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VA MPJE practice questions

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Question 1Licensure, Registration, and Certification

Which entity issues pharmacist licenses and pharmacy permits in Virginia?

  1. The Virginia Department of Health
  2. The local circuit court
  3. The Virginia Board of Pharmacy Correct answer.
  4. The Drug Enforcement Administration

Explanation

The Virginia Board of Pharmacy, an agency within the Department of Health Professions, is the state body that licenses pharmacists and registers technicians and issues pharmacy permits. The Department of Health licenses facilities such as hospitals but does not license pharmacists.

Question 2Licensure, Registration, and Certification

Before a new pharmacy may dispense prescriptions in Virginia, the owner must obtain which of the following?

  1. A pharmacy permit from the Board of Pharmacy Correct answer.
  2. A wholesaler distribution license
  3. Accreditation from NABP
  4. A Class I hospital license

Explanation

Operating a pharmacy in Virginia requires a permit issued by the Board of Pharmacy. Federal DEA registration and a local business license may also be needed, but the state pharmacy permit is the credential that authorizes dispensing.

Question 3Licensure, Registration, and Certification

A pharmacist owns two separate pharmacies in different Virginia cities. How many pharmacy permits are required?

  1. One permit, because the same pharmacist owns both
  2. Two permits, one for each location Correct answer.
  3. One permit if the pharmacies share a computer system
  4. One permit plus a satellite registration for the second site

Explanation

A pharmacy permit is issued for a specific physical location, so each site where prescriptions are dispensed needs its own permit. Shared ownership or shared software does not allow two locations to operate under one permit.

Question 4Licensure, Registration, and Certification

Who may serve as pharmacist-in-charge of a Virginia pharmacy?

  1. A pharmacist licensed in any U.S. state
  2. A pharmacist holding a current Virginia license Correct answer.
  3. A certified pharmacy technician with 10 years of experience
  4. The owner of the pharmacy, whether or not licensed

Explanation

The pharmacist-in-charge must be a pharmacist who holds an active Virginia license, because the PIC is legally responsible for the pharmacy's compliance. A license from another state or technician credentials do not satisfy this requirement.

Question 5Licensure, Registration, and Certification

A Virginia pharmacy is sold to a new owner who plans no change in location or staff. What is required?

  1. Nothing, if the pharmacist-in-charge stays the same
  2. The existing permit transfers automatically with the sale
  3. Only a change of address form is filed
  4. A new pharmacy permit must be obtained Correct answer.

Explanation

Pharmacy permits are issued to a specific permit holder and are not transferable, so a change of ownership requires a new permit application. Keeping the same location, staff, or PIC does not eliminate that requirement.

Question 6Licensure, Registration, and Certification

A Virginia pharmacy plans to move to a new building across town. Which action is required?

  1. A new permit for the new location before dispensing there Correct answer.
  2. No action if ownership and PIC are unchanged
  3. Only a DEA registration change
  4. Notice to the Board after the move

Explanation

A permit is tied to the approved physical location and is not assignable to a new address. The pharmacy must obtain a permit for the new location before dispensing prescriptions there.

Question 7Licensure, Registration, and Certification

When a Virginia pharmacy replaces its pharmacist-in-charge, the pharmacy must:

  1. Obtain a new pharmacy permit
  2. Wait until the next permit renewal to report the change
  3. Notify only the DEA
  4. Notify the Board of Pharmacy of the change Correct answer.

Explanation

A change of pharmacist-in-charge does not require a new permit, but the Board must be informed so that its records identify the responsible pharmacist. The pharmacy continues to operate under its existing permit.

Question 8Licensure, Registration, and Certification

A pharmacist licensed in Maryland wants to become licensed in Virginia by endorsement. What must she do?

  1. Practice in Virginia for 90 days on her Maryland license
  2. Retake and pass the NAPLEX
  3. Submit an application and pass the Virginia MPJE Correct answer.
  4. Rely on interstate reciprocity, which requires no examination

Explanation

Virginia grants licensure by endorsement to pharmacists licensed in good standing elsewhere, but the applicant must meet Virginia's requirements, which include passing the Virginia MPJE. There is no automatic reciprocity that waives the jurisprudence examination.

