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OH MPJE practice questions

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Question 1Licensure, Registration, and Certification Requirements

Under Ohio law, a pharmacist license issued by the State Board of Pharmacy expires on which date each year unless renewed?

  1. December 31
  2. September 15 Correct answer.
  3. March 31
  4. June 30

Explanation

Ohio pharmacist licenses are renewed annually and expire on September 15 of each odd-numbered year cycle per Board rule; the Board mails or emails renewal notices in advance. A pharmacist who fails to renew by the expiration date may not practice until the license is reinstated. Renewal requires completing the required continuing education hours.

Question 2Licensure, Registration, and Certification Requirements

Which individual must hold a current Ohio terminal distributor of dangerous drugs (TDDD) license?

  1. A physician who only administers vaccines in a clinic
  2. A wholesaler that only ships to other states
  3. A pharmacy that dispenses prescription drugs to patients Correct answer.
  4. A pharmacy technician who counts tablets

Explanation

A TDDD license is required for any person or entity that possesses, has custody of, or sells dangerous drugs at a licensed location in Ohio, including retail and institutional pharmacies. A pharmacy cannot legally operate without a current TDDD license tied to that physical location. The license is issued to the entity, not to individual employees.

Question 3Licensure, Registration, and Certification Requirements

A person applying for an Ohio pharmacist license must pass which examination?

  1. The NAPLEX only
  2. The MPJE only
  3. The PTCE and the MPJE
  4. Both the NAPLEX and the MPJE Correct answer.

Explanation

Ohio requires pharmacist candidates to pass both the NAPLEX (pharmacy practice) and the MPJE (jurisprudence) examinations administered through NABP. Passing scores must be reported to the Board before licensure. Neither examination alone satisfies the requirement.

Question 4Licensure, Registration, and Certification Requirements

An Ohio pharmacy technician registration is best described as which of the following?

  1. A certification granted by a national certifying body
  2. A permit issued by the Drug Enforcement Administration
  3. A registration with the Board that must be renewed Correct answer.
  4. A license issued by the Board of Pharmacy

Explanation

Ohio registers pharmacy technicians with the State Board of Pharmacy; registration is distinct from certification by a private certifying organization. Registration must be renewed and can be disciplined by the Board. The DEA does not register technicians.

Question 5Licensure, Registration, and Certification Requirements

Which of the following is required for an Ohio pharmacist license renewal?

  1. A physical examination
  2. Completion of the required continuing education hours Correct answer.
  3. A current DEA registration
  4. Membership in a professional association

Explanation

Ohio requires pharmacists to complete continuing education as a condition of renewal, including law-related hours. The specific hour totals are set by Board rule. DEA registration, health exams, and association membership are not renewal conditions.

Question 6Licensure, Registration, and Certification Requirements

A pharmacist licensed in another state wishes to become licensed in Ohio. Which statement is accurate?

  1. Ohio does not license pharmacists from other states
  2. Ohio requires all out-of-state pharmacists to repeat pharmacy school
  3. Ohio grants full licensure by reciprocity with no examination
  4. Ohio may license by score transfer or license transfer under Board rules Correct answer.

Explanation

Ohio provides pathways for pharmacists licensed elsewhere, including transfer of NAPLEX scores and licensure by reciprocity or license transfer under Board rules. Applicants still must meet Ohio's requirements, including the jurisprudence examination where applicable. Ohio does not require repeating pharmacy school.

Question 7Licensure, Registration, and Certification Requirements

A pharmacy changes its physical address within Ohio. What must the pharmacy do regarding its TDDD license?

  1. Nothing, because the license follows the owner
  2. Transfer the license to the new location without Board action
  3. Wait until the next annual renewal to report the change
  4. Notify the Board and obtain a license for the new location Correct answer.

Explanation

A TDDD license is location-specific, so a move to a new address requires Board notification and appropriate licensure at the new location. Operating at an unlicensed location is unlawful. The change cannot simply be deferred to renewal.

