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MN MPJE practice questions

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Question 1Federal and state legal framework governing pharmacy practice

Under federal law, how many times may a prescription for a Schedule II controlled substance be refilled?

  1. One time within 30 days
  2. Five times within six months
  3. Three times within 90 days
  4. Zero times; a new prescription is required Correct answer.

Explanation

DEA regulations prohibit refills on any Schedule II prescription, so each dispensing requires a new, valid prescription from the prescriber. The refill allowances that exist for lower schedules do not apply to Schedule II drugs.

Question 2Federal and state legal framework governing pharmacy practice

Under the Combat Methamphetamine Epidemic Act, the maximum amount of pseudoephedrine a single purchaser may obtain in one day is:

  1. 1.8 grams
  2. 7.5 grams
  3. 9 grams
  4. 3.6 grams Correct answer.

Explanation

The Act sets a daily sales limit of 3.6 grams of pseudoephedrine base per purchaser and a 30-day limit of 9 grams. These limits apply to retail sales of scheduled listed chemical products, which must be kept behind the counter with logbook documentation.

Question 3Federal and state legal framework governing pharmacy practice

A prescriber issues a Schedule IV prescription on January 10 authorizing the maximum number of refills permitted by federal law. The final refill must be dispensed no later than:

  1. April 10
  2. January 10 of the following year
  3. October 10
  4. July 10 Correct answer.

Explanation

Schedule III–V prescriptions may be refilled up to five times, but no refill may be dispensed later than six months after the date the prescription was issued. Six months from January 10 is July 10.

Question 4Federal and state legal framework governing pharmacy practice

A community pharmacy needs to order additional oxycodone tablets from its wholesaler. Which document must the pharmacy use for this transaction?

  1. A standard purchase invoice alone
  2. DEA Form 106
  3. DEA Form 222 Correct answer.
  4. DEA Form 41

Explanation

Schedule I and II substances must be ordered using a DEA Form 222 (or its electronic equivalent, the CSOS). The form documents the chain of distribution and the purchaser's registration number.

Question 5Federal and state legal framework governing pharmacy practice

A prescriber telephones an oral order for a Schedule II analgesic for a patient in acute pain. Under DEA regulations, the pharmacy may dispense the drug only if the prescriber delivers a written prescription to the pharmacy within:

  1. 14 days
  2. 72 hours
  3. 30 days
  4. 7 days Correct answer.

Explanation

In a genuine emergency, a pharmacist may dispense a Schedule II drug on an oral order provided the prescriber delivers a written prescription within seven days. If the written order does not arrive, the pharmacist must notify DEA.

Question 6Federal and state legal framework governing pharmacy practice

A patient receives a partial fill of a Schedule II prescription because the pharmacy's stock is insufficient. Under DEA rules, the remaining quantity may be supplied no later than:

  1. 6 months from the date the prescription was written
  2. 72 hours after the partial fill
  3. 30 days from the date the prescription was written Correct answer.
  4. 60 days from the date the prescription was written

Explanation

For a partial fill caused by insufficient stock, the balance of a Schedule II prescription must be dispensed within 30 days of the date the prescription was written. A 60-day window applies only to patients in a long-term care facility or with a terminal illness.

Question 7Federal and state legal framework governing pharmacy practice

A DEA registration for a retail pharmacy remains valid for how long before it must be renewed?

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

Explanation

DEA registrations are issued for a three-year period and must be renewed before expiration to maintain authority to handle controlled substances. A separate registration is required for each principal place of business.

Question 8Federal and state legal framework governing pharmacy practice

A pharmacy discovers that a significant quantity of hydrocodone tablets is missing and cannot be accounted for. The pharmacy must notify DEA using:

  1. DEA Form 224
  2. DEA Form 106 Correct answer.
  3. DEA Form 41
  4. DEA Form 222

Explanation

Theft or significant loss of controlled substances must be reported to DEA on Form 106, and a copy is also submitted to the state authority. The registrant must complete the form within one business day of discovery.