Question 9Licensure, Registration, and Certification

A graduate has passed the NAPLEX but has not yet obtained a Virginia pharmacist license and wants clinical experience in a Virginia pharmacy. The graduate must:

  1. Work as a pharmacy technician trainee
  2. Work as a registered pharmacy intern under pharmacist supervision Correct answer.
  3. Practice under a provisional license issued automatically by the Board
  4. Work only in a hospital, where licensure is not required

Explanation

An unlicensed graduate who has not met Virginia licensure requirements may gain experience only as a registered pharmacy intern functioning under pharmacist supervision. No provisional pharmacist license is issued automatically on passing the NAPLEX.

Question 10Licensure, Registration, and Certification

Pharmacy technicians in Virginia are:

  1. Required to register with the Board of Pharmacy Correct answer.
  2. Certified solely by their employer
  3. Licensed by the Board as pharmacists-in-training
  4. Not regulated by the Board

Explanation

Virginia regulates pharmacy technicians through registration with the Board of Pharmacy, and registered technicians may perform delegated tasks under pharmacist supervision. Employer training alone does not satisfy the Board's registration requirement.

Question 11Licensure, Registration, and Certification

Which task may a registered pharmacy technician perform in a Virginia pharmacy?

  1. Counseling patients on new prescriptions
  2. Approving drug substitutions without pharmacist review
  3. Compounding and counting medications under pharmacist supervision Correct answer.
  4. Final verification of a filled prescription

Explanation

Registered technicians may perform delegated technical tasks such as counting and compounding while under pharmacist supervision. Patient counseling, final verification, and therapeutic substitution decisions are pharmacist functions.

Question 12Licensure, Registration, and Certification

A pharmacy located in North Carolina ships prescription orders to patients in Virginia. What does Virginia require?

  1. A Virginia nonresident pharmacy permit Correct answer.
  2. Registration as a wholesaler with the Board
  3. A Virginia pharmacist license for every pharmacist at the site
  4. No Virginia authorization, because the pharmacy is out of state

Explanation

Out-of-state pharmacies that dispense to Virginia patients must hold a Virginia nonresident pharmacy permit and comply with Virginia law for those prescriptions. The pharmacy's own state license does not authorize dispensing into Virginia.

Question 13Licensure, Registration, and Certification

Which continuing education activity counts toward Virginia pharmacist license renewal?

  1. A self-study article from an unaccredited website
  2. An employer's in-house orientation session
  3. An ACPE-accredited course in diabetes management Correct answer.
  4. A journal club without accreditation

Explanation

Virginia accepts continuing education that is accredited through ACPE or otherwise approved by the Board. Unaccredited self-study, employer orientation, and informal journal clubs do not satisfy the requirement.

Question 14Licensure, Registration, and Certification

A pharmacist whose Virginia license has expired continues dispensing prescriptions. This is best described as:

  1. Permissible while renewal is pending
  2. Permissible if the PIC approves
  3. Unlicensed practice subject to Board action Correct answer.
  4. A minor paperwork matter with no consequences

Explanation

A pharmacist may practice only while holding an active license. Dispensing after expiration is unlicensed practice, exposing the pharmacist to Board discipline and potential criminal liability.

Question 15Licensure, Registration, and Certification

Which statement applies to a person who dispenses prescriptions in Virginia without a pharmacy permit?

  1. Only the building's owner can be penalized
  2. The Board may act and criminal charges are possible Correct answer.
  3. Enforcement requires a prior patient complaint
  4. The conduct is lawful if no controlled substances are dispensed

Explanation

Operating a pharmacy without a permit violates Virginia law and can result in Board enforcement action as well as criminal prosecution. The prohibition applies regardless of whether controlled substances are involved.

Question 16Licensure, Registration, and Certification

A hospital in Virginia that operates an inpatient pharmacy must have:

  1. Only a federal hospital registration
  2. No authorization, because hospital pharmacies are exempt
  3. A community pharmacy permit at a separate site
  4. A permit issued by the Board for that pharmacy Correct answer.

Explanation

Hospital pharmacies in Virginia are permitted by the Board of Pharmacy just as community pharmacies are. Facility licensure by the Department of Health does not replace the pharmacy permit.

