MISSOURI MPJE END OF COURSE EXAM 2026 QUESTIONS
AND SOLUTIONS GRADED A+
✔✔If an Rx issued by an APRN or PA is labeled, does it need the collaboration
Physician's name on the label? - ✔✔No, just the APRN or PA's name
✔✔BUD of a med-pak (bubble pouches)? - ✔✔90 days
✔✔Can drug samples be held in a retail pharmacy? - ✔✔No, hospitals can, but it is for
an MD to order and dispense, not a pharmacist
✔✔Can investigational drugs be dispensed in a retail setting? - ✔✔No, can only receive
directly to the pt from their clinical trial
✔✔What % of gross annual Rx drug sales can a pharmacy distribute to other
pharmacies without having to register as a distributor? - ✔✔Up to 5%
✔✔In the situation that a C2 is partially filled due to pharmacy inventory, when must the
remainder be filled? - ✔✔Within 72 hrs of first partial fill, as long as the Rx is not expired
or will expire w/in 72 hrs
✔✔If a C2 is partially filled due to a pt/MD request, when must the remainder be filled? -
✔✔W/in 30 days of the prescription's date of issuance
✔✔Dispensing limit of LCTF C2? - ✔✔C2 can be filled up to 60 days from the date of
partial fill
✔✔What MUST be listed on the label of an OTC drug? (10) - ✔✔1. Active ingredient
2. Amount of active ingredient in each dosage unit
3. drug purpose
4. specific warnings, and when to contact doctor
5. directions
6. potential ADRs
7. lot number
8. pregnancy/breast feed warning
9. who to call for Qs
10. inactive ingredients
✔✔What can dietary supplements NOT Claim? - ✔✔Cannot claim to treat, prevent, or
alleviate any symptoms
✔✔Does the FDA approve dietary supplements? - ✔✔No
✔✔Max amount of PSE without a prescription? - ✔✔Daily limit: 3.6g
,30-day limit: 7.2g
12 month limit: 43.2g
✔✔What schedule of drug is PSE? - ✔✔C-5 in MO, and photo ID required for purchase,
also must be at least 18 years old
✔✔What must be recorded with a PSE purchase? - ✔✔Name, address, and signature
of purchaser
✔✔How long should Rx records be kept in a pharmacy? - ✔✔5 years minimum
✔✔Records/inventories of receipt and distribution of legend drugs must be kept
for_____? - ✔✔2 years
✔✔Vax records need to be kept and maintained for _____? - ✔✔2 Years minimum
✔✔CS inventory records need to be kept for ______? - ✔✔2 years from inventory date,
and must be separate from all other records
✔✔What must be included in prescription files? (3) - ✔✔1. Initials of who
verified/dispensed drug
2. Rx number
3. Dispensing Date
✔✔What must be included to protect the pharmacy against drug diversion? (3) - ✔✔1.
Written Policy
2. Established policy
3. Electronic alarm and video system
✔✔Where can Emergency Kits be kept? - ✔✔At LTCF for true emergency use
✔✔When can an authorized nurse enter and retrieve drug from a hospital pharmacy? -
✔✔If the pharmacist is absent and the drug needed is not in an after-hours cabinet or
emergency kit
A prescriber's order must be left in the container with signature of drug removal
✔✔Can a retail pharmacy be open if a pharmacist is not present on duty? - ✔✔No.
✔✔How long do Annual CS inventory records need to be kept? - ✔✔2 years
✔✔Can you estimate the count of CS in the annual inventory? - ✔✔ONLY for C3-5, C2
must be exact and hand-counted, also the C2 count must be recorded separately on the
inventory
, ✔✔What must the pharmacist do upon delivery of CS? - ✔✔Pharmacist must review the
invoice/meds delivered and sign that the invoice/meds are accurate and complete
also sign and date
✔✔What is in the FDA purple book? - ✔✔List of interchangeable biologics
✔✔For a central fill pharmacy, which pharmacy can do counseling/DUR? - ✔✔Both the
central fill or normal pharmacy can counsel/DUR, and either one of those pharmacies
can be listed on the label.