Question 8Licensure, Registration, and Certification Requirements

Which of the following individuals is exempt from Ohio pharmacy technician registration?

  1. A technician who has worked for ten years
  2. A technician who compounds sterile products
  3. A pharmacy intern enrolled in an accredited college of pharmacy Correct answer.
  4. A technician who only works weekends

Explanation

Pharmacy interns enrolled in an accredited pharmacy program are licensed or registered as interns rather than as technicians. Registration applies to technicians performing supportive duties under pharmacist supervision. Part-time status and tenure do not create exemptions.

Question 9Licensure, Registration, and Certification Requirements

A pharmacist's Ohio license has lapsed for failure to renew. Which activity is permitted before reinstatement?

  1. Counseling patients by telephone
  2. Nothing that constitutes the practice of pharmacy Correct answer.
  3. Dispensing prescriptions under a colleague's supervision
  4. Performing only non-dispensing administrative tasks

Explanation

A lapsed license means the individual is no longer authorized to practice pharmacy in Ohio, and practicing without a license is a violation subject to discipline. The pharmacist must complete reinstatement requirements before resuming any practice. Supervisory arrangements do not cure an expired license.

Question 10Licensure, Registration, and Certification Requirements

Which entity issues a Drug Enforcement Administration registration to an Ohio pharmacy?

  1. The local board of health
  2. The DEA Correct answer.
  3. The Ohio Board of Pharmacy
  4. The Ohio Department of Health

Explanation

DEA registration is a federal credential issued by the Drug Enforcement Administration, separate from state licensure. Ohio's Board of Pharmacy issues TDDD licenses but does not issue DEA registrations. A pharmacy generally needs both state authority and DEA registration to handle controlled substances.

Question 11Licensure, Registration, and Certification Requirements

A pharmacist wishes to administer immunizations in Ohio. What is required?

  1. Only a current pharmacist license
  2. No additional requirement beyond technician registration
  3. A physician's license
  4. A separate certification and compliance with Board rules on immunization administration Correct answer.

Explanation

Ohio permits pharmacists to administer certain immunizations when they meet Board requirements, including completion of an approved training program and compliance with protocols. A pharmacist license alone does not automatically confer immunization authority. Technicians cannot substitute for the pharmacist's authority.

Question 12Licensure, Registration, and Certification Requirements

Which of the following best describes the Ohio Board of Pharmacy's authority over a pharmacist's license?

  1. The Board may discipline only technicians
  2. The Board may suspend, revoke, or restrict a license for violations Correct answer.
  3. The Board may only issue licenses and cannot discipline
  4. Only courts may discipline a pharmacist

Explanation

The Board has statutory authority to investigate and to impose discipline, including suspension, revocation, restriction, and fines, for violations of pharmacy law and rules. Discipline follows administrative procedure and due process. Courts handle criminal matters but do not replace the Board's licensing authority.

Question 13Licensure, Registration, and Certification Requirements

A pharmacy intern in Ohio is best described as which of the following?

  1. A pharmacist with a provisional license
  2. A person enrolled in an accredited pharmacy program who is registered with the Board Correct answer.
  3. A registered technician
  4. An unregulated volunteer

Explanation

Ohio registers pharmacy interns who are enrolled in accredited colleges of pharmacy and who work under pharmacist supervision as part of their training. Interns are not technicians and are not yet pharmacists. Their registration allows them to gain supervised practice experience.

Question 14Licensure, Registration, and Certification Requirements

Which of the following is a common requirement for both pharmacist license renewal and technician registration renewal in Ohio?

  1. Completion of continuing education Correct answer.
  2. A current CPR card
  3. A DEA registration
  4. A criminal background check each year

Explanation

Ohio requires continuing education for renewal of pharmacist licenses and for technician registration, though the hour requirements differ. Both groups must keep their credentials current to practice lawfully. CPR cards, annual background checks, and DEA registrations are not universal renewal conditions.

Question 15Licensure, Registration, and Certification Requirements

A pharmacy's TDDD license is suspended by the Board. Which statement is accurate?