Question 17Licensure, Registration, and Certification

Which statement about ownership of a Virginia pharmacy is accurate?

  1. Only a pharmacist may own a pharmacy
  2. A nonpharmacist may own it with a licensed PIC Correct answer.
  3. Ownership must be by a Virginia corporation
  4. Ownership by a nonpharmacist requires annual Board approval

Explanation

Virginia allows nonpharmacists, including corporations, to hold a pharmacy permit provided a qualified pharmacist-in-charge is designated to oversee compliance. Ownership itself is not restricted to pharmacists.

Question 18Licensure, Registration, and Certification

The Board suspends a pharmacy's permit. The pharmacy must:

  1. Transfer the permit to another owner
  2. Operate under the PIC's personal license
  3. Cease dispensing until the permit is restored Correct answer.
  4. Continue filling only refills

Explanation

A suspended permit authorizes no dispensing activity, including refills. Operations may resume only when the Board restores the permit or issues new authorization.

Question 19Licensure, Registration, and Certification

Which duty belongs to the pharmacist-in-charge?

  1. Approving the Board's annual inspection schedule
  2. Ensuring the pharmacy complies with the law Correct answer.
  3. Guaranteeing the pharmacy's financial performance
  4. Issuing technician registrations to new employees

Explanation

The pharmacist-in-charge is responsible for the pharmacy's day-to-day compliance with pharmacy law and Board regulations. Inspection schedules and technician registrations are controlled by the Board, and business performance is not a regulatory duty.

Question 20Licensure, Registration, and Certification

A Virginia-licensed pharmacist moves to a new home address. She must:

  1. Take no action until her next renewal
  2. Notify the Board of the address change Correct answer.
  3. Apply for a new pharmacy permit
  4. Obtain a new license number

Explanation

Licensees must keep the Board informed of a current address so official correspondence and disciplinary notices reach them. The license number remains the same and no permit action is involved.

Question 21Licensure, Registration, and Certification

A pharmacy intern in Virginia may perform pharmacist duties:

  1. Only in a hospital pharmacy
  2. Only after passing the MPJE
  3. Under the supervision of a licensed pharmacist Correct answer.
  4. Independently, once registered

Explanation

Interns are registered to learn and practice under the supervision of a licensed pharmacist; their registration does not confer independent practice authority. Supervision is required in all practice settings.

Question 22Licensure, Registration, and Certification

A pharmacist allows a colleague to use her license number while the colleague's application is pending. This is:

  1. Prohibited, because licenses are not transferable Correct answer.
  2. Acceptable if the colleague is supervised
  3. Acceptable for a maximum of 30 days
  4. Acceptable if the PIC is aware

Explanation

A pharmacist license is personal and may not be lent, assigned, or used by another person. Allowing an unlicensed colleague to process prescriptions under a borrowed license is unlicensed practice and grounds for discipline of both parties.

Question 23Licensure, Registration, and Certification

A pharmacist's Virginia license lapsed two years ago and she now wants to practice again. She must generally:

  1. Ask a colleague to verify her prescriptions
  2. Apply for reinstatement and meet the Board's requirements Correct answer.
  3. Only pay the standard renewal fee
  4. Begin practicing and renew within 30 days

Explanation

Once a license has lapsed, the former licensee must apply for reinstatement and satisfy whatever conditions the Board imposes, which may include fees, continuing education, or examination. Practice may not resume until the license is restored.

Question 24Licensure, Registration, and Certification

A Virginia pharmacy permanently closes. Which action is required?

  1. Return the permit only after one year
  2. Nothing, if patients are transferred
  3. Notify only the wholesaler
  4. Notify the Board and arrange for drugs and records Correct answer.

Explanation

When a pharmacy closes, the permit holder must inform the Board and provide for the lawful disposition of prescription drugs and the retention or transfer of patient records. Transferring patients does not eliminate these obligations.

Question 25Licensure, Registration, and Certification

Which body may revoke a Virginia pharmacist's license for misconduct?

  1. The circuit court of the pharmacist's county
  2. The Virginia Board of Pharmacy Correct answer.
  3. The hospital where the pharmacist works
  4. The Drug Enforcement Administration

Explanation

Disciplinary authority over pharmacist licenses rests with the Virginia Board of Pharmacy, which may reprimand, suspend, or revoke a license after due process. Employers and federal agencies may impose separate consequences but cannot revoke a state license.