Question 9Federal and state legal framework governing pharmacy practice

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

  1. A pharmacist-in-charge responsible for legal compliance Correct answer.
  2. A physician medical director who reviews dispensing records monthly
  3. At least two pharmacists on duty during all hours of operation
  4. A written contract with an in-state wholesaler for all purchases

Explanation

Each Minnesota pharmacy must designate a pharmacist-in-charge who accepts responsibility for the pharmacy's compliance with drug and pharmacy laws. The board holds that pharmacist accountable for operations and recordkeeping.

Question 10Federal and state legal framework governing pharmacy practice

Which of the following is required of Minnesota pharmacies under the state prescription monitoring program?

  1. Obtaining written patient consent before every PMP query
  2. Checking the PMP before every dispensing transaction
  3. Reporting only Schedule II dispensing to the PMP
  4. Reporting each dispensed controlled substance to the PMP Correct answer.

Explanation

Minnesota's prescription monitoring program requires dispensers to submit data on controlled substances they dispense so that prescribers and pharmacists can review patient histories. Reporting obligations cover the scheduled drugs identified in statute, not just Schedule II.

Question 11Federal and state legal framework governing pharmacy practice

A Minnesota pharmacist dispenses naloxone to the family member of a patient at risk of opioid overdose without a prescription. This is permissible because:

  1. Naloxone is not a prescription drug in Minnesota
  2. Federal law exempts naloxone from the prescription requirement
  3. A pharmacist may dispense naloxone only after a prescriber's oral order
  4. Minnesota law authorizes pharmacists to dispense naloxone under a protocol Correct answer.

Explanation

Minnesota allows pharmacists to dispense naloxone without a patient-specific prescription when acting under an authorized protocol, and to provide the associated education to the recipient. The pharmacist must follow the protocol's training, documentation, and counseling requirements.

Question 12Federal and state legal framework governing pharmacy practice

Under Minnesota law, a pharmacist may prescribe and dispense self-administered hormonal contraceptives:

  1. Only in a clinic licensed as a family planning facility
  2. Only to patients who are at least 21 years old
  3. Only after a patient-specific prescriber order
  4. Under a protocol without a prescriber's patient-specific order Correct answer.

Explanation

Minnesota permits pharmacists to prescribe and dispense self-administered hormonal contraceptives under a protocol developed with a prescribing practitioner. The pharmacist must screen the patient, provide counseling, and refer the patient for appropriate preventive care.

Question 13Federal and state legal framework governing pharmacy practice

Which statement about Minnesota's medical cannabis program is accurate?

  1. Any licensed pharmacy may dispense medical cannabis if it registers with DEA
  2. Dispensing sites must have a pharmacist available to provide counseling Correct answer.
  3. Medical cannabis is dispensed under federal Schedule II requirements
  4. Certification for the program may be issued by a licensed pharmacist

Explanation

Minnesota medical cannabis is distributed through state-registered dispensing sites that must have a pharmacist available to counsel patients. The drug remains illegal under federal law, so it is not handled through ordinary pharmacy channels or DEA registration.

Question 14Federal and state legal framework governing pharmacy practice

In Minnesota, a person may purchase hypodermic syringes from a pharmacy:

  1. Only if enrolled in an authorized needle exchange program
  2. Without a prescription Correct answer.
  3. Only in quantities of ten or fewer
  4. Only with a valid prescription

Explanation

Minnesota does not require a prescription for the retail sale of hypodermic syringes, supporting harm-reduction access. Pharmacies may sell syringes to any purchaser without a prescription.

Question 15Federal and state legal framework governing pharmacy practice

A pharmacist receives a request from an insurer for a patient's complete prescription history to process a claim for one drug. Under HIPAA, the pharmacist should:

  1. Require a written patient authorization before any disclosure
  2. Provide the entire record as requested
  3. Disclose only the minimum necessary information for the claim Correct answer.
  4. Refuse, because claims processing is not a covered purpose

Explanation

Payment is a treatment, payment, and health care operations purpose for which protected health information may be shared without authorization, but only the minimum necessary amount. A full history is more than the claim requires.

