MISSOURI MPJE 2026 TEST PAPER QUESTIONS AND
SOLUTIONS GRADED A+
✔✔When a pharmacist is not readily available/supervising, techs/interns can... -
✔✔Accept written/electronic prescriptions, but cannot take verbal orders or perform any
other tasks.
✔✔What type of notification is required if there is no pharmacist present? - ✔✔No
Pharmacist on Duty at least two inches in height.
✔✔If the pharmacy is being remotely supervised, how must the public be notified? -
✔✔No pharmacist on duty sign
✔✔Technology assisted supervision is not allowed when techs/interns are... -
✔✔Administering meds/vaccines, compounding, preparing, or dispensing medication.
✔✔Technology assisted- supervision requirements - ✔✔Two-way communication by
audio, completion of employer approved training and compliance kept for 2 years, 5-
year audit trail of all activity.
✔✔Pharmacist prescriptive authority - ✔✔NRT
Naloxone, Naltrexone
HIV PEP
Emergency medication supply if unable to obtain refill authorizations
✔✔Pharmacists may accept a hard copy prescription where? - ✔✔Only on pharmacy
premises.
✔✔If a pharmacist can't accept a prescription off-site, can a tech? - ✔✔No, but remote
data sentry techs can enter data remotely if following the law
✔✔What is a class I permit? - ✔✔A consultant pharmacy permit
✔✔A Missouri pharmacy permit is not required for a pharmacist when - ✔✔They are
only providing consulting services
✔✔A pharmacist located in another state can perform pharmacy services if - ✔✔They
are a missouri licensed pharmacist or are working for a missouri licensed pharmacy.
✔✔Can pharmacists perform lab testing? - ✔✔Yes, due to absent statutory direction.
However pharmacists can't "diagnose"
✔✔Prior to prescribing NRT, a pharmacist must... - ✔✔Collect PMH
Screen for high risk patients
,Prescribe based on clinical guidelines
✔✔Pharmacy records must be maintained for __ years - ✔✔5
✔✔Patient medical records kept at the pharmacy must be produced immediately or
within _____ after request from the BOP. Records not maintained at a pharmacy must
be produced within ___. - ✔✔2 hours; 3 business days
✔✔What information must be collected when dispensing naltrexone - ✔✔Pt name, dob,
address, ph#
Date pt seen
PCP
Documentation of screening/testing
PMH
Name and dosage of drug
Any recommended plan, follow-up, or referral
✔✔How many hours per week must a PIC be present? - ✔✔There is no set amount of
hours
✔✔What are the requirements that must be met for a pharmacist to be PIC at more than
one pharmacy? - ✔✔The PIC must be present enough to be regularly engaged with the
operations of the pharmacy (subject to interpretation by the PIC and permit holder)
✔✔In the event of a PIC leaving, the pharmacy should notify the board within ____. -
✔✔15 days
✔✔Describe inventory requirements for PIC changes - ✔✔CII-CV inventory must be
counted (including pseudoephedrine) immediately prior to or at time of PIC change.
Outgoing and incoming PIC may conduct inventory together.
✔✔In the event of a PIC change, what are the pharmacy's options involving continuing
its operations. - ✔✔Cease operations until new PIC is appointed or appoint someone
Interim Supervising Pharmacist for a period no longer than 30 days.
✔✔Does an inventory need to take place when an Interim supervising pharmacist is
named? - ✔✔Yes, immediately, and retained for 2 years.
✔✔An interim pharmacist may only serve for ___ days. After that if more time is
needed, the board must be notified by email or fax for extension (T/F). - ✔✔30; F, 30
days is the maximum allowable time. No extensions.
✔✔Pharmacy permits may be owned by sole proprietors or LLP/LLCs. When must you
receive a new permit? How long are they good for? - ✔✔A new permit must be made
, anytime change of ownership occurs, even in the event of naming a new business
partner. They are good for the life of that ownership.
✔✔CVS is a publicly traded company that owns pharmacies across missouri. They
have a new large shareholder of 10%. Does the board of pharmacy need to be notified
of ownership change? - ✔✔No. Pharmacies owned by corporations are owned by the
corporation, not the shareholders.
✔✔An individual must notify the board within __ days of any purchase of more than
__% of a pharmacy. - ✔✔30 days; 25%
✔✔May the board give a temporary pharmacy permit in the event of new pharmacy
ownership until a new permit is issued? - ✔✔Yes
✔✔A pharmacy location change is required when.... - ✔✔A pharmacy has a physical
address change
✔✔You must notify your _______ within __ days prior when remodeling if the remodel
consists of _______,______,______. - ✔✔Inspector or board office; 30; Change in C2
storage, new connections to water or sewer, any change in physical security of the
drugs.
✔✔Are inspections required for remodels and location changes? - ✔✔Only required for
location changes if it is an in-state pharmacy.
✔✔How do you notify the board of pharmacy of emergency relocation? - ✔✔Change of
Location form filed for the new temporary location.
✔✔Can a temporary site be out of state? - ✔✔No
✔✔How long are temporary permits good for? - ✔✔Up to 6 months
✔✔Describe the process of moving back into a permanent location from a temporary
location? - ✔✔A second change of location application must be filed.
✔✔How long are emergency temporary pharmacy permits good for? - ✔✔30 days
✔✔A ______ form must be filed with the board within __ days after the permit holder
stops operating and the permit must be returned tot he office. - ✔✔Out of business
notification; 15
✔✔Records of a pharmacy that has been closed must be provided within __ days after
a request from the board - ✔✔7
SOLUTIONS GRADED A+
✔✔When a pharmacist is not readily available/supervising, techs/interns can... -
✔✔Accept written/electronic prescriptions, but cannot take verbal orders or perform any
other tasks.