Question 26Licensure, Registration, and Certification

Which entity issues pharmacy permits and pharmacist licenses in Virginia?

  1. The federal Drug Enforcement Administration
  2. The Virginia Board of Pharmacy Correct answer.
  3. The Virginia Department of Health
  4. The Virginia Board of Medicine

Explanation

The Virginia Board of Pharmacy, an agency within the Department of Health Professions, licenses pharmacists, registers pharmacy technicians, and issues pharmacy permits. The Board derives this authority from the Drug Control Act and its implementing regulations. Federal DEA registration is a separate requirement for handling controlled substances.

Question 27Licensure, Registration, and Certification

A company operates two retail pharmacies in different Virginia cities. How many pharmacy permits does the company need?

  1. One permit, provided both pharmacies use the same pharmacist-in-charge
  2. Two permits, but the second pharmacy may delay obtaining its permit for 90 days
  3. One permit, because both pharmacies share a single owner
  4. Two permits, one for each pharmacy location Correct answer.

Explanation

Virginia permits pharmacies by location, so each place where prescription drugs are dispensed to the public must hold its own permit. Common ownership or a shared pharmacist-in-charge does not allow one permit to cover multiple sites. Operating an unpermitted location is unlawful dispensing.

Question 28Licensure, Registration, and Certification

Under Virginia law, who may use the title "pharmacist"?

  1. Any person employed by a permitted pharmacy to supervise dispensing
  2. Only a person holding a current Virginia pharmacist license Correct answer.
  3. Any pharmacy technician with at least five years of experience
  4. Any person who has graduated from an accredited college of pharmacy

Explanation

Virginia restricts the title "pharmacist" to individuals who hold a valid license issued by the Board of Pharmacy. Using the title without a license is a violation subject to Board action. Graduation, experience, or employment in a pharmacy does not confer the title.

Question 29Licensure, Registration, and Certification

In Virginia, how often must a pharmacist license be renewed?

  1. Annually, on the anniversary of initial licensure
  2. Every five years, after completing a practice review
  3. Biennially Correct answer.
  4. Every three years, on December 31

Explanation

Virginia pharmacist licenses are renewed on a biennial cycle. Renewal requires the licensee to attest to completion of the required continuing education during the preceding period. Failure to renew results in an expired license and loss of authority to practice.

Question 30Licensure, Registration, and Certification

How often must a Virginia pharmacy permit be renewed?

  1. Annually Correct answer.
  2. Every three years
  3. Only when the pharmacist-in-charge changes
  4. Every two years

Explanation

Pharmacy permits in Virginia are renewed annually, and a pharmacy may not continue dispensing prescription drugs under an expired permit. A change of pharmacist-in-charge is handled through a separate notification to the Board and does not substitute for renewal.

Question 31Licensure, Registration, and Certification

A Virginia pharmacy permit is held by an individual who sells the business to a corporation. The corporation intends to keep operating at the same address with the same staff. What must the corporation do before dispensing?

  1. Obtain a new pharmacy permit in the corporation's name Correct answer.
  2. Nothing, because the same pharmacist-in-charge will remain in place
  3. Nothing, because the permit runs with the pharmacy location
  4. Notify the Board by letter within 30 days after the sale closes

Explanation

A pharmacy permit is issued to a specific permit holder and is not transferable to a new owner. When ownership changes, the new owner must apply for and receive a permit before dispensing. Operating under the seller's permit after the sale is unpermitted dispensing.

Question 32Licensure, Registration, and Certification

A company buys prescription drugs directly from manufacturers and resells them to Virginia pharmacies. Which credential must it obtain from the Virginia Board of Pharmacy?

  1. A pharmacy technician registration
  2. A nonresident pharmacy registration
  3. A pharmacy permit
  4. A wholesale distributor license Correct answer.

Explanation

Virginia requires entities engaged in wholesale distribution of prescription drugs to be licensed by the Board of Pharmacy. A pharmacy permit authorizes dispensing to patients, not distribution to other pharmacies. Nonresident pharmacy registration applies to out-of-state pharmacies dispensing to Virginia patients.

