ILLINOIS MPJE FINAL EXAM 2026 ACTUAL QUESTIONS
AND ANSWERS GRADED A+
✔✔When does someone need to be registered with CS - ✔✔anyone who comes in
contact with CS or employed by a registered entity , with exception of patient who has
legitimate medical need for med through a valid Rx
✔✔If patient no longer needs medication, can they return to pharmacy - ✔✔No, when it
is dispensed to patient- it leaves the closed distribution network. cannot re-enter the
closed network
✔✔Three exceptions that CS can be returned to pharmacy - ✔✔1. dispensing error
2. Recall of the drug
3. pharmacy is an authorized collector of CS (can't redispense it)
✔✔can physicians, other practitioners, hospitals or clinics without a pharmacy be an
authorized collector of CS - ✔✔NOPE!
✔✔Two methods for a collector to take back CS - ✔✔1. collection receptacles
2. mailback programs
✔✔Law enforcement registration for taking back CS - ✔✔no DEA registration is
required for law enforcements
✔✔Are patients required to bring CS to an authorized collector or law enforcement for
destruction? - ✔✔No, they're permitted to destroy substances themselves
✔✔11 categories that need to be registered with DEA - ✔✔1. MFR*
2. Distributor*
3. Dispenser* (C2-C5)
4. research
5. instructional activities
6. narcotic txt program*
7. research with C1
8. chemical analysis
9. importer
10. exporter
11. compounding (Detox Compounder)*
* are registrations a pharmacy might need to obtain
✔✔Which kind of registration does a doctor / mid level have that prescribes CS -
✔✔Dispenser
,no such thing as a prescriber registration
✔✔How can registrations be limited - ✔✔Can be limited by schedule (C3-C5 for
example)
or by drug class (narcotic vs nonnarcotic)
per DEA or dispensers request
✔✔Categories for CS registration - ✔✔II Narcotic
II non narcotic
III narcotic
III non narcotic
IV
V
✔✔Definition of a narcotic - ✔✔Extraction from vegetable or chemical synthesis
✔✔Examples of narcotics - ✔✔Opium, opiates
Poppy straw
Coca leaves
Cocaine
Ecgonine
✔✔Method for delegating responsibility to another person at the store level - ✔✔Power
of Attorney
✔✔Revocation of POA must be present - ✔✔Two witnesses and the person who signed
the most recent application
✔✔Who can be the POA - ✔✔- pharmacist
-non pharm owners
-techs
-student interns
-unlicensed persons
✔✔Even though not legally required, who is preferred to order CS - ✔✔the pharmacist
✔✔What do pharmacies register as for CS - ✔✔the dispenser
✔✔Do employee RPH need a separate DEA #? - ✔✔NOPE
✔✔If RPH has own prescribing authority, do they need a separate DEA #? - ✔✔YES,
she is making independent prescribing decisions
,✔✔What form do you use for Dispenser Registration (including pharmacies) - ✔✔DEA
Form 224
separate registration for each pharmacy owned or operated by same entity
✔✔How often is renewal for Dispenser Registration and with which form - ✔✔224a
every 3 years
✔✔Ordering, securing and dispensing of CS is responsibility of ???? - ✔✔PIC,
regardless if pic is registrant and regardless if they have POA
✔✔What do hospitals register as - ✔✔"Institutional Practitioners"
✔✔is a separate registration required for hospital pharmacy? - ✔✔not required , can
use hospitals
✔✔A separate registration is required for each: ____ and ____ - ✔✔location & activity
✔✔Location DEA # (required for what) - ✔✔each site with different street address
✔✔Activity DEA # (required for what) - ✔✔single pharmacy can be required to have
multiple DEA #s depending on its activities, dispensers reg to dispense, but would need
a separate detox compounder registration if it compounded and provided product to a
narcotic txt program
✔✔Activities that trigger multiple registrations - ✔✔1. pharmacy as a distributor (its
annual distribution of CS to other pharmacies or practitioners > 5% of the total # of
dosage units dispensed), or participates in joint buying activities.
