North Dakota Pharmacy
Board Jurisprudence
Exam (MPJE):
Comprehensive
Regulatory Report and
Elite Universal Test Bank
PART 0: THE NAVIGATOR
● Tier 1 (Questions 1–28) - Foundational Syntax & Application: Testing "Hard Deck"
definitions, core formulas, and primary North Dakota Century Code (NDCC) theories,
including Senate Bill 2402 parameters.
● Tier 2 (Questions 29–58) - Complex Application & Simulation: Situation-based
evaluations of PDMP mandates, controlled substance tracking, long-term care
regulations, and mid-level practitioner prescriptive limits.
● Tier 3 (Questions 59–88) - Grandmaster Synthesis: High-stakes, multi-variable
scenarios requiring the synthesis of liability, medical marijuana restrictions, telepharmacy
rules, and institutional drug diversion.
PART I: THE PRIMER
Mastering this specific test bank translates directly into elite legal and clinical performance,
forging practitioners capable of executing advanced clinical autonomy while remaining
impervious to regulatory audits and civil liability. The 2026 enactment of North Dakota Senate
Bill 2402 radically expanded pharmacist scope, demanding rigorous mastery of both new
independent authorities and strict legacy limitations.
● The "Critical Axioms" Cheat Sheet:
○ SB 2402 Prescriptive Autonomy: Pharmacists possess independent authority to
prescribe for influenza, strep, COVID-19, and travel medications following positive
CLIA-waived testing, and may execute therapeutic substitutions with a 24-hour
prescriber notification mandate.
○ The 9 Exempt Classes: Therapeutic substitution is strictly prohibited for nine drug
classes, including antidepressants, antipsychotics, anticonvulsants, and controlled
, substances.
○ Personnel Ratios: The absolute pharmacist-to-technician ratio is 1:4 in
retail/hospital settings and 1:5 in closed-door pharmacies; interns do not consume a
ratio slot.
○ Data Retention: Prescription records must be preserved for 5 years , whereas
closed pharmacy controlled substance inventories and Tech-check-Tech
Continuous Quality Improvement (CQI) logs require 2 years of retention.
○ Controlled Substance Partials: A Schedule II partial fill resulting from a pharmacy
stock deficit must be completed within 72 hours; a partial fill requested by the
patient or prescriber may be completed within 30 days.
Regulated Entity North Dakota Statutory Limit / Source Identifier
Rule
Pharmacist-to-Tech Ratio 1:4 (Retail/Hospital), 1:5
(Closed-door)
Prescription Retention 5 Years minimum retention
PDMP Query Mandate Initial CS fill, every 6 mos, early
refills
C-II Partial (Stock Outage) Remaining portion within 72
hours
C-II Partial (Patient Request) Remaining portion within 30
days
Medical Marijuana Limit Maximum 85 grams (3 oz) per
30 days
PART II: THE ELITE TEST BANK
Tier 1 - Foundational Syntax & Application
Q1: Under ND Senate Bill 2402, a pharmacist performs a CLIA-waived test for influenza that
yields a positive result. Based on the principles of the expanded prescriptive authority
framework, which action is the MOST ACCURATE? A) The pharmacist must obtain a
collaborative practice agreement from a physician before prescribing chemoprophylaxis. B) The
pharmacist must refer the patient to an urgent care clinic for a valid prescription. C) The
pharmacist may independently prescribe the appropriate antiviral medication. D) The
pharmacist may prescribe the antiviral but only dispense a 72-hour emergency supply.
● The Answer: C (The pharmacist may independently prescribe the appropriate antiviral
medication.)
● Distractor Analysis:
○ A is incorrect: SB 2402 grants independent prescriptive authority for this condition,
eliminating the collaborative practice agreement barrier.
○ B is incorrect: Referral delays care; the law explicitly empowers the pharmacist to
diagnose and treat this specific condition.
○ D is incorrect: There is no 72-hour emergency restriction on treating an infectious
disease under this statutory provision.
The Mentor's Analysis: SB 2402 removes legacy barriers, granting independent authority to
prescribe based on positive CLIA-waived tests. When facing acute, testable conditions, the
immediate priority is treating the patient safely at the counter. By utilizing independent
,prescriptive authority, you bypass the common trap of delaying care. Professional/Academic
Intuition: If it can be swabbed and tested via CLIA waiver, it can be independently
prescribed for in North Dakota.