Question 33Licensure, Registration, and Certification

Which examinations must an applicant pass to obtain a Virginia pharmacist license by examination?

  1. The NAPLEX only
  2. The NAPLEX and the FPGEC examination
  3. The NAPLEX and the Virginia MPJE Correct answer.
  4. The Virginia MPJE only

Explanation

Virginia requires applicants to pass both the NAPLEX, which tests general pharmacy practice, and the Multistate Pharmacy Jurisprudence Examination administered with Virginia law content. Passing only one examination does not satisfy the licensure requirement.

Question 34Licensure, Registration, and Certification

A pharmacist who graduated from a pharmacy school outside the United States wants a Virginia pharmacist license. Which credential does the Board require before she may sit for the NAPLEX?

  1. A Foreign Pharmacy Graduate Examination Committee (FPGEC) certification Correct answer.
  2. A Virginia pharmacy technician registration
  3. Completion of an additional year of internship in a Virginia pharmacy
  4. A letter of endorsement from the licensing authority in her home country

Explanation

Graduates of foreign pharmacy programs must obtain FPGEC certification, which verifies educational equivalency and English proficiency, before taking the NAPLEX. After passing the NAPLEX and the Virginia jurisprudence examination, the applicant may be licensed.

Question 35Licensure, Registration, and Certification

A Virginia-licensed pharmacist is disciplined by another state's board of pharmacy for a dispensing error. Which statement about her Virginia license is most accurate?

  1. She must report the action to the Virginia Board within 30 days Correct answer.
  2. Her Virginia license is unaffected unless Virginia patients received the dispensed drugs
  3. Her Virginia license is automatically suspended when the other state acts
  4. She must report the action only at her next license renewal

Explanation

Virginia licensees must promptly report disciplinary action taken against them by another licensing jurisdiction, and the Board may then investigate and impose its own discipline. The duty to report arises from the other state's action, not from harm to Virginia patients. Discipline in another state is not self-executing in Virginia.

Question 36Licensure, Registration, and Certification

The Virginia Board of Pharmacy receives credible evidence that a pharmacist is dispensing while impaired and poses an immediate danger to patients. What authority does the Board have?

  1. It may act only after a full evidentiary hearing is completed
  2. It may summarily suspend the license pending a hearing Correct answer.
  3. It may act only if the pharmacist is first convicted of a crime
  4. It may only petition a circuit court for an injunction

Explanation

Virginia health regulatory boards may summarily suspend a license when there is a substantial danger to public health or safety, with a formal hearing to follow. This allows immediate protection of patients without waiting for a completed administrative proceeding. A criminal conviction is not a prerequisite to Board action.

Question 37Federal and State Statutory and Regulatory Framework

Under federal law, which schedule of controlled substances may not be refilled?

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

Explanation

The Controlled Substances Act prohibits refilling prescriptions for Schedule II substances; a new prescription is required for each dispensing. Schedules III through V may be refilled when the prescriber authorizes it.

Question 38Federal and State Statutory and Regulatory Framework

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

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

Explanation

Schedule I and II substances are ordered on DEA Form 222 or through the electronic CSOS system. The other forms serve registration, loss reporting, and destruction reporting functions.

Question 39Federal and State Statutory and Regulatory Framework

The Virginia Board of Pharmacy is an agency within which department?

  1. Department of State Police
  2. Department of Agriculture
  3. Department of Health
  4. Department of Health Professions Correct answer.

Explanation

The Board of Pharmacy is one of the health regulatory boards housed within the Virginia Department of Health Professions. It licenses pharmacists, technicians, interns, and pharmacies.

Question 40Federal and State Statutory and Regulatory Framework

Which entity issues a permit to operate a pharmacy in Virginia?

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

Explanation

A pharmacy must hold a permit issued by the Virginia Board of Pharmacy before dispensing drugs. DEA registration is a separate federal requirement.

Question 41Federal and State Statutory and Regulatory Framework

Federal Medicaid law requires which service to be offered to Medicaid beneficiaries receiving a prescription?

  1. Generic-only dispensing
  2. A 90-day supply
  3. Free home delivery
  4. Patient counseling Correct answer.

Explanation

The Omnibus Budget Reconciliation Act of 1990 requires states to ensure pharmacists offer counseling to Medicaid recipients. It does not mandate delivery, generic-only dispensing, or a specific days' supply.