✔✔What type of notification is required if there is no pharmacist present? - ✔✔No
Pharmacist on Duty at least two inches in height.
✔✔If the pharmacy is being remotely supervised, how must the public be notified? -
✔✔No pharmacist on duty sign
✔✔Technology assisted supervision is not allowed when techs/interns are... -
✔✔Administering meds/vaccines, compounding, preparing, or dispensing medication.
✔✔Technology assisted- supervision requirements - ✔✔Two-way communication by
audio, completion of employer approved training and compliance kept for 2 years, 5-
year audit trail of all activity.
✔✔Pharmacist prescriptive authority - ✔✔NRT
Naloxone, Naltrexone
HIV PEP
Emergency medication supply if unable to obtain refill authorizations
✔✔Pharmacists may accept a hard copy prescription where? - ✔✔Only on pharmacy
premises.
✔✔If a pharmacist can't accept a prescription off-site, can a tech? - ✔✔No, but remote
data sentry techs can enter data remotely if following the law
✔✔What is a class I permit? - ✔✔A consultant pharmacy permit
✔✔A Missouri pharmacy permit is not required for a pharmacist when - ✔✔They are
only providing consulting services
✔✔A pharmacist located in another state can perform pharmacy services if - ✔✔They
are a missouri licensed pharmacist or are working for a missouri licensed pharmacy.
✔✔Can pharmacists perform lab testing? - ✔✔Yes, due to absent statutory direction.
However pharmacists can't "diagnose"
✔✔Prior to prescribing NRT, a pharmacist must... - ✔✔Collect PMH
Screen for high risk patients
,Prescribe based on clinical guidelines
✔✔Pharmacy records must be maintained for __ years - ✔✔5
✔✔Patient medical records kept at the pharmacy must be produced immediately or
within _____ after request from the BOP. Records not maintained at a pharmacy must
be produced within ___. - ✔✔2 hours; 3 business days
✔✔What information must be collected when dispensing naltrexone - ✔✔Pt name, dob,
address, ph#
Date pt seen
PCP
Documentation of screening/testing
PMH
Name and dosage of drug
Any recommended plan, follow-up, or referral
✔✔How many hours per week must a PIC be present? - ✔✔There is no set amount of
hours
✔✔What are the requirements that must be met for a pharmacist to be PIC at more than
one pharmacy? - ✔✔The PIC must be present enough to be regularly engaged with the
operations of the pharmacy (subject to interpretation by the PIC and permit holder)
✔✔In the event of a PIC leaving, the pharmacy should notify the board within ____. -
✔✔15 days
✔✔Describe inventory requirements for PIC changes - ✔✔CII-CV inventory must be
counted (including pseudoephedrine) immediately prior to or at time of PIC change.
Outgoing and incoming PIC may conduct inventory together.
✔✔In the event of a PIC change, what are the pharmacy's options involving continuing
its operations. - ✔✔Cease operations until new PIC is appointed or appoint someone
Interim Supervising Pharmacist for a period no longer than 30 days.
✔✔Does an inventory need to take place when an Interim supervising pharmacist is
named? - ✔✔Yes, immediately, and retained for 2 years.
✔✔An interim pharmacist may only serve for ___ days. After that if more time is
needed, the board must be notified by email or fax for extension (T/F). - ✔✔30; F, 30
days is the maximum allowable time. No extensions.
✔✔Pharmacy permits may be owned by sole proprietors or LLP/LLCs. When must you
receive a new permit? How long are they good for? - ✔✔A new permit must be made
, anytime change of ownership occurs, even in the event of naming a new business
partner. They are good for the life of that ownership.
✔✔CVS is a publicly traded company that owns pharmacies across missouri. They
have a new large shareholder of 10%. Does the board of pharmacy need to be notified
of ownership change? - ✔✔No. Pharmacies owned by corporations are owned by the
corporation, not the shareholders.
✔✔An individual must notify the board within __ days of any purchase of more than
__% of a pharmacy. - ✔✔30 days; 25%
✔✔May the board give a temporary pharmacy permit in the event of new pharmacy
ownership until a new permit is issued? - ✔✔Yes
✔✔A pharmacy location change is required when.... - ✔✔A pharmacy has a physical
address change
✔✔You must notify your _______ within __ days prior when remodeling if the remodel
consists of _______,______,______. - ✔✔Inspector or board office; 30; Change in C2
storage, new connections to water or sewer, any change in physical security of the
drugs.
✔✔Are inspections required for remodels and location changes? - ✔✔Only required for
location changes if it is an in-state pharmacy.
✔✔How do you notify the board of pharmacy of emergency relocation? - ✔✔Change of
Location form filed for the new temporary location.
✔✔Can a temporary site be out of state? - ✔✔No
✔✔How long are temporary permits good for? - ✔✔Up to 6 months
✔✔Describe the process of moving back into a permanent location from a temporary
location? - ✔✔A second change of location application must be filed.
✔✔How long are emergency temporary pharmacy permits good for? - ✔✔30 days
✔✔A ______ form must be filed with the board within __ days after the permit holder
stops operating and the permit must be returned tot he office. - ✔✔Out of business
notification; 15
✔✔Records of a pharmacy that has been closed must be provided within __ days after
a request from the board - ✔✔7
