WISCONSIN MPJE FINAL 2026 EXAM PAPER QUESTIONS
AND SOLUTIONS SCORED A+
✔✔Prescriptions from retired/deceased provider - ✔✔-no specific law
-standard: controls must be for legitimate purpose and in usual course of practice
-use judgement -- taking care of patient is the first priority
✔✔Telemedicine verification - ✔✔Prescriptions are valid if:
-patient eval is performed
-healthcare record is maintained
-eval is not solely based on a questionnaire completed online
No expectation created for pharmacists to verify this
✔✔WI Prescribing authority - within scope - ✔✔-MD, DO (includes psychiatrists,
ophthalmologists)
-dentists
-podiatrists
-veterinarians
Mid-Level: some restrictions
-PAs, APNP, optometrists
✔✔Broad prescriptive authority - ✔✔No legally stated restrictions on drugs prescribed --
always must be within scope
-Dentists - limited to dental practice
-Podiatrists - limited to foot/ankle
-Veterinarians - limited to animals
✔✔Professions with no prescriptive authority in WI - ✔✔-Psychologists
-Naturopaths
-Chiropractors
-Dietitians
-OT/PT
✔✔Physician assistant (PA) prescribing rules - ✔✔-practice under physician oversight
OR CPA
-limited to scope of experience and training
-no requirement for cosigning
✔✔APNPs prescribing rules - ✔✔Eligible nursing types:
-NP
-Certified Nurse Midwife
-Certified Registered Nurse Anesthetist (CRNA)
,-Clinical Nurse Specialist (CNS)
-Require certification as APNP, 45 contact hrs of pharmacology, and a jurisprudence
exam
-Prescribe only in areas of competence
-CS restrictions
Amphetamines/stimulants limited to:
---Brain dysfunction
---ADHD
---Depression
---Opioid adjunct for cancer pain
---Narcolepsy
---Epilepsy
May not prescribe anabolic steroids for athletic performance
✔✔Optometrists prescribing rules - ✔✔-Can prescribe for ocular therapeutics purposes
only
-Need certification to use "therapeutic pharmaceutical agents"
-Must inform patients PCP before prescribing any drugs with potential significant ADRs
Allowed drugs:
-Topical (eye)
-Oral: analgesics, antihistamines, antibiotics, antiviral, carbonic anhydrase inhibitors
-CS: schedule II, only hydrocodone <15mg per dosage unit or 300 mg/ml or g, in combo
with non-narcotic ingredient
-Schedule III-V: limited to narcotic analgesics
Required on each Rx:
-Statement the OD is certified to prescribe
-Indication
-DEA number
✔✔Delegation of services to pharmacist by physician (CPA) - ✔✔-Must be documented
prior to performing service (maintain documentation for >5 years)
-Prescriptions must contain pharmacist's first and last name
-No limit to delegation
✔✔Drug - legal definition - ✔✔-intended for use in diagnosis, cure, mitigation, treatment,
or prevention of disease
-recognized by USP/National Formulary or Homeopathic Pharmacopoeia
-non-food article intended to affect structure or function of the body, or
-intended to be used as a component of an item fall within any of the these categories
-must be labeled with instructions for safe and effective use
, ✔✔OTC drug labeling requirements - ✔✔-must be labeled with instructions for lay
persons that indicate their safe and effective use "Drug Facts"
-recognized by experts to be safe and effective
-must be in tamper evident packaging (except insulin, lozenges, toothpaste,
dermatological)
-label must indicate presence of tamper-evident features
-poison prevention closure regulations
✔✔Atypical OTC products include - ✔✔-human insulin
-syringes
-pseudoephedrine (all other C-V are Rx only)
-nicotine gum, lozenges, and patches
✔✔Syringes (OTC or Rx) - ✔✔OTC
Excluded from "drug paraphernalia"
✔✔Prescription only drugs - ✔✔-cannot be made safe by including adequate directions
for use
-intended for use under a doctor's supervision
-could be habit-forming, toxic, potential for harm
-label must include "Rx Only" or "Federal law prohibits dispensing without a
prescription"
✔✔Dietary supplements - ✔✔-vitamins, minerals, herbals, amino acids, probiotics, other
-not a drug - marketed more like food
-DSHEA contains other labeling requirements (i.e. Supplement Facts)
-cannot use drug or disease claims
-"This drug has not been evaluated by the FDA"
✔✔Drug tracing information - ✔✔Only accept drugs with:
-Transaction info - (name, qty, lot#, dates)
-Transaction Hx - history going back to mfr
-Transaction statement - statement declaring compliance with DCSCA
Must store info for 6 years
✔✔Signs of suspicious/counterfeit drugs - ✔✔-from an unknown source
-in high demand
-known to be counterfeited commonly
-missing required info
-different dose than expected
-misspelled drug name or info
-inconsistent info