Question 42Federal and State Statutory and Regulatory Framework

In Virginia, how may a pharmacist furnish naloxone to a person at risk of opioid overdose without a patient-specific prescription?

  1. Only after Board approval
  2. Only in an emergency department
  3. Under a standing order or protocol Correct answer.
  4. Only with a physician's written prescription

Explanation

Virginia allows pharmacists to dispense naloxone under a statewide standing order or protocol to persons at risk of opioid overdose. A patient-specific prescription is not required for that dispensing.

Question 43Federal and State Statutory and Regulatory Framework

Federal regulations require pharmacies to retain controlled substance records for at least how long?

  1. 10 years
  2. 1 year
  3. 2 years Correct answer.
  4. 6 months

Explanation

DEA regulations require controlled substance records to be maintained for two years and to be available for inspection. Some state or payer rules may require longer retention, but the federal minimum is two years.

Question 44Federal and State Statutory and Regulatory Framework

In Virginia, a person who assists a pharmacist with dispensing duties must hold which credential?

  1. A pharmacy assistant permit
  2. A Board of Pharmacy technician registration Correct answer.
  3. A certified pharmacy technician certificate from PTCB
  4. A pharmacy intern license

Explanation

Virginia requires pharmacy technicians to be registered with the Board of Pharmacy. PTCB certification may be required by an employer but is not the legal credential to perform technician duties.

Question 45Federal and State Statutory and Regulatory Framework

A prescriber gives an emergency oral prescription for a Schedule II drug. Within what period must the prescriber deliver a written or electronic prescription to the pharmacy?

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

Explanation

For an emergency oral Schedule II prescription, the prescriber must provide a written or electronic prescription within seven days. The quantity dispensed is limited to the amount needed for the emergency period.

Question 46Federal and State Statutory and Regulatory Framework

A Schedule IV prescription authorizes refills. What is the maximum number of refills and time period?

  1. 3 refills within 3 months
  2. Unlimited refills within 6 months
  3. 5 refills within 6 months Correct answer.
  4. 6 refills within 12 months

Explanation

Federal law permits up to five refills of a Schedule III, IV, or V prescription within six months of the date of issue. Refills beyond that require a new prescription.

Question 47Federal and State Statutory and Regulatory Framework

Virginia dispensers must report controlled substance dispensing to the Prescription Monitoring Program by when?

  1. Within seven days
  2. Monthly
  3. The next business day Correct answer.
  4. Within one hour

Explanation

Virginia requires dispensers to report controlled substance dispensing to the PMP no later than the close of the next business day after dispensing. This supports timely clinical review and diversion detection.

Question 48Federal and State Statutory and Regulatory Framework

A pharmacist receives a prescription for a brand-name drug that has a therapeutically equivalent generic. Under Virginia law, the pharmacist may substitute unless the prescriber indicates which of the following?

  1. Dispense as written only for Medicaid
  2. Patient must pay brand price
  3. Brand medically necessary Correct answer.
  4. No substitution allowed by law

Explanation

Virginia permits generic substitution for therapeutically equivalent products unless the prescriber indicates that the brand is medically necessary. The patient may also refuse the substitution.

Question 49Federal and State Statutory and Regulatory Framework

A Virginia pharmacist wants to initiate or modify drug therapy under a written agreement with a prescriber. This arrangement is called a:

  1. Collaborative practice agreement Correct answer.
  2. Standing order
  3. Limited prescriptive authority permit
  4. Protocol exemption

Explanation

A collaborative practice agreement allows a pharmacist to initiate or modify drug therapy under a written agreement with a prescriber. It defines the scope of the pharmacist's authority.

Question 50Federal and State Statutory and Regulatory Framework

Which statement best describes pharmacist immunization authority in Virginia?

  1. Under a statewide protocol or prescription Correct answer.
  2. Only in a hospital setting
  3. Only with a patient-specific prescription
  4. Only during a declared public health emergency

Explanation

Virginia pharmacists who meet training requirements may administer vaccines to adults under a prescription or a statewide protocol. The authority is not limited to public health emergencies or hospitals.