WISCONSIN MPJE EVALUATION EXAM 2026 QUESTIONS
AND SOLUTIONS SCORED A+
✔✔Rx transfer limits - ✔✔-non-CS: up to # of refills left
-C2: no refills
-C3-5: one time
Original Rx may not be transferred for CS
✔✔Prospective DUR - ✔✔performed before medication is dispensed
Includes
-over-under utilization
-therapeutic duplication
-DIs
-allergies
-potential abuse or misuse
-rational therapy
-CIs
-reasonable directions for use
-potential or actual ADRs
✔✔Retrospective DUR - ✔✔Performed by state Medicaid, PBMs, or plan administrators
-look for patterns of use or misuse
-generic utilization
-adherence to guidelines or recommended therapy
✔✔Drug product equivalents - when can they be dispensed? - ✔✔-therapeutic
equivalent recognized by Orange Book
-lower in price
-consumer informed of substitution
-prescriber does not indicate no substitution
may be done for refills
therapeutic alternate selection is only allowed for patients in hospitals, SNF, corrections
system
✔✔Biosimilars - ✔✔-must be interchangeable per FDA Purple Book
-must communicate with physician within 5 days as to specific product dispensed
✔✔Required Rx label info - ✔✔-pharmacy name/address
-Rx#
-date filled
, -patient name
-prescriber name
-directions for use
-drug name/strength/qty
-refill qty
-expiration
CS: must have original dispensing date and axillary label
Animals: name of animal, species, owner's last name, vet name/address, withdrawal
time PRN
✔✔Repackaging label requirements - ✔✔-drug name/form/strength
-BUD
-NDC + mfr lot OR mfr + mfr lot OR pharmacy control number
✔✔Repackaging record requirements - ✔✔-drug name/form/strength
-qty per container, # containers
-NDC or name of mfr
-mfr lot #
-original exp date, new BUD
-repackager name, verifying RPh
-date of repack
-pharmacy control number if any
✔✔Final check requirements - ✔✔-label is correct
-product verification of drug
-DUR complete
✔✔Counseling requirements - ✔✔Required when
-new med
-change in therapy
-requested by patient
-RPh judgement
Not required when
-administered by someone with scope
-refused by patient
Provide
-drug education monograph
-education before or after delivery
-board approved sign for patient's right to consultation
✔✔Shipping Rxs - ✔✔-all may be mailed
-outer wrapper must not indicate contents
AND SOLUTIONS SCORED A+
✔✔Rx transfer limits - ✔✔-non-CS: up to # of refills left
-C2: no refills
-C3-5: one time
Original Rx may not be transferred for CS
✔✔Prospective DUR - ✔✔performed before medication is dispensed
Includes
-over-under utilization
-therapeutic duplication
-DIs
-allergies
-potential abuse or misuse
-rational therapy
-CIs
-reasonable directions for use
-potential or actual ADRs
✔✔Retrospective DUR - ✔✔Performed by state Medicaid, PBMs, or plan administrators
-look for patterns of use or misuse
-generic utilization
-adherence to guidelines or recommended therapy
✔✔Drug product equivalents - when can they be dispensed? - ✔✔-therapeutic
equivalent recognized by Orange Book
-lower in price
-consumer informed of substitution
-prescriber does not indicate no substitution
may be done for refills
therapeutic alternate selection is only allowed for patients in hospitals, SNF, corrections
system
✔✔Biosimilars - ✔✔-must be interchangeable per FDA Purple Book
-must communicate with physician within 5 days as to specific product dispensed
✔✔Required Rx label info - ✔✔-pharmacy name/address
-Rx#
-date filled
, -patient name
-prescriber name
-directions for use
-drug name/strength/qty
-refill qty
-expiration
CS: must have original dispensing date and axillary label
Animals: name of animal, species, owner's last name, vet name/address, withdrawal
time PRN
✔✔Repackaging label requirements - ✔✔-drug name/form/strength
-BUD
-NDC + mfr lot OR mfr + mfr lot OR pharmacy control number
✔✔Repackaging record requirements - ✔✔-drug name/form/strength
-qty per container, # containers
-NDC or name of mfr
-mfr lot #
-original exp date, new BUD
-repackager name, verifying RPh
-date of repack
-pharmacy control number if any
✔✔Final check requirements - ✔✔-label is correct
-product verification of drug
-DUR complete
✔✔Counseling requirements - ✔✔Required when
-new med
-change in therapy
-requested by patient
-RPh judgement
Not required when
-administered by someone with scope
-refused by patient
Provide
-drug education monograph
-education before or after delivery
-board approved sign for patient's right to consultation
✔✔Shipping Rxs - ✔✔-all may be mailed
-outer wrapper must not indicate contents
