MS MPJE 2026 REVISION NOTES AND
STRUCTURED PHARMACY LAW OVERVIEW
GUIDE
◉ How often does a PIC have to be onsite? Answer: 20 hrs/wk or
50% of hrs open (whichever is less)
◉ If PIC loses license Answer: application for new permit with new
PIC made within 15 days
◉ If PIC quits/steps down Answer: return permit with notice of
departure to BOP, CS inventory at time of change
◉ Pharmacy closes, changes owners, changes name, changes
location Answer: must notify BOP within 15 days
◉ Pharmacist to Tech ratio in MS Answer: 1:3
◉ What do the 2 signature lines on a written Rx mean? Answer:
Bottom right: substitution allowed
Bottom left: DAW1
,◉ When can a PharmD select a generic equivalent? Answer: 1. Buyer
requests to
2. Prescriber hasn't specified name brand only
3. Generic will result in a lower cost
◉ If PharmD dispenses generic, how should the label read? Answer:
A. Generic name only or
B. Generic name & manufacturer/packager
Can also add "Substituted for __________"
◉ If a drug leaves the pharmacy, can we take it back? Answer: No,
once it leaves the prescription area you can not return it. (Dispensed
from the control of the pharmacist)
◉ How soon do you have to report a fire to the BOP? Answer:
Immediately
disasters/accidents/emergencies that can affect
strength/purity/labeling shall be reported immediately
◉ Patient Medpaks BUD Answer: no more than 90 days from date
packed
◉ How long are CS Rx's good for in MS? Answer: 6mos from written
date
, ◉ How many times can a CS Rx be transferred in MS? Answer: Never
◉ How many times can a CS be refilled in MS? Answer: C2: never
C3-5: 5 times
◉ How long are non-controlled RXs good for in MS? Answer: 12
months from written date
◉ How long are orders for LTC patients good for? Answer: Valid until
the order is discontinued
◉ If a prescriber dies but a patient still has refills under that
prescriber, what happens to the refills? Answer: Refills are good for
30 days.
Rx becomes invalid 30 days after prescriber/patient relationship
ends (MD dies/retires/moves).
**Rx's are dead immediately if MD loses DEA number or medical
license due to disciplinary action**
◉ Can you fill an emergency supply of a noncontrolled med for a pt?
Answer: Yes, one time only, up to 72 hour supply, must make a
separate rx for and document emergency and notify prescriber
within 7 business days
STRUCTURED PHARMACY LAW OVERVIEW
GUIDE
◉ How often does a PIC have to be onsite? Answer: 20 hrs/wk or
50% of hrs open (whichever is less)
◉ If PIC loses license Answer: application for new permit with new
PIC made within 15 days
◉ If PIC quits/steps down Answer: return permit with notice of
departure to BOP, CS inventory at time of change
◉ Pharmacy closes, changes owners, changes name, changes
location Answer: must notify BOP within 15 days
◉ Pharmacist to Tech ratio in MS Answer: 1:3
◉ What do the 2 signature lines on a written Rx mean? Answer:
Bottom right: substitution allowed
Bottom left: DAW1
,◉ When can a PharmD select a generic equivalent? Answer: 1. Buyer
requests to
2. Prescriber hasn't specified name brand only
3. Generic will result in a lower cost
◉ If PharmD dispenses generic, how should the label read? Answer:
A. Generic name only or
B. Generic name & manufacturer/packager
Can also add "Substituted for __________"
◉ If a drug leaves the pharmacy, can we take it back? Answer: No,
once it leaves the prescription area you can not return it. (Dispensed
from the control of the pharmacist)
◉ How soon do you have to report a fire to the BOP? Answer:
Immediately
disasters/accidents/emergencies that can affect
strength/purity/labeling shall be reported immediately
◉ Patient Medpaks BUD Answer: no more than 90 days from date
packed
◉ How long are CS Rx's good for in MS? Answer: 6mos from written
date
, ◉ How many times can a CS Rx be transferred in MS? Answer: Never
◉ How many times can a CS be refilled in MS? Answer: C2: never
C3-5: 5 times
◉ How long are non-controlled RXs good for in MS? Answer: 12
months from written date
◉ How long are orders for LTC patients good for? Answer: Valid until
the order is discontinued
◉ If a prescriber dies but a patient still has refills under that
prescriber, what happens to the refills? Answer: Refills are good for
30 days.
Rx becomes invalid 30 days after prescriber/patient relationship
ends (MD dies/retires/moves).
**Rx's are dead immediately if MD loses DEA number or medical
license due to disciplinary action**
◉ Can you fill an emergency supply of a noncontrolled med for a pt?
Answer: Yes, one time only, up to 72 hour supply, must make a
separate rx for and document emergency and notify prescriber
within 7 business days