Question 16Federal and state legal framework governing pharmacy practice

Under the Drug Supply Chain Security Act, before accepting ownership of a prescription drug product, a pharmacy must receive from the seller:

  1. Transaction information, transaction history, and a transaction statement Correct answer.
  2. A DEA Form 222 covering the transfer
  3. A manufacturer's certificate of analysis for the lot
  4. A notarized pedigree tracing every prior owner of the product

Explanation

The DSCSA requires trading partners to pass transaction information, transaction history, and a transaction statement documenting the product's chain of custody. A pharmacy may not accept suspect or illegitimate product and must verify the data provided.

Question 17Federal and state legal framework governing pharmacy practice

A pharmacy compounds an oral liquid from a bulk drug substance that is essentially a copy of a commercially available FDA-approved suspension, and the prescriber has documented no clinical difference for the patient. Under federal law, this preparation is:

  1. Permitted, because compounding is an exercise of professional judgment
  2. Prohibited, because only outsourcing facilities may compound oral liquids
  3. Prohibited, because it is essentially a copy of a commercially available product Correct answer.
  4. Permitted, because bulk substances may be used without restriction

Explanation

Section 503A bars compounding a drug that is essentially a copy of a commercially available product unless the prescriber documents a change that produces a significant difference for the patient. With no documented difference, the preparation is not permitted.

Question 18Federal and state legal framework governing pharmacy practice

Which requirement is unique to a 503B outsourcing facility?

  1. It must register with FDA and follow cGMP requirements Correct answer.
  2. It must obtain a separate DEA registration for each state
  3. It may dispense only pursuant to patient-specific prescriptions
  4. It must hold a pharmacy license in every state where it ships

Explanation

Outsourcing facilities must register with FDA, report adverse events, and comply with current good manufacturing practice, which distinguishes them from traditional 503A pharmacies. They may compound without patient-specific prescriptions but face federal oversight accordingly.

Question 19Federal and state legal framework governing pharmacy practice

Under OBRA 1990, a pharmacist dispensing a prescription to a Medicaid beneficiary must:

  1. Obtain signed consent for generic substitution
  2. Document a prescription monitoring program query
  3. Provide written drug information leaflets only
  4. Offer to counsel the patient or caregiver Correct answer.

Explanation

OBRA 1990 requires pharmacists to offer counseling to Medicaid patients receiving covered outpatient drugs, with documentation of the offer and any refusal. Counseling content includes proper use, common adverse effects, and precautions.

Question 20Federal and state legal framework governing pharmacy practice

A patient wants to move a Schedule IV prescription with refills remaining to another pharmacy. Under DEA rules, the transfer is permitted only if:

  1. Both pharmacies hold valid DEA registrations and the transfer is documented Correct answer.
  2. The patient signs a release at the receiving pharmacy before the transfer
  3. The prescriber issues a brand-new prescription to the receiving pharmacy
  4. The two pharmacies are located in the same state

Explanation

A Schedule III–V prescription may be transferred between DEA-registered pharmacies, generally once for the remaining refills, with documentation of the transfer, the pharmacist's identity, and the receiving pharmacy. The transferred prescription must be voided at the original pharmacy.

Question 21Federal and state legal framework governing pharmacy practice

A mail-order pharmacy located in another state ships prescription drugs to patients in Minnesota. Under Minnesota law, the pharmacy must:

  1. Obtain a Minnesota wholesale distributor license
  2. Register only with DEA
  3. Hold a Minnesota pharmacy license Correct answer.
  4. Be owned by a Minnesota-licensed pharmacist

Explanation

Minnesota requires any pharmacy that dispenses prescription drugs to patients in the state, including out-of-state mail-order operations, to be licensed by the Board of Pharmacy. DEA registration alone does not satisfy the state licensure requirement.