2. MFR - if it purchases CS for repackaging for sale within the pharmacy without a RX
or to other registrants
3. Detox compounder- compounds CS product for sale or distribution to narcotic txt
program for addiction (NTP must be registered with DEA as well)- methadone + Orange
juice for example
✔✔Is "for office use" compounding legal? - ✔✔not anymore
✔✔If a practitioner orders a CS for office admin for a PT SPECIFIC Rx , what DEA regis
is required - ✔✔Dispensing
✔✔If you are dispensing non patient specific, which registration is required -
✔✔Distributor (selling to someone else)
, ✔✔MFR/Wholesaler/importer/exporter/reserachers register with which form - ✔✔225
Form DEA
✔✔how often do Mfr/wholesaler/importer/exporter/reserach need to renew - ✔✔renew
with 225 a form every 3 years
✔✔what type of license would a pharmacy in my jurisdiction posses in order to dispense
ALL RX drugs - ✔✔1. pharmacy license
2. DEA registration
3. state CS license or registration
✔✔IL pharmacy registration- when does it expire - ✔✔March 31 on even years
✔✔does the practitioners state license # need to appear on Rx? - ✔✔No- just the DEA
number on Rx, however must have DEA reg # and state CS license (same like
pharmacy)
✔✔DEA # (how many letters/numbers) - ✔✔2 letters followed by seven numbers
✔✔DEA # for hospital/clinic/practtiioner/teaching institution/ pharmacy
Department of Defense practitioners - ✔✔A, B, F, G
✔✔A, B, F, G in DEA number - ✔✔hospitals, clinics, practitioners, pharmacy, teaching
institution, department of defense practitioners
✔✔M in DEA # - ✔✔Mid level practitioner
(NP, PA, Optometrists, pharmacists, Chiropractic, naturopaths(no in IL), clinical
psychologists
✔✔NP, PA, optometrists, pharmacists, chiropractic, naturopaths, clinical psychologist
DEA - ✔✔M
✔✔Reverse Distributors DEA - ✔✔L
✔✔L for DEA # - ✔✔Reverse distributors
✔✔MFR/distributor/research/analytic lab/import/export/revere distributor/NTP - ✔✔P/R
✔✔P/R for DEA # - ✔✔MFR/distributor/research/analytic lab/import/export/revere
distributor/NTP
✔✔DEA # used by a practitioner in the treatment of addictions on outpatient basis -
✔✔X
AND ANSWERS GRADED A+
✔✔When does someone need to be registered with CS - ✔✔anyone who comes in
contact with CS or employed by a registered entity , with exception of patient who has
legitimate medical need for med through a valid Rx
✔✔If patient no longer needs medication, can they return to pharmacy - ✔✔No, when it
is dispensed to patient- it leaves the closed distribution network. cannot re-enter the
closed network
✔✔Three exceptions that CS can be returned to pharmacy - ✔✔1. dispensing error
2. Recall of the drug
3. pharmacy is an authorized collector of CS (can't redispense it)
✔✔can physicians, other practitioners, hospitals or clinics without a pharmacy be an
authorized collector of CS - ✔✔NOPE!
✔✔Two methods for a collector to take back CS - ✔✔1. collection receptacles
2. mailback programs
✔✔Law enforcement registration for taking back CS - ✔✔no DEA registration is
required for law enforcements
✔✔Are patients required to bring CS to an authorized collector or law enforcement for
destruction? - ✔✔No, they're permitted to destroy substances themselves
✔✔11 categories that need to be registered with DEA - ✔✔1. MFR*
2. Distributor*
3. Dispenser* (C2-C5)
4. research
5. instructional activities
6. narcotic txt program*
7. research with C1
8. chemical analysis
9. importer
10. exporter
11. compounding (Detox Compounder)*
* are registrations a pharmacy might need to obtain
✔✔Which kind of registration does a doctor / mid level have that prescribes CS -
✔✔Dispenser
,no such thing as a prescriber registration
✔✔How can registrations be limited - ✔✔Can be limited by schedule (C3-C5 for
example)
or by drug class (narcotic vs nonnarcotic)
per DEA or dispensers request
✔✔Categories for CS registration - ✔✔II Narcotic
II non narcotic
III narcotic
III non narcotic
IV
V
✔✔Definition of a narcotic - ✔✔Extraction from vegetable or chemical synthesis
✔✔Examples of narcotics - ✔✔Opium, opiates