  1. The suspension applies only to controlled substances
  2. The pharmacy must cease dangerous drug distribution unless a stay is granted Correct answer.
  3. The pharmacy may continue operating while it appeals
  4. The pharmacy may continue if a pharmacist remains on duty

Explanation

A Board suspension of a TDDD license removes the pharmacy's authority to possess or distribute dangerous drugs, and operations must stop unless a stay or other relief is granted. The presence of a pharmacist does not restore the entity's license. The suspension is not limited to controlled substances.

Question 16Licensure, Registration, and Certification Requirements

Which of the following must an Ohio pharmacist do when changing their name after marriage?

  1. Nothing, because the license number is unchanged
  2. Surrender the license and reapply
  3. Notify the Board and provide documentation so the license reflects the new name Correct answer.
  4. Apply for a new license

Explanation

Licensees must keep Board records current, including name changes, and typically must provide supporting documentation such as a marriage certificate. The license number generally remains the same. A name change does not require a new license application.

Question 17Licensure, Registration, and Certification Requirements

Which of the following statements about Ohio's requirement for a pharmacist-in-charge is correct?

  1. A technician may serve as pharmacist-in-charge
  2. Every pharmacy must designate a pharmacist-in-charge who is responsible for compliance Correct answer.
  3. A pharmacy may operate without a pharmacist-in-charge if it is small
  4. The pharmacist-in-charge need not be licensed in Ohio

Explanation

Ohio requires each pharmacy to have a designated pharmacist-in-charge who is licensed in Ohio and accountable for the pharmacy's compliance with law and rules. The PIC role cannot be filled by a technician or by an out-of-state licensee. Size of the pharmacy does not eliminate the requirement.

Question 18Licensure, Registration, and Certification Requirements

A pharmacist licensed in Ohio moves to another state and lets the Ohio license lapse. To practice in Ohio again, the pharmacist generally must do which of the following?

  1. Retake the NAPLEX
  2. Resume practice immediately because the license is still valid
  3. Apply for reinstatement and meet current requirements, which may include fees and continuing education Correct answer.
  4. Only pay a late fee

Explanation

Reinstatement of a lapsed Ohio license requires an application and satisfaction of current Board requirements, which may include fees, continuing education, and other conditions set by rule. Practice before reinstatement is prohibited. Retaking the NAPLEX is generally not required for reinstatement.

Question 19Licensure, Registration, and Certification Requirements

Which of the following is true regarding an Ohio pharmacist's duty to report a change of employment address to the Board?

  1. Only the employer must report
  2. Address changes are reported to the DEA only
  3. No reporting is required until renewal
  4. The licensee must keep the Board informed of a current address of record Correct answer.

Explanation

Licensees must maintain a current address of record with the Board so that official notices and renewal information reach them. Failing to update the address can lead to missed deadlines and lapsed licensure. The obligation rests with the licensee.

Question 20Licensure, Registration, and Certification Requirements

An Ohio pharmacy that dispenses controlled substances must have which of the following in addition to its TDDD license?

  1. A food service license
  2. A DEA registration Correct answer.
  3. A clinical laboratory certificate
  4. A Medicare provider number

Explanation

Federal law requires DEA registration for any entity that dispenses controlled substances, and Ohio pharmacies must hold both a TDDD license and DEA registration. Food service, laboratory, and Medicare credentials are unrelated to controlled substance authority. DEA registration is site-specific.

Question 21Licensure, Registration, and Certification Requirements

Which of the following best characterizes the Ohio Board of Pharmacy's continuing education requirement for pharmacists?

  1. It requires only CPR training
  2. It requires a set number of hours per renewal period, including law-related hours Correct answer.
  3. It requires no CE once a pharmacist reaches age 65
  4. It requires CE only for pharmacists who compound

Explanation

Ohio requires pharmacists to complete a specified number of continuing education hours each renewal period, including hours in pharmacy law. There is no age-based exemption, and the requirement applies broadly. CPR training alone does not satisfy CE requirements.