Each one must have a SEPARATE Class J permit for this
✔✔What is required of CentralFill locations? (7) - ✔✔1. Must have shared
ownership/contract in place for responsibilities
2. Must share pt profiles electronically w/ home pharmacy
3. Must identify who is responsible for each step in the fill process
4. Must ensure adequate security measures to protect pt info
5. Must be labeled w/ unique code to complete audit trail of fill history
6. Must ensure agreement outlines WHICH pharmacy is responsible for the offer to
counsel pt
7. Can do CS and non-CS for first fill and refills
✔✔What must be on display in the pharmacy at all times? - ✔✔1. Pharmacy permit and
CS registration
2. Each pharmacist must display their license certificate
✔✔What are Class A,B,C,D pharmacies? - ✔✔A - Retail
B - Hospital
C - LTCF
D - Non-sterile Compounding
✔✔How often is the pharmacy license renewed? - ✔✔Biennially on or before October
31
✔✔Prior to closing a pharmacy, when should the board be notified? - ✔✔WRITTEN
notice must be posted 15 days prior to closing
✔✔When will a pharmacy be notified prior to an on-site audit by a third party? -
✔✔Minimim of 1 week
✔✔How much time does a pharmacy have after the preliminary third-party audit to
produce documentation addressing any discrepancies found during audit? - ✔✔30 days
after the audit
AND SOLUTIONS GRADED A+
✔✔If an Rx issued by an APRN or PA is labeled, does it need the collaboration
Physician's name on the label? - ✔✔No, just the APRN or PA's name
✔✔BUD of a med-pak (bubble pouches)? - ✔✔90 days
✔✔Can drug samples be held in a retail pharmacy? - ✔✔No, hospitals can, but it is for
an MD to order and dispense, not a pharmacist
✔✔Can investigational drugs be dispensed in a retail setting? - ✔✔No, can only receive
directly to the pt from their clinical trial
✔✔What % of gross annual Rx drug sales can a pharmacy distribute to other
pharmacies without having to register as a distributor? - ✔✔Up to 5%
✔✔In the situation that a C2 is partially filled due to pharmacy inventory, when must the
remainder be filled? - ✔✔Within 72 hrs of first partial fill, as long as the Rx is not expired
or will expire w/in 72 hrs
✔✔If a C2 is partially filled due to a pt/MD request, when must the remainder be filled? -
✔✔W/in 30 days of the prescription's date of issuance
✔✔Dispensing limit of LCTF C2? - ✔✔C2 can be filled up to 60 days from the date of
partial fill
✔✔What MUST be listed on the label of an OTC drug? (10) - ✔✔1. Active ingredient
2. Amount of active ingredient in each dosage unit
3. drug purpose
4. specific warnings, and when to contact doctor
5. directions
6. potential ADRs
7. lot number
8. pregnancy/breast feed warning
9. who to call for Qs
10. inactive ingredients
✔✔What can dietary supplements NOT Claim? - ✔✔Cannot claim to treat, prevent, or
alleviate any symptoms
✔✔Does the FDA approve dietary supplements? - ✔✔No
✔✔Max amount of PSE without a prescription? - ✔✔Daily limit: 3.6g
,30-day limit: 7.2g
12 month limit: 43.2g
✔✔What schedule of drug is PSE? - ✔✔C-5 in MO, and photo ID required for purchase,
also must be at least 18 years old
✔✔What must be recorded with a PSE purchase? - ✔✔Name, address, and signature
of purchaser
✔✔How long should Rx records be kept in a pharmacy? - ✔✔5 years minimum
✔✔Records/inventories of receipt and distribution of legend drugs must be kept
for_____? - ✔✔2 years
✔✔Vax records need to be kept and maintained for _____? - ✔✔2 Years minimum
✔✔CS inventory records need to be kept for ______? - ✔✔2 years from inventory date,
and must be separate from all other records
✔✔What must be included in prescription files? (3) - ✔✔1. Initials of who
verified/dispensed drug
2. Rx number
3. Dispensing Date
✔✔What must be included to protect the pharmacy against drug diversion? (3) - ✔✔1.
Written Policy
2. Established policy
3. Electronic alarm and video system
✔✔Where can Emergency Kits be kept? - ✔✔At LTCF for true emergency use
✔✔When can an authorized nurse enter and retrieve drug from a hospital pharmacy? -
✔✔If the pharmacist is absent and the drug needed is not in an after-hours cabinet or
emergency kit
A prescriber's order must be left in the container with signature of drug removal
✔✔Can a retail pharmacy be open if a pharmacist is not present on duty? - ✔✔No.
✔✔How long do Annual CS inventory records need to be kept? - ✔✔2 years
✔✔Can you estimate the count of CS in the annual inventory? - ✔✔ONLY for C3-5, C2
must be exact and hand-counted, also the C2 count must be recorded separately on the
inventory
, ✔✔What must the pharmacist do upon delivery of CS? - ✔✔Pharmacist must review the
invoice/meds delivered and sign that the invoice/meds are accurate and complete
also sign and date
✔✔What is in the FDA purple book? - ✔✔List of interchangeable biologics
✔✔For a central fill pharmacy, which pharmacy can do counseling/DUR? - ✔✔Both the
central fill or normal pharmacy can counsel/DUR, and either one of those pharmacies
can be listed on the label.
Each one must have a SEPARATE Class J permit for this
✔✔What is required of CentralFill locations? (7) - ✔✔1. Must have shared
ownership/contract in place for responsibilities
2. Must share pt profiles electronically w/ home pharmacy
3. Must identify who is responsible for each step in the fill process
4. Must ensure adequate security measures to protect pt info
5. Must be labeled w/ unique code to complete audit trail of fill history
6. Must ensure agreement outlines WHICH pharmacy is responsible for the offer to
counsel pt
7. Can do CS and non-CS for first fill and refills
✔✔What must be on display in the pharmacy at all times? - ✔✔1. Pharmacy permit and
CS registration
2. Each pharmacist must display their license certificate
✔✔What are Class A,B,C,D pharmacies? - ✔✔A - Retail
B - Hospital
C - LTCF
D - Non-sterile Compounding
✔✔How often is the pharmacy license renewed? - ✔✔Biennially on or before October
31
✔✔Prior to closing a pharmacy, when should the board be notified? - ✔✔WRITTEN
notice must be posted 15 days prior to closing
✔✔When will a pharmacy be notified prior to an on-site audit by a third party? -
✔✔Minimim of 1 week
✔✔How much time does a pharmacy have after the preliminary third-party audit to
produce documentation addressing any discrepancies found during audit? - ✔✔30 days
after the audit
