MPJE study materials
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MPJE flashcards

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32 cards. Read the term and the definition here. The deck at the top of this page is optional.

Durham-Humphrey Amendment
1951 federal law that established the prescription-only drug category and allowed refills only when authorized by the prescriber.
Poison Prevention Packaging Act
Federal law requiring child-resistant containers for most prescription drugs and some OTCs, with exemptions and a patient or prescriber opt-out.
Risk Evaluation and Mitigation Strategy
FDA-required safety program using tools such as a Medication Guide, communication plan, or Elements to Assure Safe Use to manage serious drug risks.
Drug Supply Chain Security Act
Federal law requiring unit-level product identifiers, transaction data, suspect product verification, and licensure checks throughout the pharmaceutical distribution supply chain.
HIPAA minimum necessary
Standard requiring covered entities to limit uses and disclosures of protected health information to the least information needed, with exceptions for treatment disclosures.
Adulterated versus misbranded drug
Adulterated drugs are contaminated or made under substandard conditions; misbranded drugs bear false or inadequate labeling. Both support FDA enforcement action.
State pharmacy practice act
Statute that creates the board of pharmacy and defines pharmacy practice, licensure requirements, disciplinary authority, and delegated rulemaking power within the state.
Nonresident pharmacy license
Registration an out-of-state pharmacy must obtain from a state before shipping prescriptions to patients there, subject to that state's labeling and reporting rules.
PDMP query mandate
State requirement that prescribers or dispensers check the prescription drug monitoring program before prescribing or dispensing controlled substances, subject to state-specific exceptions.
Board rulemaking authority
Power of a board of pharmacy to adopt regulations interpreting the practice act; rules carry the force of law but cannot exceed statutory authority.
Interstate licensure reciprocity
Process by which a pharmacist obtains a license in an additional state through score transfer or licensure by reciprocity; no single national license exists.
DEA Form 222
Order document, or its CSOS electronic equivalent, used to obtain Schedule I or II substances; only the registrant or a Power of Attorney holder may execute it.
Schedule II partial fill
Allows less than the full quantity to be dispensed, with remaining amounts supplied within 60 days for LTCF or terminally ill patients, or within 72 hours otherwise.
Emergency oral Schedule II order
Permits dispensing only the quantity needed during the emergency, provided a written or electronic prescription reaches the pharmacy within seven days.
Schedule III-V refills
A prescription for these schedules may be refilled up to five times, but not after six months from the date the prescription was issued.
DEA Form 106
Report submitted to the DEA field division documenting theft or significant loss of controlled substances, with a copy retained by the registrant.
Biennial controlled substance inventory
Complete count of all controlled substances every two years; Schedule II counted exactly, others estimated unless a container exceeds 1,000 units.
Dispensed label requirements
Must show pharmacy name and address, prescription number, date, patient name, directions, prescriber name, and drug name, strength, and quantity.
Prospective drug use review
Screening of a prescription before dispensing for therapeutic duplication, interactions, allergies, and dosing problems, required under OBRA 1990 for Medicaid patients.
Medication Guide
FDA-approved patient labeling for specified drugs that must be given with each dispensing, often as a REMS element.
Refusal to fill
A pharmacist's professional judgment decision not to dispense; the prescription must be returned to the patient and the reason documented where state law requires.
Prescriber authority verification
Confirmation that the prescriber holds a valid state license and DEA registration before a controlled substance prescription is dispensed.
DEA Power of Attorney
Written authorization letting a named agent execute DEA Form 222 orders for a registrant; retained with the executed order forms.
Perpetual controlled substance inventory
Running record of receipts and dispensings of controlled substances, used to detect losses and reconcile against the biennial physical inventory.
Continuing education requirement
State-mandated hours of approved CE per license renewal cycle, often including specified hours in pharmacy law or patient safety.
Technician registration ratio
State rule limiting how many registered technicians may work per pharmacist and defining the supervision and task-delegation requirements.
DEA Form 41
Form documenting the destruction of controlled substances, completed and retained by the registrant as part of required recordkeeping.
503A compounding pharmacy
State-licensed pharmacy compounding under patient-specific prescriptions; it may not regularly compound copies of commercially available drugs or in inordinate amounts.
503B outsourcing facility
FDA-registered facility that compounds without patient-specific prescriptions and must follow current good manufacturing practice and federal reporting requirements.
USP <797>
Standards for sterile compounding covering facility design, environmental monitoring, personnel training, and assignment of beyond-use dates by risk category.
USP <800>
Standards for handling hazardous drugs, requiring containment ventilated enclosures, closed system transfer devices, protective equipment, and designated storage.
Pseudoephedrine sales limit
Federal CMEA limit of 3.6 grams per day and 9 grams per 30 days per purchaser, with photo identification and a written or electronic logbook.