MO MPJE study materials
MO MPJE study resources

MO MPJE key terms

MO MPJE · Get comfortable with the vocabulary.

Missouri Pharmacy Practice Act

The body of Missouri statutes in Chapter 338 that governs pharmacy practice in the state, establishing the Board of Pharmacy and setting requirements for licensure, dispensing, and discipline.

Related: Missouri Board of Pharmacy, Scope of practice
Missouri Board of Pharmacy

The state regulatory board, housed within the Division of Professional Registration, that licenses pharmacists and pharmacies, adopts rules, investigates complaints, and imposes discipline for violations of Missouri pharmacy law.

Related: Missouri Pharmacy Practice Act, Pharmacy license (drug outlet)
Pharmacist-in-Charge

The pharmacist designated to a licensed pharmacy who is accountable for its day-to-day compliance with drug laws, including recordkeeping, security, staff supervision, and the accuracy of dispensing.

Related: Pharmacy license (drug outlet), Record retention
Pharmacy license (drug outlet)

The registration a Missouri pharmacy must hold to legally store and dispense prescription drugs; it is issued for a specific location and names the pharmacist-in-charge.

Related: Pharmacist-in-Charge, Missouri Board of Pharmacy
Continuing education

Post-licensure coursework a Missouri pharmacist must complete during each renewal cycle, as set by Board rule, to maintain an active license and stay current on practice changes.

Related: Missouri Board of Pharmacy
Pharmacy intern registration

A Board-issued credential allowing a pharmacy student to perform pharmacist duties under supervision while accruing the practical hours required for licensure.

Related: Missouri Board of Pharmacy, Scope of practice
Licensure by reciprocity

The process by which a pharmacist licensed in another state obtains a Missouri license, typically through license verification, examination scores, and Board review of eligibility.

Related: Missouri Board of Pharmacy, Continuing education
Scope of practice

The range of activities a Missouri pharmacist is legally authorized to perform, such as dispensing, counseling, immunizing, and practicing under collaborative protocols, as defined by statute and Board rule.

Related: Missouri Pharmacy Practice Act, Dispensing
Dispensing

The lawful process of evaluating a prescription, preparing and labeling the drug, and transferring it to a patient or caregiver with appropriate counseling and records.

Related: Scope of practice, Labeling requirements
Distributing

Transferring prescription drugs to another person or business for resale, repackaging, or further distribution rather than to an ultimate patient; separate licensure may be required.

Related: DSCSA transaction information, Record retention
Legend drug

A drug that federal or state law requires to be dispensed only on prescription and that carries the federal legend statement; Missouri restricts who may sell or dispense it.

Related: Valid prescription elements
Controlled substance schedules

Five ranked categories under the Controlled Substances Act, based on accepted medical use and abuse potential, that drive recordkeeping, refill limits, security, and prescribing rules.

Related: DEA registration, Schedule II refill prohibition
DEA registration

The federal registration a pharmacy or prescriber must hold to handle controlled substances; it identifies the location, the schedules authorized, and the expiration date and must be renewed.

Related: Controlled substance schedules, DEA Form 222 / CSOS
Corresponding responsibility

The duty of both prescriber and pharmacist to ensure a controlled substance order serves a legitimate medical purpose and is issued in the usual course of professional practice.

Related: Controlled substance schedules, Missouri PDMP
DEA Form 222 / CSOS

The order form, paper or electronic through CSOS, used to procure Schedule I and II controlled substances; it must be completed accurately and kept as an audit record.

Related: DEA registration, Biennial inventory
Schedule II refill prohibition

Federal law bars refills on Schedule II prescriptions; each dispensing requires a new valid prescription, apart from limited partial-fill and emergency exceptions.

Related: Refill authorization, Partial filling of Schedule II
Emergency oral Schedule II order

An exception allowing an oral Schedule II order when immediate dispensing is needed, provided the prescriber sends a written or electronic prescription, generally within seven days.