Question 22Federal and state legal framework governing pharmacy practice

Federal law requires pharmacies to keep records of controlled substances on hand for at least:

  1. 5 years
  2. 6 months
  3. 2 years Correct answer.
  4. 3 years

Explanation

DEA regulations require registrants to maintain records of controlled substances, including inventories and dispensing records, for at least two years. Records must be readily retrievable for inspection.

Question 23Federal and state legal framework governing pharmacy practice

A pharmacy wants to destroy outdated controlled substances on site. The destruction must be documented on:

  1. DEA Form 41 Correct answer.
  2. DEA Form 106
  3. DEA Form 222
  4. DEA Form 224

Explanation

Registrants who destroy controlled substances must document the destruction on DEA Form 41 and retain the record for two years. Alternatively, drugs may be transferred to a reverse distributor for destruction.

Question 24Federal and state legal framework governing pharmacy practice

Which element must appear on the label of a prescription drug product dispensed to a patient?

  1. The prescriber's DEA number for every prescription
  2. The name and address of the dispensing pharmacy Correct answer.
  3. The wholesale acquisition cost of the product
  4. The expiration date of the original manufacturer container

Explanation

Federal labeling requirements for prescription drug products include the name and address of the dispensing pharmacy, the prescription serial number, the date, the patient name, directions for use, and the prescriber's name. These core elements ensure the patient can identify the source of the medication.

Question 25Federal and state legal framework governing pharmacy practice

A Minnesota pharmacist enters into a collaborative practice agreement with a physician. Under Minnesota law, such an agreement allows the pharmacist to:

  1. Manage and modify drug therapy as described in the agreement Correct answer.
  2. Diagnose new medical conditions without physician involvement
  3. Prescribe Schedule II stimulants for attention-deficit disorder
  4. Delegate dispensing duties to unlicensed assistive personnel

Explanation

Minnesota recognizes collaborative practice agreements through which a pharmacist, working with a practitioner, may initiate, modify, or manage drug therapy for patients within the scope defined by the agreement. The agreement must specify the conditions, drugs, and communication requirements.

Question 26Federal and state legal framework governing pharmacy practice

An independent pharmacy opens a second retail location in a nearby city and will store and dispense controlled substances there. What must the pharmacy obtain for the new location?

  1. A DEA registration transfer from the original location
  2. A written waiver from the state board of pharmacy
  3. An amendment to the existing DEA registration
  4. A separate DEA registration for the new location Correct answer.

Explanation

DEA registration is location-specific. Each principal place of business where controlled substances are stored or dispensed must have its own DEA registration. A waiver, amendment, or transfer of the existing registration does not authorize the new location.

Question 27Federal and state legal framework governing pharmacy practice

Under federal law, a prescription for a Schedule III drug may be refilled at most:

  1. Five times within six months Correct answer.
  2. Six times within one year
  3. Unlimited times while the prescription is valid
  4. Three times within three months

Explanation

Federal law limits refills of Schedule III through V prescriptions to five refills within six months of the date of issue. The prescriber may authorize fewer refills or a shorter period. Schedule II prescriptions cannot be refilled.

Question 28Federal and state legal framework governing pharmacy practice

A patient asks the pharmacist to dispense a prescription in an easy-open container rather than a child-resistant container. Under the Poison Prevention Packaging Act, the pharmacist may do so if:

  1. The prescription is refilled at least once
  2. The patient requests non-child-resistant packaging Correct answer.
  3. The drug is not a controlled substance
  4. The patient is at least 65 years old

Explanation

The Poison Prevention Packaging Act requires child-resistant packaging unless the prescriber or the patient requests otherwise. The patient's age, the drug's controlled status, and the refill history do not by themselves authorize non-child-resistant packaging.

