MISSOURI MPJE 2026 STUDY GUIDE QUESTIONS AND
SOLUTIONS GRADED A+
✔✔Established patient definition... - ✔✔A patient that has been dispensed to more than
3 times in a calendar year
✔✔What is class Q pharmacy? - ✔✔Charitable pharmacy
✔✔Define a charitable pharmacy - ✔✔Pharmacy that provides services to indigent
people that have been screened and approved by a charitable organization and
deemed not to have sufficient funds to obtain needed medications.
✔✔How can a class Q pharmacy obtain medications? - ✔✔Must be donated by a
pharmacy, distributor, healthcare entity, or provider, in its original sealed package.
✔✔Class R pharmacy definition... - ✔✔Remote dispensing pharmacy
✔✔Class R pharmacies must be supervised by - ✔✔Continuous audio and video
✔✔To be eligible for licensure, a class R pharmacy must be __ miles away and
supervised by... - ✔✔10; A missouri licensed pharmacy
✔✔Class R pharmacies can participate in Class __,__, or __ functions under their class
R permis - ✔✔A B C
✔✔Supervising pharmacies of a class R pharmacy can be no more than __ miles away
unless otherwise approved by the board. - ✔✔50
✔✔How much experience must a tech have before working at a class R pharmacy?
Must they be certified? - ✔✔1 year. Yes.
✔✔Employer training of class R techs must occur when? - ✔✔Initially then annually.
✔✔Pharmacists supervising a class R pharmacy must be employed by and located at -
✔✔The supervising pharmacy
✔✔Clsas R pharmacies must be staffed at least - ✔✔8 hours per month
✔✔The Class R PIC must visit how often? - ✔✔Weekly during the first month, then
once monthly.
✔✔Can a toll free number for patient counseling be used for class R pharmacies? -
✔✔No
, ✔✔Maximum prescriptions per day allowed for a class R pharmacy? If this limit is
exceeded, then what? - ✔✔150 per day in the previous quarter. Pharmacy must apply
for class A, B, and C within 10 days of discovery.
✔✔When should scripts per day of a class R be checked? - ✔✔On or before the 10th
day day following the previous quarter.
✔✔Perpetual inventory of controlled meds at a class R must be reconciled how often? -
✔✔Twice per month.
✔✔Class R pharmacy records must be maintained for how long? - ✔✔Prescriptions
maintained for 5 years. Prescription numbers, tech training, and pharmacist visitation for
2 years.
✔✔Temperature records must be maintained for - ✔✔2 years
✔✔Can continuous temperature monitoring be used in place of daily temperature logs?
- ✔✔Yes
✔✔What is the pharmacist to tech staffing ratio requirement? - ✔✔There is not one
✔✔Badge requirements? - ✔✔Name and Title
✔✔Licensee's may only receive/purchase medication from: - ✔✔MO licensed distributor
or a US state/territory licensed pharmacy
✔✔Records stored off site must be retrievable within __ days - ✔✔2
✔✔Requirements for receiving medication from a non-missouri licensed pharmacy -
✔✔1. Proof that pharmacy has a current license
2. An invoice including name and address of pharmacy, date of purchase, drug name
strength quantity
3. Must be less than 5% of annual medication sales
✔✔No record less than __ years old may be stored off-site - ✔✔2
✔✔Individuals/entities acquiring more than __% must notify the board within __ dyas -
✔✔25; 30
✔✔Dispensing errors that reached the patient must be reported within __ days of
discovery - ✔✔10
SOLUTIONS GRADED A+
✔✔Established patient definition... - ✔✔A patient that has been dispensed to more than
3 times in a calendar year
✔✔What is class Q pharmacy? - ✔✔Charitable pharmacy
✔✔Define a charitable pharmacy - ✔✔Pharmacy that provides services to indigent
people that have been screened and approved by a charitable organization and
deemed not to have sufficient funds to obtain needed medications.
✔✔How can a class Q pharmacy obtain medications? - ✔✔Must be donated by a
pharmacy, distributor, healthcare entity, or provider, in its original sealed package.
✔✔Class R pharmacy definition... - ✔✔Remote dispensing pharmacy
✔✔Class R pharmacies must be supervised by - ✔✔Continuous audio and video
✔✔To be eligible for licensure, a class R pharmacy must be __ miles away and
supervised by... - ✔✔10; A missouri licensed pharmacy
✔✔Class R pharmacies can participate in Class __,__, or __ functions under their class
R permis - ✔✔A B C
✔✔Supervising pharmacies of a class R pharmacy can be no more than __ miles away
unless otherwise approved by the board. - ✔✔50
✔✔How much experience must a tech have before working at a class R pharmacy?
Must they be certified? - ✔✔1 year. Yes.
✔✔Employer training of class R techs must occur when? - ✔✔Initially then annually.
✔✔Pharmacists supervising a class R pharmacy must be employed by and located at -
✔✔The supervising pharmacy
✔✔Clsas R pharmacies must be staffed at least - ✔✔8 hours per month
✔✔The Class R PIC must visit how often? - ✔✔Weekly during the first month, then
once monthly.
✔✔Can a toll free number for patient counseling be used for class R pharmacies? -
✔✔No
, ✔✔Maximum prescriptions per day allowed for a class R pharmacy? If this limit is
exceeded, then what? - ✔✔150 per day in the previous quarter. Pharmacy must apply
for class A, B, and C within 10 days of discovery.
✔✔When should scripts per day of a class R be checked? - ✔✔On or before the 10th
day day following the previous quarter.
✔✔Perpetual inventory of controlled meds at a class R must be reconciled how often? -
✔✔Twice per month.
✔✔Class R pharmacy records must be maintained for how long? - ✔✔Prescriptions
maintained for 5 years. Prescription numbers, tech training, and pharmacist visitation for
2 years.
✔✔Temperature records must be maintained for - ✔✔2 years
✔✔Can continuous temperature monitoring be used in place of daily temperature logs?
- ✔✔Yes
✔✔What is the pharmacist to tech staffing ratio requirement? - ✔✔There is not one
✔✔Badge requirements? - ✔✔Name and Title
✔✔Licensee's may only receive/purchase medication from: - ✔✔MO licensed distributor
or a US state/territory licensed pharmacy
✔✔Records stored off site must be retrievable within __ days - ✔✔2
✔✔Requirements for receiving medication from a non-missouri licensed pharmacy -
✔✔1. Proof that pharmacy has a current license
2. An invoice including name and address of pharmacy, date of purchase, drug name
strength quantity
3. Must be less than 5% of annual medication sales
✔✔No record less than __ years old may be stored off-site - ✔✔2
✔✔Individuals/entities acquiring more than __% must notify the board within __ dyas -
✔✔25; 30
✔✔Dispensing errors that reached the patient must be reported within __ days of
discovery - ✔✔10