Question 22Licensure, Registration, and Certification Requirements

A pharmacist's license is revoked by the Ohio Board of Pharmacy. Which statement is accurate?

  1. The pharmacist may practice in another state without restriction
  2. The pharmacist may not practice pharmacy in Ohio unless the Board later reinstates the license Correct answer.
  3. The pharmacist may continue practicing under supervision
  4. The revocation automatically expires after one year

Explanation

Revocation terminates the license, and the individual may not practice pharmacy in Ohio unless the Board grants reinstatement under its rules. Revocation does not automatically lapse after a set period. Other states make their own licensure decisions.

Question 23Licensure, Registration, and Certification Requirements

Which of the following is required for an Ohio pharmacy to begin operating at a new location?

  1. Only a pharmacist license
  2. A TDDD license for that location and compliance with Board inspection requirements Correct answer.
  3. Only a business license
  4. Only DEA registration

Explanation

A new pharmacy location requires a TDDD license for that site and must meet Board requirements, including inspection before or upon opening. DEA registration and pharmacist licensure are separate credentials. A general business license alone is insufficient.

Question 24Licensure, Registration, and Certification Requirements

Which of the following statements about Ohio pharmacy technician registration renewal is accurate?

  1. Technicians renew on the same schedule and with the same CE hours as pharmacists
  2. Technicians never need to renew
  3. Technicians renew only when they change employers
  4. Technicians must renew their registration and meet the CE requirement set by Board rule Correct answer.

Explanation

Technician registration must be renewed periodically, and technicians must complete continuing education as specified by Board rule. The schedule and hour requirements differ from those for pharmacists. A change of employer does not trigger renewal.

Question 25Licensure, Registration, and Certification Requirements

A pharmacist who holds an Ohio license and a DEA registration decides to stop handling controlled substances but continue practicing. What is the appropriate action regarding DEA registration?

  1. Surrender or modify the DEA registration as required by federal rules Correct answer.
  2. Transfer the DEA registration to a technician
  3. Keep the DEA registration indefinitely without use
  4. Ignore it because state licensure is unaffected

Explanation

DEA registration is a federal credential that should reflect the registrant's actual activities; when controlled substance authority is no longer needed, the registrant should follow DEA procedures to surrender or modify it. DEA registration cannot be transferred to a technician. State licensure is separate from federal registration.

Question 26Licensure, Registration, and Certification Requirements

An Ohio-licensed pharmacist moves to another state but wishes to keep the Ohio license active while working elsewhere. Which action satisfies Ohio's licensure maintenance requirement?

  1. Surrender the Ohio license and apply for reinstatement upon return
  2. Renew the Ohio license each renewal cycle and complete the required continuing education Correct answer.
  3. Notify the Board once and the license remains active indefinitely
  4. Convert the license to inactive status and practice on the inactive license

Explanation

Ohio licenses expire on a defined renewal cycle, and keeping a license active requires timely renewal plus completion of the continuing education required for that cycle. A pharmacist who moves away may still renew, but failure to renew causes the license to lapse regardless of where the pharmacist lives.

Question 27Licensure, Registration, and Certification Requirements

A newly graduated pharmacist has passed the NAPLEX and Ohio jurisprudence examination but has not yet been issued a license number. Which statement describes the permissible practice status?

  1. The graduate may practice only in a hospital setting pending licensure
  2. The graduate may practice independently because examination passage confers licensure
  3. The graduate may practice under a registered intern license until the pharmacist license is issued Correct answer.
  4. The graduate may practice if a licensed pharmacist reviews the work at the end of each week

Explanation

Passing examinations does not itself confer a pharmacist license; the Board must issue the license before independent practice is allowed. A graduate who has not yet been licensed may continue to practice only within the scope of a valid intern registration and under required supervision.

Question 28Licensure, Registration, and Certification Requirements

A person with a felony drug conviction applies for registration as a pharmacy technician in Ohio. How does the Board treat the conviction in the registration process?

