MISSOURI MPJE EXAM 2025 WITH 100% CORRECT ANSWERS
GRADED A+ ASSURED SUCCESS
You must notify BNDD within __ days if your pharmacy changes locations. -
(ANSWERS)30 days
How long must you retain CII records? - (ANSWERS)2 years
How often is CS inventory required? - (ANSWERS)Annually (in Missouri)
Which drugs must be hand counted in a CS inventory? - (ANSWERS)All ciis and
CIII-V in stock bottles containing more than 1000 units
Which drug counts can be estimated in a CS inventory? - (ANSWERS)CIII-V in
less than 1000 count stock bottles
T/F: If a pharmacy keeps a perpetual inventory they are not required to do an annual
inventory of CS. - (ANSWERS)False. Perpetual inventory does not replace required
annual inventory.
How long must records of CS destruction be kept? - (ANSWERS)2 years
How should CS be stored in the pharmacy? - (ANSWERS)CII locked; CIII-V
locked or distributed throughout inventory
What is the day supply limit on CII Rx? - (ANSWERS)30 days; unless dx is
documented can do 90 days
T/F: Prescriber may give patient 3 scripts for Adderall at one visit. -
(ANSWERS)True. Cannot exceed 90 day supply. Must write "Do not fill until
____".
, MISSOURI MPJE EXAM 2025 WITH 100% CORRECT ANSWERS
GRADED A+ ASSURED SUCCESS
What is required on a CS Rx? - (ANSWERS)Date written; patient name and
address; name, address, and DEA number of prescriber; drug name, strength, and
dosage form; quantity to dispense; directions for use; signature of prescriber
Can a CS Rx be faxed to the pharmacy for fill? - (ANSWERS)Yes. CII may be
faxed to get things started; however, must have original to dispense the drug. CIII-V
may be accepted via fax. CII fax is allowable if LTCF or hospice patient.
What is MO rph prohibited from changing on a CS Rx? - (ANSWERS)Name, name,
name. Patient name, drug name, and prescriber name.
When may a rph partial fill CII? - (ANSWERS)Out of stock (must give remainder in
72 hours) and LTCF or terminally ill patients.
Who is responsible for the CS drugs in E-Kits? - (ANSWERS)The LTCF.
Who regulates CS stock (E-kits) in LTCF? - (ANSWERS)BNDD. DEA does not
register or regulate LTCF.
T/F Narcotic drugs can be used to ween patients off narcotics - (ANSWERS)False.
Can methadone be prescribed for opioid dependence? - (ANSWERS)Mostly no.
Only for infants (must document that patient is an infant) and practitioner may
administer methadone for 3 days as patient is getting placed in narcotic treatment
program.
T/F: rph may dispense CS to directly to a prescriber for office use. -
(ANSWERS)False. Must obtain a patient-specific Rx.
, MISSOURI MPJE EXAM 2025 WITH 100% CORRECT ANSWERS
GRADED A+ ASSURED SUCCESS
T/F: MO prescribers may prescribe CS for themselves. - (ANSWERS)False.
T/F: MO mid-level practitioners may not prescribe to family members. -
(ANSWERS)True.
How does BNDD define "insignificant loss"? - (ANSWERS)Insignificant loss is
breaking a tablet or liquid sticking to the side of the bottle. You know where the
drug is. It was not LOST. Requires documentation and attach to inventory.
How must you report loss or theft to BNDD? - (ANSWERS)Immediately report via
phone, fax, or email. Must submit loss report within 7 days.
T/F An agent from a prescribers office calls to authorize an emergency fill of
hydromorphone for pain for a patient requiring potent pain meds ASAP. She states
the pain is so severe only hydromorphone will do. She only authorizes a 3 day
amount and will have the Rx to you within the next few days. This is legal. -
(ANSWERS)False. Emergency fills can only be verbally authorized by prescriber,
not an agent.
How many refills are allowable on CIII-IV Rx? - (ANSWERS)5 refills
How many refills are allowable on CV Rx? - (ANSWERS)As authorized by
physician.
What is the quantity limit on CIII-V Rx? - (ANSWERS)90 day supply
How long is a CIII-IV Rx valid? - (ANSWERS)6 months
How long is a CV Rx valid? - (ANSWERS)1 year
, MISSOURI MPJE EXAM 2025 WITH 100% CORRECT ANSWERS
GRADED A+ ASSURED SUCCESS
What does CMEA stand for? - (ANSWERS)Combat Methamphetamine Epidemic
Act
Which form is used for new pharmacy registration with DEA? - (ANSWERS)DEA
Form 224
Which form is used to renew pharmacy registration with DEA? - (ANSWERS)DEA
Form 224a
Which form can be used to renew pharmacy registration with DEA for a chain
pharmacy? - (ANSWERS)DEA Form 224b
What is required when a pharmacy chooses to terminate its registration with the
DEA? - (ANSWERS)Return DEA registration certificate and unused DEA 222
Forms.
Which form is used by manufacturers to register with the DEA? - (ANSWERS)DEA
Form 225
What color is Copy 1, Copy 2, and Copy 3 of DEA 222 form? - (ANSWERS)Copy
1 is brown. Copy 2 is green. Copy 3 is blue.
What happens to each copy of the DEA 222 Form? - (ANSWERS)Purchaser keeps
Copy 3 for their records. Purchaser sends Copy 1 and 2 to the supplier to request
drug order be filled. Supplier retains Copy 1 for their files. Copy 2 is forwarded to
the DEA by the supplier. When purchaser receives drug order he/she should record,
on Copy 3, the # of each item and date received.
