NEBRASKA MPJE ACTUAL EXAM PAPER
2026 COMPLETE QUESTIONS AND
ANSWERS GRADED A+
⩥ Requirements of a RPh, due to OBRA 90? Answer: DUR (prospective
and retrospective [medicaid]), Offer to Counsel, Maintain patient profile
⩥ Minimum required to maintain patient profile? Answer: Name,
address, telephone#, don, gender, significant medical history (allergies),
RPh comments relevant to drug therapy
⩥ When is counseling not required? Answer: Patient is in facility,
refused by patient/caregiver, counseling may hurt patient-practitioner
relationship, prescriber specifies to be "contacted prior to counseling"
⩥ Drugs required to have PPI Answer: Statins, accurate, oral
contraceptives, estrogenic substances
⩥ When should PPI be included? Answer: Ambulatory: initial fill and
every refill
Institutions: prior to first fill and every 30 days
⩥ Who dispenses PPI? Answer: Hospital pharmacy, LTCF, doctors
, ⩥ Failure to distribute a PPI is considered? Answer: Misbranding
⩥ Common drugs that require a medguide? Answer: Antidepressants
(SSRI), ADHD, NSAIDs, Fluoroquinolones, Thiazolidinedions
⩥ Who is required to dispense medguides? Answer: Dispensers to
outpatients
⩥ What Form or Program is used by healthcare providers and consumers
for voluntary reporting of ADR Answer: FDA Form 3500 or MedWatch
⩥ Does a RPh have to be the one to make the "offer for counseling"?
Answer: No, but it has to be verbally offered by a pharmacy staff
member
⩥ What act protects against intential contamination of OTCs? Answer:
Federal Anti-Tampering Act 1982
⩥ Are OTC labels required to have Lot# and Exp date? Answer: No
⩥ How long should a ephedrine, pseudoephedrine, phenylpropanolamin
logbook be maintained? Answer: 2 years
2026 COMPLETE QUESTIONS AND
ANSWERS GRADED A+
⩥ Requirements of a RPh, due to OBRA 90? Answer: DUR (prospective
and retrospective [medicaid]), Offer to Counsel, Maintain patient profile
⩥ Minimum required to maintain patient profile? Answer: Name,
address, telephone#, don, gender, significant medical history (allergies),
RPh comments relevant to drug therapy
⩥ When is counseling not required? Answer: Patient is in facility,
refused by patient/caregiver, counseling may hurt patient-practitioner
relationship, prescriber specifies to be "contacted prior to counseling"
⩥ Drugs required to have PPI Answer: Statins, accurate, oral
contraceptives, estrogenic substances
⩥ When should PPI be included? Answer: Ambulatory: initial fill and
every refill
Institutions: prior to first fill and every 30 days
⩥ Who dispenses PPI? Answer: Hospital pharmacy, LTCF, doctors
, ⩥ Failure to distribute a PPI is considered? Answer: Misbranding
⩥ Common drugs that require a medguide? Answer: Antidepressants
(SSRI), ADHD, NSAIDs, Fluoroquinolones, Thiazolidinedions
⩥ Who is required to dispense medguides? Answer: Dispensers to
outpatients
⩥ What Form or Program is used by healthcare providers and consumers
for voluntary reporting of ADR Answer: FDA Form 3500 or MedWatch
⩥ Does a RPh have to be the one to make the "offer for counseling"?
Answer: No, but it has to be verbally offered by a pharmacy staff
member
⩥ What act protects against intential contamination of OTCs? Answer:
Federal Anti-Tampering Act 1982
⩥ Are OTC labels required to have Lot# and Exp date? Answer: No
⩥ How long should a ephedrine, pseudoephedrine, phenylpropanolamin
logbook be maintained? Answer: 2 years
