ND MPJE case studies
ND MPJE · Put your knowledge to work in context.
The North Dakota Multistate Pharmacy Jurisprudence Examination (ND MPJE) is the jurisprudence component of pharmacist licensure in North Dakota. It is administered through the National Association of Boards of Pharmacy (NABP) and combines federal drug law with North Dakota-specific pharmacy law. The ND MPJE case studies are 5 cases and about 4,138 words.
1The Cash-Pay Oxycodone Prescription from 190 Miles Away
Fargo community pharmacy, Tuesday afternoon. A 34-year-old man presents a paper prescription for oxycodone 30 mg, quantity 120, "one tablet every 6 hours as needed for severe pain," no refills, written 24 days ago by a physician whose office is 190 miles away in Minnesota.
898 words, about 4 min2Three Problem Prescriptions Before Noon: Expired DEA Registration, a Short Supply, and a Hospice Phone Call
The same pharmacy, the next morning, has three items waiting. (1) An electronic prescription for amphetamine extended-release 20 mg, quantity 30, one daily, transmitted yesterday by a psychiatrist whose state license is active but whose DEA registration lapsed five weeks ago.
839 words, about 4 min3The Missing 222s, the Missed Inventory, and a Break-In Nobody Reported
During a scheduled inspection, a DEA diversion investigator and a North Dakota Board inspector review a busy retail pharmacy. The records show that the last biennial inventory was taken 26 months ago, that three completed DEA Form 222s cannot be located, and that the perpetual inventory is off by 412 oxycodone 30 mg tablets.
827 words, about 4 min4A Broker, a Torn Seal, and a Request to Compound Semaglutide
An independent pharmacy in Bismarck receives a cold call from a broker offering tirzepatide 5 mg/0.5 mL pens at 40% below wholesale: "plain white cartons, the T3 documentation will follow next week, no problem." Separately, a long-time patient brings in a prescription for compounded semaglutide 2.5 mg/mL because her insurer denied the brand product; she says the pharmacy "can just make it, everyone does." The pharmacy's wholesaler confirms both brand semaglutide and tirzepatide are currently available with no shortage. While checking stock, the technician finds a sealed case of insulin pens with a torn outer seal and no transaction information in the pharmacy's traceability system; the invoice lists a distributor the pharmacy has never used.
764 words, about 4 min5The Remote Site Where the Video Camera Kept Running
A North Dakota chain operates a remote dispensing site in a town of 850 people, 58 miles from the nearest pharmacy. The site is staffed by one registered pharmacy technician; a pharmacist at the hub 140 miles away supervises through a two-way audio and video link, verifies each prescription before release, and counsels patients remotely.
810 words, about 4 min