments

The pharmacist in charge resigns from a licensed pharmacy. The pharmacy must...

  1. wait until the next renewal to report the change to the Department
  2. close until the owner finds a replacement
  3. notify the Department and designate a new pharmacist in charge Correct answer.
  4. transfer the pharmacy license to the new pharmacist

Explanation

A pharmacy must have a pharmacist in charge at all times, so a vacancy must be filled and the change reported to the Department. The pharmacy license stays with the licensed establishment and is not transferred to an individual.

Question 44Licensure, registration, renewal, and scope of practice of pharmacists, technicians, interns, and pharmacy establishments

A person has passed a national pharmacy technician certification exam but has no Illinois registration. That person may...

  1. count as a technician for staffing purposes
  2. not perform technician duties until registered Correct answer.
  3. perform technician duties after 30 days on the job
  4. perform all technician duties under supervision

Explanation

Illinois requires registration with the Department before a person may work as a pharmacy technician. National certification is a separate credential and does not itself authorize practice.

Question 45Licensure, registration, renewal, and scope of practice of pharmacists, technicians, interns, and pharmacy establishments

An Illinois community pharmacy may remain open for dispensing only while...

  1. an intern is scheduled for the shift
  2. a registered technician is present
  3. a licensed pharmacist is present Correct answer.
  4. the pharmacist in charge is reachable by phone

Explanation

A pharmacy open for dispensing must have a licensed pharmacist on the premises. Technicians and interns cannot operate the pharmacy without a pharmacist present.

Question 46Licensure, registration, renewal, and scope of practice of pharmacists, technicians, interns, and pharmacy establishments

A pharmacist whose Illinois license expired three months ago continues verifying prescriptions. This conduct is...

  1. unlicensed practice Correct answer.
  2. acceptable with a supervisor's approval
  3. allowed for 90 days after expiration
  4. acceptable if the renewal fee is paid later

Explanation

Once a pharmacist license expires, the holder is no longer licensed, and any practice of pharmacy is unlicensed practice. The licensee must complete renewal or reinstatement before returning to work.

Question 47Licensure, registration, renewal, and scope of practice of pharmacists, technicians, interns, and pharmacy establishments

A corporation purchases an existing licensed Illinois pharmacy and keeps the same location, staff, and pharmacist in charge. What is required?

  1. Assignment of the seller's license to the buyer
  2. Only a change-of-address form
  3. No action if the pharmacist in charge remains the same
  4. A new pharmacy license for the new owner Correct answer.

Explanation

An Illinois pharmacy license is issued to a specific owner at a specific location and is not assignable. A change of ownership therefore requires a new application and license before the buyer operates the pharmacy.

Question 48Licensure, registration, renewal, and scope of practice of pharmacists, technicians, interns, and pharmacy establishments

A pharmacist licensed in another state for ten years wants an Illinois license. Illinois requires the applicant to...

  1. pass the Illinois MPJE before licensure Correct answer.
  2. complete a new pharmacy degree
  3. be licensed automatically through reciprocity
  4. retake the NAPLEX examination

Explanation

Illinois grants licensure by endorsement to qualified pharmacists but requires the applicant to pass the Illinois Multistate Pharmacy Jurisprudence Examination and satisfy Illinois licensure requirements. There is no automatic reciprocity, and an established pharmacist does not repeat the NAPLEX or the degree.

Question 49Licensure, registration, renewal, and scope of practice of pharmacists, technicians, interns, and pharmacy establishments

An intern is scheduled alone because the supervising pharmacist is ill. What may the intern do?

  1. Counsel patients if a technician assists
  2. Wait for a pharmacist to arrive Correct answer.
  3. Dispense refills until a pharmacist arrives
  4. Verify prescriptions a pharmacist checked earlier

Explanation

An intern may perform pharmacist duties only under the supervision of a licensed pharmacist. Without a pharmacist on site, the intern cannot dispense, verify, or counsel, and the pharmacy cannot operate.

Question 50Licensure, registration, renewal, and scope of practice of pharmacists, technicians, interns, and pharmacy establishments

A prescriber writes a prescription without any instruction about substitution. Under Illinois law, the pharmacist may...

  1. substitute only at the patient's written request
  2. substitute only with new written prescriber consent
  3. substitute any drug in the same therapeutic class
  4. dispense a therapeutically equivalent generic Correct answer.

Explanation

Illinois permits substitution of a therapeutically equivalent generic product unless the prescriber directs otherwise, and the patient must be informed of the substitution. The substitute must be rated therapeutically equivalent, not merely in the same class.