Q2: A patient's primary insurance denies a prescribed antidepressant due to a formulary
lockout. Under ND SB 2402, the pharmacist considers a therapeutic substitution. Based on the
principles of ND pharmacy law, which conclusion is the MOST ACCURATE? A) The pharmacist
may substitute the medication if the patient verbally consents. B) The pharmacist may substitute
the medication but must notify the prescriber within 24 hours. C) The pharmacist is legally
prohibited from substituting this specific drug class. D) The pharmacist must query the PDMP
before substituting any medication.
● The Answer: C (The pharmacist is legally prohibited from substituting this specific drug
class.)
● Distractor Analysis:
○ A is incorrect: Antidepressants are statutorily exempt from pharmacist-driven
therapeutic substitution.
○ B is incorrect: Post-dispensing notification does not override the absolute statutory
ban on substituting this volatile class.
○ D is incorrect: The PDMP tracks controlled substances, not general therapeutic
substitutions.
The Mentor's Analysis: While SB 2402 expands substitution powers, it strictly protects nine
volatile drug classes from independent alteration. When facing an antidepressant rejection, the
immediate priority is contacting the prescriber directly. By utilizing the exemption list, you bypass
the common trap of illegal substitution. Professional/Academic Intuition: Never
independently substitute antipsychotics, antidepressants, or anticonvulsants.
Q3: A community retail pharmacy employs one pharmacist on the weekend shift. According to
NDAC 61-02-07.1, how many registered pharmacy technicians may be legally supervised
simultaneously? A) Three B) Four C) Five D) Six
● The Answer: B (Four)
● Distractor Analysis:
○ A is incorrect: Three is below the maximum allowed ratio, representing an inefficient
limitation.
○ C is incorrect: A 1:5 ratio is exclusively reserved for closed-door pharmacies that do
not deal directly with patients.
○ D is incorrect: Six exceeds all state maximum ratios.
The Mentor's Analysis: Safe dispensing workflow is mathematically capped to ensure adequate
oversight. When staffing a retail shift, the immediate priority is maintaining the 1:4 ratio. By
utilizing this hard limit, you bypass the common trap of under-supervised dispensing.
Professional/Academic Intuition: Retail equals four; closed doors equal five.
Q4: A patient presents a new prescription for a Schedule II opioid from an out-of-state dentist.
Based on ND Prescription Drug Monitoring Program (PDMP) rules, what is the pharmacist
required to do FIRST? A) Refuse the prescription because out-of-state prescribers are
inherently invalid. B) Request a one-year PDMP report and review it prior to dispensing. C)
Dispense the medication and submit the data to the central repository within 7 days. D) Contact
the dentist to verbally verify the DEA number.
● The Answer: B (Request a one-year PDMP report and review it prior to dispensing.)
● Distractor Analysis:
○ A is incorrect: Out-of-state prescribers are valid if actively licensed in their
respective jurisdictions.
, ○ C is incorrect: Dispenser reporting to the repository must occur daily, not weekly.
○ D is incorrect: While verification is good practice, reviewing the PDMP is the strict
statutory mandate for new controlled substance therapy.
The Mentor's Analysis: Unestablished controlled substance therapies pose high diversion and
overdose risks. When facing a new CS prescription, the immediate priority is querying the state
PDMP. By utilizing the historical review, you bypass the common trap of blind dispensing.
Professional/Academic Intuition: New patient, new opioid, mandatory one-year PDMP
query.
Q5: A pharmacy is undergoing a biennial audit. How long must a North Dakota pharmacy
preserve the original hard-copy prescription records for all dispensed medications? A) 2 years
B) 3 years C) 5 years D) 7 years
● The Answer: C (5 years)
● Distractor Analysis:
○ A is incorrect: Two years is the federal DEA minimum for inventory/invoices, which
does not supersede the ND prescription retention rule.
○ B is incorrect: Three years is the PDMP data retention limit at the state repository
level.
○ D is incorrect: Seven years is a standard federal tax retention period, not a
pharmacy board clinical standard.
The Mentor's Analysis: State law routinely enacts stricter standards than federal baselines.
When archiving files, the immediate priority is securing prescriptions for 60 months. By utilizing
the 5-year rule, you bypass the common trap of premature federal-aligned destruction.
Professional/Academic Intuition: The DEA asks for two years; North Dakota demands
five.