  1. The conviction is irrelevant and cannot be considered
  2. Registration is automatically granted if the applicant passes a certification examination
  3. The Board may consider the conviction and its relationship to pharmacy practice when evaluating eligibility Correct answer.
  4. The conviction permanently bars registration with no possibility of review

Explanation

The Board evaluates applicant fitness, and a criminal history may be considered in light of factors such as the nature of the offense, rehabilitation, and risk to the public. A conviction is neither an automatic permanent bar nor an irrelevant fact, and passing a certification examination does not override the Board's eligibility review.

Question 29Licensure, Registration, and Certification Requirements

A pharmacist-in-charge position at an Ohio pharmacy becomes vacant. Which statement best describes the pharmacy's obligation regarding that vacancy?

  1. The vacancy is reported only at the next scheduled license renewal
  2. The pharmacy must notify the Board and arrange for a replacement pharmacist-in-charge within the timeframe the Board requires Correct answer.
  3. The terminal distributor license automatically converts to a technician-supervised license
  4. The pharmacy may operate indefinitely without a pharmacist-in-charge if staff pharmacists agree

Explanation

Ohio requires every licensed pharmacy to have a designated pharmacist-in-charge, and a vacancy triggers a duty to inform the Board and secure a qualified replacement promptly. Operating without a PIC, or waiting until renewal to report the change, is inconsistent with that requirement.

Question 30Licensure, Registration, and Certification Requirements

An Ohio-licensed pharmacist holds an active license but has allowed the DEA registration for the practice location to expire. Which statement is accurate about the pharmacist's authority?

  1. The pharmacist may dispense controlled substances if the prescriber provides written authorization
  2. The pharmacist may dispense only Schedule V controlled substances without DEA registration
  3. The pharmacist may continue dispensing controlled substances because the state license remains active
  4. The pharmacist may not dispense controlled substances until a valid DEA registration is in effect Correct answer.

Explanation

Controlled substance handling requires both state authority and a valid federal DEA registration; an active Ohio license alone does not authorize dispensing controlled substances. Prescriber authorization or the drug's schedule does not cure the absence of a DEA registration.

Question 31Pharmacy Practice Standards and Scope of Practice

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

  1. Up to five refills within six months
  2. Two refills within six months
  3. No refills are permitted Correct answer.
  4. One refill

Explanation

Federal and Ohio law prohibit refilling any Schedule II prescription; each dispensing requires a new prescription. The prescriber may authorize up to a 90-day supply on a single prescription, but that is not a refill. Refill limits of five within six months apply to Schedule III and IV drugs, not Schedule II.

Question 32Pharmacy Practice Standards and Scope of Practice

A pharmacist in Ohio receives a new oral prescription for a Schedule II opioid. Under Ohio Board of Pharmacy rules, the pharmacist must verify the patient's information in which system before dispensing?

  1. The National Practitioner Data Bank
  2. The Drug Enforcement Administration registration database
  3. The Ohio Automated Rx Reporting System (OARRS) Correct answer.
  4. The Ohio Department of Health immunization registry

Explanation

Ohio requires pharmacists to review OARRS, the state prescription drug monitoring program, before dispensing opioid or benzodiazepine prescriptions. This check is intended to identify duplicate therapy, high-risk combinations, and possible diversion. The other databases do not contain patient-level controlled substance dispensing history.

Question 33Pharmacy Practice Standards and Scope of Practice

Which federal schedule contains a drug with accepted medical use in the United States and a high potential for abuse, with refills limited to five within six months of the date of issue?

  1. Schedule II
  2. Schedule III Correct answer.
  3. Schedule I
  4. Schedule V

Explanation

Schedule III drugs have accepted medical use but carry a potential for moderate or low physical dependence and high psychological dependence, and federal law allows up to five refills within six months. Schedule II permits no refills, Schedule I has no accepted medical use, and Schedule V has the lowest abuse potential.

Question 34Pharmacy Practice Standards and Scope of Practice

An Ohio pharmacist receives a telephone order for a Schedule III prescription from a prescriber. Which statement best describes the authority for this oral order?