Question 29Federal and state legal framework governing pharmacy practice

Under the Combat Methamphetamine Epidemic Act, the maximum amount of pseudoephedrine a person may purchase in a single day is:

  1. 2.4 grams
  2. 1.2 grams
  3. 3.6 grams Correct answer.
  4. 7.2 grams

Explanation

The Combat Methamphetamine Epidemic Act sets a daily pseudoephedrine limit of 3.6 grams and a 30-day limit of 9 grams. Sellers must also maintain a logbook and verify identification.

Question 30Federal and state legal framework governing pharmacy practice

An FDA recall is classified as Class I when the product:

  1. Has a reasonable probability of causing serious adverse health consequences or death Correct answer.
  2. Is unlikely to cause adverse health consequences
  3. Has been mislabeled but poses no health risk
  4. May cause temporary or medically reversible health problems

Explanation

Class I is the most serious recall classification and applies when there is a reasonable probability of serious adverse health consequences or death. Class II generally involves temporary or medically reversible harm, and Class III involves a low likelihood of harm.

Question 31Federal and state legal framework governing pharmacy practice

Under Minnesota law, a legend drug may be dispensed to a patient only:

  1. After the pharmacist documents patient counseling
  2. When the drug is in its original manufacturer container
  3. If the patient signs a waiver of liability
  4. Pursuant to a valid prescription Correct answer.

Explanation

Legend drugs are prescription-only medicines and may be dispensed only pursuant to a valid prescription. Counseling, liability waivers, and container type are separate requirements and do not authorize dispensing without a prescription.

Question 32Federal and state legal framework governing pharmacy practice

A pharmacist receives a call from a physician's office requesting information about a patient's current medications for treatment purposes. Under HIPAA, the pharmacist may:

  1. Require the physician to submit a written request
  2. Refuse because the patient has not authorized the disclosure
  3. Release only the last prescription dispensed
  4. Disclose the information without patient authorization Correct answer.

Explanation

HIPAA permits disclosures of protected health information for treatment, payment, and health care operations without patient authorization. A physician requesting medication information for treatment is a permitted disclosure.

Question 33Federal and state legal framework governing pharmacy practice

Which form is used to order Schedule II controlled substances from a distributor?

  1. DEA Form 222 Correct answer.
  2. DEA Form 106
  3. DEA Form 224
  4. DEA Form 41

Explanation

DEA Form 222 is the order form for Schedule I and II controlled substances. Form 224 is used to apply for a DEA registration, Form 106 is used to report theft or loss, and Form 41 is used for destruction records.

Question 34Federal and state legal framework governing pharmacy practice

A prescriber phones in an emergency oral prescription for a Schedule II opioid. Federal law requires the prescriber to provide a written prescription to the pharmacy within:

  1. 30 days
  2. 24 hours
  3. 7 days Correct answer.
  4. 72 hours

Explanation

An emergency oral Schedule II prescription may be filled only if the prescriber provides a written prescription within seven days. If the written prescription is not received, the pharmacist must notify DEA.

Question 35Federal and state legal framework governing pharmacy practice

A pharmacy wants a second pharmacist to be authorized to sign DEA Form 222 orders for Schedule II drugs. What is required?

  1. The pharmacist must register separately with DEA
  2. The registrant must execute a power of attorney for that pharmacist Correct answer.
  3. The pharmacy must notify the state board of pharmacy
  4. The pharmacist must pass a DEA examination

Explanation

A DEA registrant may authorize another person to sign DEA Form 222 orders by executing a power of attorney. The power of attorney must be kept on file and does not require a separate DEA registration for the agent.

Question 36Federal and state legal framework governing pharmacy practice

Which credential is required for a person to work as a pharmacy technician in Minnesota?

  1. Certification by a national technician certification board
  2. A Minnesota pharmacist intern license
  3. Registration with the Minnesota Board of Pharmacy Correct answer.
  4. A DEA registration for pharmacy technicians

Explanation

Minnesota requires pharmacy technicians to be registered with the Minnesota Board of Pharmacy. National certification may be required by an employer or for certain duties, but it is not the state registration credential.