GRADED A+ ASSURED SUCCESS
You must notify BNDD within __ days if your pharmacy changes locations. -
(ANSWERS)30 days
How long must you retain CII records? - (ANSWERS)2 years
How often is CS inventory required? - (ANSWERS)Annually (in Missouri)
Which drugs must be hand counted in a CS inventory? - (ANSWERS)All ciis and
CIII-V in stock bottles containing more than 1000 units
Which drug counts can be estimated in a CS inventory? - (ANSWERS)CIII-V in
less than 1000 count stock bottles
T/F: If a pharmacy keeps a perpetual inventory they are not required to do an annual
inventory of CS. - (ANSWERS)False. Perpetual inventory does not replace required
annual inventory.
How long must records of CS destruction be kept? - (ANSWERS)2 years
How should CS be stored in the pharmacy? - (ANSWERS)CII locked; CIII-V
locked or distributed throughout inventory
What is the day supply limit on CII Rx? - (ANSWERS)30 days; unless dx is
documented can do 90 days
T/F: Prescriber may give patient 3 scripts for Adderall at one visit. -
(ANSWERS)True. Cannot exceed 90 day supply. Must write "Do not fill until
____".
, MISSOURI MPJE EXAM 2025 WITH 100% CORRECT ANSWERS
GRADED A+ ASSURED SUCCESS
What is required on a CS Rx? - (ANSWERS)Date written; patient name and
address; name, address, and DEA number of prescriber; drug name, strength, and
dosage form; quantity to dispense; directions for use; signature of prescriber
Can a CS Rx be faxed to the pharmacy for fill? - (ANSWERS)Yes. CII may be
faxed to get things started; however, must have original to dispense the drug. CIII-V
may be accepted via fax. CII fax is allowable if LTCF or hospice patient.
What is MO rph prohibited from changing on a CS Rx? - (ANSWERS)Name, name,
name. Patient name, drug name, and prescriber name.
When may a rph partial fill CII? - (ANSWERS)Out of stock (must give remainder in
72 hours) and LTCF or terminally ill patients.
Who is responsible for the CS drugs in E-Kits? - (ANSWERS)The LTCF.
Who regulates CS stock (E-kits) in LTCF? - (ANSWERS)BNDD. DEA does not
register or regulate LTCF.
T/F Narcotic drugs can be used to ween patients off narcotics - (ANSWERS)False.
Can methadone be prescribed for opioid dependence? - (ANSWERS)Mostly no.
Only for infants (must document that patient is an infant) and practitioner may
administer methadone for 3 days as patient is getting placed in narcotic treatment
program.
T/F: rph may dispense CS to directly to a prescriber for office use. -
(ANSWERS)False. Must obtain a patient-specific Rx.
, MISSOURI MPJE EXAM 2025 WITH 100% CORRECT ANSWERS
GRADED A+ ASSURED SUCCESS
T/F: MO prescribers may prescribe CS for themselves. - (ANSWERS)False.
T/F: MO mid-level practitioners may not prescribe to family members. -
(ANSWERS)True.
How does BNDD define "insignificant loss"? - (ANSWERS)Insignificant loss is
breaking a tablet or liquid sticking to the side of the bottle. You know where the
drug is. It was not LOST. Requires documentation and attach to inventory.
How must you report loss or theft to BNDD? - (ANSWERS)Immediately report via
phone, fax, or email. Must submit loss report within 7 days.
T/F An agent from a prescribers office calls to authorize an emergency fill of
hydromorphone for pain for a patient requiring potent pain meds ASAP. She states
the pain is so severe only hydromorphone will do. She only authorizes a 3 day
amount and will have the Rx to you within the next few days. This is legal. -
(ANSWERS)False. Emergency fills can only be verbally authorized by prescriber,
not an agent.
How many refills are allowable on CIII-IV Rx? - (ANSWERS)5 refills
How many refills are allowable on CV Rx? - (ANSWERS)As authorized by
physician.
What is the quantity limit on CIII-V Rx? - (ANSWERS)90 day supply
How long is a CIII-IV Rx valid? - (ANSWERS)6 months
How long is a CV Rx valid? - (ANSWERS)1 year
, MISSOURI MPJE EXAM 2025 WITH 100% CORRECT ANSWERS
GRADED A+ ASSURED SUCCESS
What does CMEA stand for? - (ANSWERS)Combat Methamphetamine Epidemic
Act
Which form is used for new pharmacy registration with DEA? - (ANSWERS)DEA
Form 224
Which form is used to renew pharmacy registration with DEA? - (ANSWERS)DEA
Form 224a
Which form can be used to renew pharmacy registration with DEA for a chain
pharmacy? - (ANSWERS)DEA Form 224b
What is required when a pharmacy chooses to terminate its registration with the
DEA? - (ANSWERS)Return DEA registration certificate and unused DEA 222
Forms.
Which form is used by manufacturers to register with the DEA? - (ANSWERS)DEA
Form 225
What color is Copy 1, Copy 2, and Copy 3 of DEA 222 form? - (ANSWERS)Copy
1 is brown. Copy 2 is green. Copy 3 is blue.
What happens to each copy of the DEA 222 Form? - (ANSWERS)Purchaser keeps
Copy 3 for their records. Purchaser sends Copy 1 and 2 to the supplier to request
drug order be filled. Supplier retains Copy 1 for their files. Copy 2 is forwarded to
the DEA by the supplier. When purchaser receives drug order he/she should record,
on Copy 3, the # of each item and date received.