  1. Oral orders are permitted only for Schedule II drugs
  2. Oral orders are permitted only if the patient is known to the pharmacy
  3. An oral Schedule III prescription may be taken, but the pharmacist must reduce it to writing and it must be followed by a written prescription if required by rule Correct answer.
  4. Oral orders are never permitted for any controlled substance

Explanation

Federal law permits oral prescriptions for Schedule III through V drugs, but Ohio rules require the pharmacist to promptly reduce the order to writing and document it. Schedule II oral orders are limited to true emergencies with a follow-up written prescription. Patient familiarity is not the legal test.

Question 35Pharmacy Practice Standards and Scope of Practice

Which element must appear on a prescription for a controlled substance dispensed in Ohio?

  1. The DEA registration number of the prescriber Correct answer.
  2. The pharmacist's home address
  3. The wholesaler's lot number
  4. The patient's insurance policy number

Explanation

A valid controlled substance prescription must include the prescriber's DEA registration number, along with the patient name, drug, strength, quantity, directions, and date. Insurance information, pharmacist personal details, and wholesaler lot numbers are not required prescription elements.

Question 36Pharmacy Practice Standards and Scope of Practice

In Ohio, which drug is classified as a Schedule V controlled substance when it contains limited quantities of the listed opioid?

  1. A preparation containing oxycodone
  2. A preparation containing fentanyl
  3. A cough preparation containing codeine within the federally defined limits Correct answer.
  4. A preparation containing methadone

Explanation

Certain codeine-containing cough preparations are placed in Schedule V when the codeine concentration falls within federally defined limits. Oxycodone, methadone, and fentanyl are Schedule II substances with no Schedule V formulation recognized for routine cough use.

Question 37Pharmacy Practice Standards and Scope of Practice

Which task may an Ohio certified pharmacy technician perform under pharmacist supervision?

  1. Making the decision to substitute a therapeutic alternative
  2. Counseling a patient on a new prescription
  3. Entering prescription data into the pharmacy computer system Correct answer.
  4. Performing the final verification of a dispensed prescription

Explanation

Ohio permits certified technicians to perform supportive tasks such as data entry and product preparation under pharmacist supervision. Patient counseling, final verification, and therapeutic substitution decisions are reserved to the pharmacist. These boundaries protect patient safety and preserve pharmacist clinical judgment.

Question 38Pharmacy Practice Standards and Scope of Practice

An Ohio pharmacist is asked to dispense a prescription written by a physician licensed in another state for a patient located in Ohio. Which principle governs whether the pharmacist may dispense?

  1. The prescription is automatically valid because the prescriber holds a license somewhere
  2. The pharmacist may dispense only if the drug is not a controlled substance
  3. The pharmacist must first obtain a new prescription from an Ohio-licensed prescriber in every case
  4. The prescription must meet Ohio requirements, and the pharmacist must confirm the prescriber's authority to prescribe for an Ohio patient Correct answer.

Explanation

Ohio requires prescriptions dispensed in the state to satisfy Ohio's prescription requirements, and the pharmacist must verify that the out-of-state prescriber is authorized to prescribe for an Ohio patient. A license in another state alone does not establish that authority. Blanket rules about controlled versus non-controlled drugs or mandatory re-prescribing do not reflect the general standard.

Question 39Pharmacy Practice Standards and Scope of Practice

Under Ohio law, which drug may be dispensed without a prescription because it is not a controlled substance and is available over the counter?

  1. Zolpidem 5 mg tablets
  2. Oxycodone 5 mg tablets
  3. Acetaminophen 500 mg tablets Correct answer.
  4. Alprazolam 0.5 mg tablets

Explanation

Acetaminophen is a non-controlled analgesic available over the counter and may be sold without a prescription. Alprazolam, oxycodone, and zolpidem are controlled substances requiring a valid prescription. The distinction turns on both controlled status and FDA nonprescription availability.

Question 40Pharmacy Practice Standards and Scope of Practice

An Ohio pharmacist dispenses a Schedule II prescription that the prescriber authorized for a 90-day supply. How should the pharmacist handle dispensing under Ohio rules?