Question 37Federal and state legal framework governing pharmacy practice

A Minnesota pharmacist wants to administer influenza vaccine to adult patients without an individual prescription for each patient. This is permitted if the pharmacist:

  1. Is employed by a hospital
  2. Completes approved immunization training and follows a protocol Correct answer.
  3. Obtains a written prescription for each patient
  4. Limits administration to patients over age 65

Explanation

Minnesota pharmacists may administer vaccines under a protocol after completing board-approved immunization training. An individual prescription for each patient is not required for protocol-based immunization.

Question 38Federal and state legal framework governing pharmacy practice

A pharmacy wants to dispense a drug that is subject to a Risk Evaluation and Mitigation Strategy with elements to assure safe use. What must the pharmacy do?

  1. Report each dispensing to the FDA within 24 hours
  2. Enroll and be certified in the REMS program Correct answer.
  3. Obtain a separate DEA registration for the drug
  4. Post the REMS document in the pharmacy

Explanation

When a REMS includes elements to assure safe use, pharmacies may be required to enroll and be certified before dispensing the drug. DEA registration, posted documents, and daily FDA reporting are not the general REMS pharmacy requirement.

Question 39Federal and state legal framework governing pharmacy practice

Under the Prescription Drug Marketing Act, which statement about prescription drug samples is correct?

  1. Samples may be returned to the pharmacy for credit
  2. Samples may be sold to patients at a reduced price
  3. Samples may be dispensed by a pharmacist as a refill
  4. Samples may be distributed only to licensed practitioners for patient use Correct answer.

Explanation

The Prescription Drug Marketing Act restricts drug samples to distribution to licensed practitioners for patient use. Samples may not be sold, traded, or returned to pharmacies for credit or dispensing.

Question 40Federal and state legal framework governing pharmacy practice

A pharmacy that dispenses medications to patients enrolled in a federally assisted substance use disorder treatment program maintains records covered by 42 CFR Part 2. Which statement is correct?

  1. Part 2 is preempted by HIPAA whenever the two conflict
  2. Part 2 applies only to records of patients receiving methadone
  3. Consent is generally required before disclosure Correct answer.
  4. Part 2 permits disclosure for treatment without patient consent

Explanation

42 CFR Part 2 is more restrictive than HIPAA and generally requires patient consent before disclosing substance use disorder treatment records. Limited exceptions exist, but treatment disclosures are not generally permitted without consent.

Question 41Federal and state legal framework governing pharmacy practice

Under the Dietary Supplement Health and Education Act, a dietary supplement label may include a structure/function claim only if the label:

  1. Includes a disclaimer that the claim has not been evaluated by FDA Correct answer.
  2. Includes a prescription drug warning
  3. Lists the product's DEA schedule
  4. States that the product is FDA approved

Explanation

DSHEA permits structure/function claims on dietary supplement labels if the label includes the required disclaimer that FDA has not evaluated the claim. Supplement labels may not claim to diagnose, treat, cure, or prevent a disease.

Question 42Federal and state legal framework governing pharmacy practice

A pharmacy stores a prescription drug in a room where the temperature repeatedly exceeds the labeled storage range, and the drug degrades. The product is best characterized as:

  1. Misbranded
  2. Grandfathered
  3. Counterfeit
  4. Adulterated Correct answer.

Explanation

A drug held under conditions that may render it injurious or that fail to conform to compendial standards can be adulterated. Misbranding concerns labeling and packaging, while counterfeiting involves a fraudulent product.

Question 43Federal and state legal framework governing pharmacy practice

During a biennial inventory, how must a pharmacy record Schedule II controlled substances?

  1. By weight only
  2. By estimated count only
  3. By exact count Correct answer.
  4. By invoice total only

Explanation

A biennial inventory requires an exact count of Schedule II controlled substances. Schedule III through V substances may be estimated unless the container holds more than 1,000 tablets or capsules.

