OHIO MPJE STUDY GUIDE 2026
COMPREHENSIVE QUESTIONS AND
ANSWERS
◉Letting non-pharmacy staff do pharmacy-only tasks. Answer:
Allowing unlicensed personnel to perform tasks that require a
pharmacist.
◉HIPAA violations. Answer: Breaching patient confidentiality as per
the Health Insurance Portability and Accountability Act.
◉Harassment or intimidation. Answer: Engaging in threatening
behavior towards others in the pharmacy context.
◉Failing to prevent or enabling diversion/theft. Answer: Not taking
adequate measures to stop drug theft or misuse.
◉Making/filling a false Rx. Answer: Creating or dispensing a
prescription that is not legitimate.
,◉Dispensing a drug for someone known to be deceased. Answer:
Providing medication to an individual who is confirmed to have died.
◉Billing/charging for unneeded or unauthorized services. Answer:
Charging patients for services that are unnecessary or not approved.
◉Falsifying a brand name when generics were used. Answer:
Misrepresenting a medication's brand when a generic was
dispensed.
◉Violating the provider-patient relationship. Answer: Breaking the
trust and ethical standards expected in healthcare.
◉Failing to report or prevent medication errors. Answer: Not
addressing or disclosing mistakes made in medication dispensing.
◉Dispensing a product that lacks strength, quality, or purity.
Answer: Providing a medication that does not meet established
standards.
◉Ohio Pharmacists Rehabilitation Organization (PRO). Answer: A
confidential assistance program for pharmacists with substance
dependencies.
,◉Mission of PRO. Answer: Help pharmacists recover from substance
use disorder and educate on chemical dependency.
◉Components of PRO's mission. Answer: Assessment and referral
for treatment, monitoring, promoting peer support.
◉Is information about a pharmacist in PRO confidential?. Answer:
Yes, shared only with necessary individuals for program function.
◉Is PRO part of the Ohio State Board of Pharmacy?. Answer: No, it is
independent but collaborates with the Board.
◉Can the Board refer a pharmacist to PRO?. Answer: Yes, especially
if identified by Board members or staff.
◉Is PRO free for participants?. Answer: No, participants must pay
fees and meet contract obligations.
◉What does the PRO monitoring contract include?. Answer:
Weekly/monthly meetings, random drug screens, sponsor
involvement.
, ◉What happens if a pharmacist's license is suspended due to
impairment?. Answer: They may be required to complete a 5-year
monitoring contract to be reinstated.
◉What must all Rx be issued for to be valid?. Answer: A legitimate
medical purpose in the prescriber's scope of practice.
◉Who is liable for prescriptions not properly issued?. Answer: Both
the prescriber and pharmacist share corresponding responsibility.
◉Is it legal to fill an online survey-based prescription without a valid
relationship?. Answer: No, that does not count as a valid patient-
prescriber relationship.
◉What must out-of-state prescribers have to issue valid
prescriptions in Ohio?. Answer: A valid DEA number and valid
license in their home state.
◉Can optometrists prescribe all controlled substances?. Answer: No,
only C-II hydrocodone combo products, and C-III to C-V.
◉What are prescribing limits for PAs in Ohio?. Answer: Can
prescribe C-II only if first prescribed by a physician for the patient,
can write up to a 30-day supply.
COMPREHENSIVE QUESTIONS AND
ANSWERS
◉Letting non-pharmacy staff do pharmacy-only tasks. Answer:
Allowing unlicensed personnel to perform tasks that require a
pharmacist.
◉HIPAA violations. Answer: Breaching patient confidentiality as per
the Health Insurance Portability and Accountability Act.
◉Harassment or intimidation. Answer: Engaging in threatening
behavior towards others in the pharmacy context.
◉Failing to prevent or enabling diversion/theft. Answer: Not taking
adequate measures to stop drug theft or misuse.
◉Making/filling a false Rx. Answer: Creating or dispensing a
prescription that is not legitimate.
,◉Dispensing a drug for someone known to be deceased. Answer:
Providing medication to an individual who is confirmed to have died.
◉Billing/charging for unneeded or unauthorized services. Answer:
Charging patients for services that are unnecessary or not approved.
◉Falsifying a brand name when generics were used. Answer:
Misrepresenting a medication's brand when a generic was
dispensed.
◉Violating the provider-patient relationship. Answer: Breaking the
trust and ethical standards expected in healthcare.
◉Failing to report or prevent medication errors. Answer: Not
addressing or disclosing mistakes made in medication dispensing.
◉Dispensing a product that lacks strength, quality, or purity.
Answer: Providing a medication that does not meet established
standards.
◉Ohio Pharmacists Rehabilitation Organization (PRO). Answer: A
confidential assistance program for pharmacists with substance
dependencies.
,◉Mission of PRO. Answer: Help pharmacists recover from substance
use disorder and educate on chemical dependency.
◉Components of PRO's mission. Answer: Assessment and referral
for treatment, monitoring, promoting peer support.
◉Is information about a pharmacist in PRO confidential?. Answer:
Yes, shared only with necessary individuals for program function.
◉Is PRO part of the Ohio State Board of Pharmacy?. Answer: No, it is
independent but collaborates with the Board.
◉Can the Board refer a pharmacist to PRO?. Answer: Yes, especially
if identified by Board members or staff.
◉Is PRO free for participants?. Answer: No, participants must pay
fees and meet contract obligations.
◉What does the PRO monitoring contract include?. Answer:
Weekly/monthly meetings, random drug screens, sponsor
involvement.
, ◉What happens if a pharmacist's license is suspended due to
impairment?. Answer: They may be required to complete a 5-year
monitoring contract to be reinstated.
◉What must all Rx be issued for to be valid?. Answer: A legitimate
medical purpose in the prescriber's scope of practice.
◉Who is liable for prescriptions not properly issued?. Answer: Both
the prescriber and pharmacist share corresponding responsibility.
◉Is it legal to fill an online survey-based prescription without a valid
relationship?. Answer: No, that does not count as a valid patient-
prescriber relationship.
◉What must out-of-state prescribers have to issue valid
prescriptions in Ohio?. Answer: A valid DEA number and valid
license in their home state.
◉Can optometrists prescribe all controlled substances?. Answer: No,
only C-II hydrocodone combo products, and C-III to C-V.
◉What are prescribing limits for PAs in Ohio?. Answer: Can
prescribe C-II only if first prescribed by a physician for the patient,
can write up to a 30-day supply.