  1. Dispense 30 days and require a new prescription for each subsequent 30 days
  2. Dispense the full 90-day supply at one time, since Ohio permits up to a 90-day supply on a single Schedule II prescription Correct answer.
  3. Dispense only a 30-day supply and void the remainder
  4. Refuse to dispense because Schedule II prescriptions cannot exceed a 30-day supply

Explanation

Ohio allows a prescriber to issue a Schedule II prescription for up to a 90-day supply, and the pharmacist may dispense that full quantity at once. The 90-day supply is not the same as refilling, which remains prohibited for Schedule II. Partial fill options exist but are not mandatory in this scenario.

Question 41Pharmacy Practice Standards and Scope of Practice

A patient presents an Ohio prescription for a Schedule II stimulant written 45 days ago. Which action is most consistent with Ohio law?

  1. Refuse to dispense because all prescriptions expire after 30 days
  2. Dispense it only after the patient signs a waiver
  3. Dispense it without question because Schedule II prescriptions never expire
  4. Contact the prescriber to confirm the prescription remains valid before dispensing Correct answer.

Explanation

Ohio generally requires Schedule II prescriptions to be filled within a limited period, and a prescription older than that window is not automatically dispensable. The pharmacist should contact the prescriber to verify current intent and obtain a new prescription if needed. Schedule II prescriptions do not remain valid indefinitely.

Question 42Pharmacy Practice Standards and Scope of Practice

An Ohio pharmacist receives a faxed prescription for a Schedule II opioid from a prescriber's office. Which statement is correct?

  1. A faxed Schedule II prescription must be converted to an oral order before dispensing
  2. Faxed Schedule II prescriptions are never valid in Ohio
  3. A faxed Schedule II prescription is valid only for patients in long-term care
  4. A faxed Schedule II prescription may be dispensed if it meets Ohio requirements, but the original written prescription may be required in certain circumstances Correct answer.

Explanation

Ohio permits faxed Schedule II prescriptions in defined circumstances, and the pharmacist must ensure the transmission meets prescription requirements. In some situations the original written prescription must follow. Blanket prohibitions or conversions to oral orders are not accurate.

Question 43Pharmacy Practice Standards and Scope of Practice

A pharmacist in Ohio suspects that a prescriber is issuing prescriptions outside the usual course of professional practice. What is the most appropriate first step?

  1. Ask the patient to confirm that the prescription is legitimate
  2. Fill the prescription to avoid conflict and note the concern in the patient profile
  3. Fill the prescription but reduce the quantity without telling the prescriber
  4. Decline to fill the prescription and document the concern, considering a report to the appropriate authority Correct answer.

Explanation

A pharmacist has a corresponding responsibility to ensure prescriptions are issued for a legitimate medical purpose in the usual course of professional practice. If that standard is not met, the pharmacist should decline to dispense, document the decision, and consider reporting. Filling with silent modifications or relying on patient assurance does not satisfy the duty.

Question 44Pharmacy Practice Standards and Scope of Practice

Which activity by an Ohio pharmacist constitutes compounding rather than manufacturing?

  1. Manufacturing a new drug entity for interstate sale
  2. Producing large batches of an unapproved drug for general distribution
  3. Mass-producing a product under a fictitious brand name
  4. Preparing a customized oral suspension for a specific pediatric patient based on a prescription Correct answer.

Explanation

Compounding involves preparing a customized medication for an identified patient pursuant to a prescription. Manufacturing involves producing drugs in bulk for distribution, often without patient-specific prescriptions. Ohio and federal law treat these activities differently, with manufacturing requiring FDA oversight.

Question 45Pharmacy Practice Standards and Scope of Practice

An Ohio pharmacy technician prepares a sterile compounded IV product. Which requirement applies under Ohio rules?