Question 44Federal and state legal framework governing pharmacy practice

Which statement about the Minnesota prescription drug repository program is correct?

  1. Certain unused drugs may be donated and dispensed Correct answer.
  2. It requires all pharmacies to participate
  3. It allows pharmacies to resell returned drugs at full price
  4. It permits donation of expired drugs to patients

Explanation

Minnesota's prescription drug repository program allows certain unused prescription drugs to be donated and dispensed to eligible patients. Expired drugs are not acceptable, and participation is voluntary rather than mandatory for all pharmacies.

Question 45Federal and state legal framework governing pharmacy practice

Under DEA rules for electronic prescribing of controlled substances, the prescriber's electronic prescription system must use:

  1. A state-issued prescriber stamp
  2. A paper backup for every prescription
  3. Identity proofing and two-factor authentication Correct answer.
  4. A single password shared with office staff

Explanation

Electronic prescribing of controlled substances requires identity proofing of the prescriber and two-factor authentication for system access. Shared passwords and paper backups do not satisfy the EPCS security requirements.

Question 46Federal and state legal framework governing pharmacy practice

Under the Ryan Haight Act, a practitioner may issue a controlled substance prescription via the internet without a prior in-person medical evaluation only if:

  1. The patient has previously received the same drug
  2. The practitioner is located in a DEA-registered hospital
  3. The pharmacy verifies the patient's identity
  4. A recognized telemedicine exception applies Correct answer.

Explanation

The Ryan Haight Act generally requires an in-person medical evaluation before a controlled substance is prescribed via the internet. Limited telemedicine exceptions, such as certain public health emergency or federal health system exceptions, may apply.

Question 47Federal and state legal framework governing pharmacy practice

A pharmacy changes ownership from one corporation to another but continues operating at the same address. What is required for controlled substance authority?

  1. Only the state board must be notified
  2. The new owner may use the seller's registration for 60 days
  3. The existing DEA registration remains valid because the address is unchanged
  4. The new owner must obtain a new DEA registration Correct answer.

Explanation

A DEA registration is not transferable when a pharmacy changes ownership. The new owner must obtain its own DEA registration before handling controlled substances.

Question 48Federal and state legal framework governing pharmacy practice

A prescription for a Schedule II controlled substance:

  1. May be refilled up to five times
  2. May be refilled after six months
  3. May be refilled if the prescriber authorizes it orally
  4. May not be refilled Correct answer.

Explanation

Federal law prohibits refilling a Schedule II prescription. A new prescription is required for additional dispensing, and the prescriber cannot authorize refills orally or in writing on the original prescription.

Question 49Federal and state legal framework governing pharmacy practice

Which statement about DEA registration of a nurse practitioner is correct?

  1. The nurse practitioner may use the supervising physician's DEA number
  2. The nurse practitioner does not need DEA registration to prescribe controlled substances
  3. The nurse practitioner may prescribe only Schedule V drugs
  4. The nurse practitioner must have a DEA registration and state authority to prescribe controlled substances Correct answer.

Explanation

A nurse practitioner who prescribes controlled substances must have an individual DEA registration and state authority to prescribe those drugs. Using a physician's DEA number is not permitted for the nurse practitioner's own prescribing.

Question 50Federal and state legal framework governing pharmacy practice

Federal law allows a pharmacy to dispense a Schedule II controlled substance pursuant to a faxed prescription in which situation?

  1. A compounded Schedule II product for direct infusion Correct answer.
  2. The patient requests a 90-day supply
  3. The prescriber is located in a different state
  4. The pharmacy has no written prescription on file

Explanation

A faxed Schedule II prescription may be dispensed for a compounded Schedule II product for direct infusion, for a long-term care facility patient, or for a hospice patient. Other Schedule II prescriptions generally require an original written or qualifying electronic prescription.