-compromised packaging
AND SOLUTIONS SCORED A+
✔✔Prescriptions from retired/deceased provider - ✔✔-no specific law
-standard: controls must be for legitimate purpose and in usual course of practice
-use judgement -- taking care of patient is the first priority
✔✔Telemedicine verification - ✔✔Prescriptions are valid if:
-patient eval is performed
-healthcare record is maintained
-eval is not solely based on a questionnaire completed online
No expectation created for pharmacists to verify this
✔✔WI Prescribing authority - within scope - ✔✔-MD, DO (includes psychiatrists,
ophthalmologists)
-dentists
-podiatrists
-veterinarians
Mid-Level: some restrictions
-PAs, APNP, optometrists
✔✔Broad prescriptive authority - ✔✔No legally stated restrictions on drugs prescribed --
always must be within scope
-Dentists - limited to dental practice
-Podiatrists - limited to foot/ankle
-Veterinarians - limited to animals
✔✔Professions with no prescriptive authority in WI - ✔✔-Psychologists
-Naturopaths
-Chiropractors
-Dietitians
-OT/PT
✔✔Physician assistant (PA) prescribing rules - ✔✔-practice under physician oversight
OR CPA
-limited to scope of experience and training
-no requirement for cosigning
✔✔APNPs prescribing rules - ✔✔Eligible nursing types:
-NP
-Certified Nurse Midwife
-Certified Registered Nurse Anesthetist (CRNA)
,-Clinical Nurse Specialist (CNS)
-Require certification as APNP, 45 contact hrs of pharmacology, and a jurisprudence
exam
-Prescribe only in areas of competence
-CS restrictions
Amphetamines/stimulants limited to:
---Brain dysfunction
---ADHD
---Depression
---Opioid adjunct for cancer pain
---Narcolepsy
---Epilepsy
May not prescribe anabolic steroids for athletic performance
✔✔Optometrists prescribing rules - ✔✔-Can prescribe for ocular therapeutics purposes
only
-Need certification to use "therapeutic pharmaceutical agents"
-Must inform patients PCP before prescribing any drugs with potential significant ADRs
Allowed drugs:
-Topical (eye)
-Oral: analgesics, antihistamines, antibiotics, antiviral, carbonic anhydrase inhibitors
-CS: schedule II, only hydrocodone <15mg per dosage unit or 300 mg/ml or g, in combo
with non-narcotic ingredient
-Schedule III-V: limited to narcotic analgesics
Required on each Rx:
-Statement the OD is certified to prescribe
-Indication
-DEA number
✔✔Delegation of services to pharmacist by physician (CPA) - ✔✔-Must be documented
prior to performing service (maintain documentation for >5 years)
-Prescriptions must contain pharmacist's first and last name
-No limit to delegation
✔✔Drug - legal definition - ✔✔-intended for use in diagnosis, cure, mitigation, treatment,
or prevention of disease
-recognized by USP/National Formulary or Homeopathic Pharmacopoeia
-non-food article intended to affect structure or function of the body, or
-intended to be used as a component of an item fall within any of the these categories
-must be labeled with instructions for safe and effective use
, ✔✔OTC drug labeling requirements - ✔✔-must be labeled with instructions for lay
persons that indicate their safe and effective use "Drug Facts"
-recognized by experts to be safe and effective
-must be in tamper evident packaging (except insulin, lozenges, toothpaste,
dermatological)
-label must indicate presence of tamper-evident features
-poison prevention closure regulations
✔✔Atypical OTC products include - ✔✔-human insulin
-syringes
-pseudoephedrine (all other C-V are Rx only)
-nicotine gum, lozenges, and patches
✔✔Syringes (OTC or Rx) - ✔✔OTC
Excluded from "drug paraphernalia"
✔✔Prescription only drugs - ✔✔-cannot be made safe by including adequate directions
for use
-intended for use under a doctor's supervision
-could be habit-forming, toxic, potential for harm
-label must include "Rx Only" or "Federal law prohibits dispensing without a
prescription"
✔✔Dietary supplements - ✔✔-vitamins, minerals, herbals, amino acids, probiotics, other
-not a drug - marketed more like food
-DSHEA contains other labeling requirements (i.e. Supplement Facts)
-cannot use drug or disease claims
-"This drug has not been evaluated by the FDA"
✔✔Drug tracing information - ✔✔Only accept drugs with:
-Transaction info - (name, qty, lot#, dates)
-Transaction Hx - history going back to mfr
-Transaction statement - statement declaring compliance with DCSCA
Must store info for 6 years
✔✔Signs of suspicious/counterfeit drugs - ✔✔-from an unknown source
-in high demand
-known to be counterfeited commonly
-missing required info
-different dose than expected
-misspelled drug name or info
-inconsistent info
-compromised packaging