Related: Schedule II refill prohibition
Partial filling of Schedule II

Dispensing less than the prescribed quantity of a Schedule II drug; permitted in limited situations such as insufficient stock, with specific rules on filling the balance.

Related: Schedule II refill prohibition
Missouri PDMP

Missouri's prescription drug monitoring program, to which dispensers report controlled substance prescriptions and which authorized users may query to identify possible misuse.

Related: Controlled substance schedules, Corresponding responsibility
Biennial inventory

A complete, documented count of all controlled substances on hand, required at least every two years and when a pharmacy first registers with DEA.

Related: Perpetual inventory, DEA registration
Record retention

The period during which prescription and controlled substance records must be kept and made available for inspection; federal rules require at least two years, and state rules also apply.

Related: Perpetual inventory, DEA Form 106
Perpetual inventory

An ongoing running record of controlled substances received, dispensed, and destroyed, reconciled against physical counts to detect losses or diversion.

Related: Biennial inventory
DEA Form 106

The DEA report filed when controlled substances are discovered lost or stolen; it records the circumstances and quantity and prompts investigation and follow-up.

Related: Perpetual inventory, Record retention
DSCSA transaction information

Supply-chain documentation showing a prescription drug's ownership history, lot number, and handling, required when trading partners transfer product to prevent counterfeit or diverted drugs.

Related: Distributing, Record retention
Valid prescription elements

The components a prescription must contain to be dispensable, such as patient identity, drug, strength, directions, quantity, prescriber, and date.

Related: Labeling requirements, Legend drug
Labeling requirements

Information Missouri pharmacies must place on a dispensed container, including pharmacy name and address, prescription number, date, patient, directions, drug name and strength, and quantity.

Related: Valid prescription elements, Offer to counsel
Prescription transfer

Conveying prescription information between pharmacies so a patient can obtain refills elsewhere; it requires pharmacist-to-pharmacist communication, documentation at both sites, and stricter limits for controlled substances.

Related: Refill authorization, E-prescribing
E-prescribing

Electronic transmission of a prescription from prescriber to pharmacy; controlled substance e-prescriptions must meet DEA electronic prescription and identity-proofing requirements.

Related: Prescription transfer, Valid prescription elements
Refill authorization

Prescriber permission for additional dispensings of a prescription; the number allowed depends on what the prescriber authorizes and on schedule-specific restrictions for controlled substances.

Related: Schedule II refill prohibition, Prescription transfer
Generic substitution

Dispensing a therapeutically equivalent, usually lower-cost product instead of the prescribed brand, permitted unless the prescriber indicates no substitution, with patient notification requirements.

Related: Valid prescription elements, Offer to counsel
Offer to counsel

The requirement to offer the patient a private explanation of the medication, its use, and precautions when a prescription is dispensed, with documentation of acceptance or refusal.

Related: Patient record (patient profile), Labeling requirements
Patient record (patient profile)

A maintained file of a patient's prescriptions, allergies, conditions, and pharmacist interventions, reviewed before dispensing to screen for interactions, duplication, and dosing problems.

Related: Offer to counsel, Medication therapy management
Medication therapy management

Structured pharmacist services such as comprehensive medication review, therapy recommendations, and monitoring, provided collaboratively with prescribers to improve outcomes for high-risk patients.

Related: Patient record (patient profile), Offer to counsel
Compounding

Preparing, mixing, or altering a drug product to fill an individual prescription; it must follow accepted standards and generally may not simply copy a commercially available product.

Related: USP <795> and <797>, Beyond-use date
USP <795> and <797>

National standards for nonsterile and sterile compounding that address facilities, equipment, personnel training, and process validation, which Missouri compounding practice is expected to follow.

Related: Compounding, Beyond-use date
Beyond-use date

The date after which a compounded preparation must not be used, assigned from stability references and USP default limits based on water content and storage conditions.

Related: Compounding, USP <795> and <797>