Poppy straw
Coca leaves
Cocaine
Ecgonine
✔✔Method for delegating responsibility to another person at the store level - ✔✔Power
of Attorney
✔✔Revocation of POA must be present - ✔✔Two witnesses and the person who signed
the most recent application
✔✔Who can be the POA - ✔✔- pharmacist
-non pharm owners
-techs
-student interns
-unlicensed persons
✔✔Even though not legally required, who is preferred to order CS - ✔✔the pharmacist
✔✔What do pharmacies register as for CS - ✔✔the dispenser
✔✔Do employee RPH need a separate DEA #? - ✔✔NOPE
✔✔If RPH has own prescribing authority, do they need a separate DEA #? - ✔✔YES,
she is making independent prescribing decisions
,✔✔What form do you use for Dispenser Registration (including pharmacies) - ✔✔DEA
Form 224
separate registration for each pharmacy owned or operated by same entity
✔✔How often is renewal for Dispenser Registration and with which form - ✔✔224a
every 3 years
✔✔Ordering, securing and dispensing of CS is responsibility of ???? - ✔✔PIC,
regardless if pic is registrant and regardless if they have POA
✔✔What do hospitals register as - ✔✔"Institutional Practitioners"
✔✔is a separate registration required for hospital pharmacy? - ✔✔not required , can
use hospitals
✔✔A separate registration is required for each: ____ and ____ - ✔✔location & activity
✔✔Location DEA # (required for what) - ✔✔each site with different street address
✔✔Activity DEA # (required for what) - ✔✔single pharmacy can be required to have
multiple DEA #s depending on its activities, dispensers reg to dispense, but would need
a separate detox compounder registration if it compounded and provided product to a
narcotic txt program
✔✔Activities that trigger multiple registrations - ✔✔1. pharmacy as a distributor (its
annual distribution of CS to other pharmacies or practitioners > 5% of the total # of
dosage units dispensed), or participates in joint buying activities.
2. MFR - if it purchases CS for repackaging for sale within the pharmacy without a RX
or to other registrants
3. Detox compounder- compounds CS product for sale or distribution to narcotic txt
program for addiction (NTP must be registered with DEA as well)- methadone + Orange
juice for example
✔✔Is "for office use" compounding legal? - ✔✔not anymore
✔✔If a practitioner orders a CS for office admin for a PT SPECIFIC Rx , what DEA regis
is required - ✔✔Dispensing
✔✔If you are dispensing non patient specific, which registration is required -
✔✔Distributor (selling to someone else)
, ✔✔MFR/Wholesaler/importer/exporter/reserachers register with which form - ✔✔225
Form DEA
✔✔how often do Mfr/wholesaler/importer/exporter/reserach need to renew - ✔✔renew
with 225 a form every 3 years
✔✔what type of license would a pharmacy in my jurisdiction posses in order to dispense
ALL RX drugs - ✔✔1. pharmacy license
2. DEA registration
3. state CS license or registration
✔✔IL pharmacy registration- when does it expire - ✔✔March 31 on even years
✔✔does the practitioners state license # need to appear on Rx? - ✔✔No- just the DEA
number on Rx, however must have DEA reg # and state CS license (same like
pharmacy)
✔✔DEA # (how many letters/numbers) - ✔✔2 letters followed by seven numbers
✔✔DEA # for hospital/clinic/practtiioner/teaching institution/ pharmacy
Department of Defense practitioners - ✔✔A, B, F, G
✔✔A, B, F, G in DEA number - ✔✔hospitals, clinics, practitioners, pharmacy, teaching
institution, department of defense practitioners
✔✔M in DEA # - ✔✔Mid level practitioner
(NP, PA, Optometrists, pharmacists, Chiropractic, naturopaths(no in IL), clinical
psychologists
✔✔NP, PA, optometrists, pharmacists, chiropractic, naturopaths, clinical psychologist
DEA - ✔✔M
✔✔Reverse Distributors DEA - ✔✔L
✔✔L for DEA # - ✔✔Reverse distributors
✔✔MFR/distributor/research/analytic lab/import/export/revere distributor/NTP - ✔✔P/R
✔✔P/R for DEA # - ✔✔MFR/distributor/research/analytic lab/import/export/revere
distributor/NTP
✔✔DEA # used by a practitioner in the treatment of addictions on outpatient basis -
✔✔X