  1. The technician may independently verify the final product
  2. Sterile compounding may be performed without any documented training
  3. The compounding must follow applicable sterile compounding standards, and pharmacist oversight and verification are required Correct answer.
  4. Sterile compounding is prohibited in community pharmacies

Explanation

Sterile compounding must comply with recognized standards such as USP General Chapter 797, and Ohio requires pharmacist oversight and final verification. Technicians performing sterile compounding must have documented training and competency. Independent technician verification and blanket prohibitions are not consistent with the rules.

Question 46Pharmacy Practice Standards and Scope of Practice

A patient asks an Ohio pharmacist whether a prescribed drug can be substituted with a generic equivalent. Which statement reflects Ohio substitution law?

  1. A pharmacist may substitute only with the prescriber's prior written approval in every case
  2. A pharmacist may substitute any drug with a similar therapeutic effect without prescriber involvement
  3. A pharmacist may substitute an AB-rated generic equivalent unless the prescriber indicates dispensing as written or the patient objects Correct answer.
  4. A pharmacist may never substitute a generic equivalent without a new prescription

Explanation

Ohio permits pharmacists to substitute a therapeutically equivalent generic drug unless the prescriber specifies dispensing as written or the patient refuses the substitution. The pharmacist must follow notification and recordkeeping requirements. Substitution is limited to equivalents, not merely similar therapeutic alternatives.

Question 47Pharmacy Practice Standards and Scope of Practice

Under Ohio law, what is required before a pharmacist may administer a vaccine to an adult patient?

  1. A patient-signed consent form notarized by a witness
  2. A separate physician order for each vaccine dose
  3. Annual re-licensure as an immunizing pharmacist
  4. Completion of an approved immunization training program and compliance with reporting requirements Correct answer.

Explanation

Ohio authorizes pharmacists to administer vaccines after completing an approved training program and complying with documentation and reporting requirements. A physician order for each dose, notarized consent, and separate immunization licensure are not required. Documentation should be reported to the appropriate registry.

Question 48Pharmacy Practice Standards and Scope of Practice

An Ohio pharmacist wants to dispense a 90-day supply of a maintenance medication under a prescription that does not specify quantity limits. What is the most accurate statement?

  1. The pharmacist must obtain a new prescription for any supply beyond 30 days
  2. The pharmacist may dispense an unlimited supply at their discretion
  3. The pharmacist may dispense only a 30-day supply in all cases
  4. The pharmacist may dispense up to a 90-day supply if consistent with the prescription and Ohio law Correct answer.

Explanation

Ohio permits dispensing up to a 90-day supply when the prescription and applicable law allow, which improves adherence and reduces interruptions. A blanket 30-day limit or new-prescription requirement is not accurate. Unlimited dispensing at pharmacist discretion exceeds the prescription's authority.

Question 49Pharmacy Practice Standards and Scope of Practice

Which statement about the Ohio Board of Pharmacy's authority is correct?

  1. The Board licenses pharmacies and pharmacists and may discipline licensees for violations of pharmacy law Correct answer.
  2. The Board regulates hospital accreditation
  3. The Board approves drug prices for all pharmacies
  4. The Board sets reimbursement rates for Medicaid prescriptions

Explanation

The Ohio Board of Pharmacy licenses and regulates pharmacists, technicians, and pharmacy facilities and may impose discipline for violations. Reimbursement rates, drug pricing, and hospital accreditation fall under other agencies. Understanding the Board's scope helps candidates identify which authority applies to a given issue.

Question 50Pharmacy Practice Standards and Scope of Practice

An Ohio pharmacy receives a prescription for a Schedule II drug that the prescriber wrote for a patient in a nursing home. Which consideration is most relevant to dispensing?

  1. Whether the patient's family has approved the drug
  2. Whether the drug is on the pharmacy's preferred list
  3. Whether the nursing home has a contract with the pharmacy
  4. Whether the prescription meets Ohio requirements and the pharmacist has verified the prescriber's authority and patient identity Correct answer.

Explanation

The core legal question is whether the prescription satisfies Ohio requirements, including prescriber authority and patient identity, regardless of the care setting. Contracts, family approval, and formulary preferences are business or clinical considerations but do not determine legal validity.