Q6: A pharmacist-in-charge (PIC) abruptly resigns from a community pharmacy. According to
NDAC 61-02-01, what happens to the pharmacy permit? A) It automatically transfers to the
interim PIC. B) It expires immediately, and the pharmacy must close until a new permit is issued.
C) The permit holder must notify the board, and a new permit application is required setting forth
the changes. D) The permit remains valid unconditionally until its annual June 30th expiration
date.
● The Answer: C (The permit holder must notify the board, and a new permit application is
required setting forth the changes.)
● Distractor Analysis:
○ A is incorrect: Pharmacy permits are strictly non-transferable.
○ B is incorrect: The pharmacy does not close immediately if transitional application
steps are followed legally.
○ D is incorrect: A change in PIC fundamentally alters the permit's validity, requiring
immediate action.
The Mentor's Analysis: Pharmacy permits are inextricably linked to the PIC's active license and
oversight. When a PIC leaves, the immediate priority is submitting a new application to secure
continuity of operations. By utilizing the board notification process, you bypass the common trap
of operating an unlicensed facility. Professional/Academic Intuition: A new PIC demands a
new piece of paper from the state.
Q7: A registered pharmacy technician wishes to renew their annual registration. What is the
minimum continuing education (CE) requirement they must attest to completing? A) 5 hours B)
10 hours C) 15 hours D) 20 hours
● The Answer: B (10 hours)
● Distractor Analysis:
Board Jurisprudence
Exam (MPJE):
Comprehensive
Regulatory Report and
Elite Universal Test Bank
PART 0: THE NAVIGATOR
● Tier 1 (Questions 1–28) - Foundational Syntax & Application: Testing "Hard Deck"
definitions, core formulas, and primary North Dakota Century Code (NDCC) theories,
including Senate Bill 2402 parameters.
● Tier 2 (Questions 29–58) - Complex Application & Simulation: Situation-based
evaluations of PDMP mandates, controlled substance tracking, long-term care
regulations, and mid-level practitioner prescriptive limits.
● Tier 3 (Questions 59–88) - Grandmaster Synthesis: High-stakes, multi-variable
scenarios requiring the synthesis of liability, medical marijuana restrictions, telepharmacy
rules, and institutional drug diversion.
PART I: THE PRIMER
Mastering this specific test bank translates directly into elite legal and clinical performance,
forging practitioners capable of executing advanced clinical autonomy while remaining
impervious to regulatory audits and civil liability. The 2026 enactment of North Dakota Senate
Bill 2402 radically expanded pharmacist scope, demanding rigorous mastery of both new
independent authorities and strict legacy limitations.
● The "Critical Axioms" Cheat Sheet:
○ SB 2402 Prescriptive Autonomy: Pharmacists possess independent authority to
prescribe for influenza, strep, COVID-19, and travel medications following positive
CLIA-waived testing, and may execute therapeutic substitutions with a 24-hour
prescriber notification mandate.
○ The 9 Exempt Classes: Therapeutic substitution is strictly prohibited for nine drug
classes, including antidepressants, antipsychotics, anticonvulsants, and controlled
, substances.
○ Personnel Ratios: The absolute pharmacist-to-technician ratio is 1:4 in
retail/hospital settings and 1:5 in closed-door pharmacies; interns do not consume a
ratio slot.
○ Data Retention: Prescription records must be preserved for 5 years , whereas
closed pharmacy controlled substance inventories and Tech-check-Tech
Continuous Quality Improvement (CQI) logs require 2 years of retention.
○ Controlled Substance Partials: A Schedule II partial fill resulting from a pharmacy
stock deficit must be completed within 72 hours; a partial fill requested by the
patient or prescriber may be completed within 30 days.
Regulated Entity North Dakota Statutory Limit / Source Identifier
Rule
Pharmacist-to-Tech Ratio 1:4 (Retail/Hospital), 1:5
(Closed-door)
Prescription Retention 5 Years minimum retention
PDMP Query Mandate Initial CS fill, every 6 mos, early
refills
C-II Partial (Stock Outage) Remaining portion within 72
hours
C-II Partial (Patient Request) Remaining portion within 30
days
Medical Marijuana Limit Maximum 85 grams (3 oz) per
30 days
PART II: THE ELITE TEST BANK
Tier 1 - Foundational Syntax & Application
Q1: Under ND Senate Bill 2402, a pharmacist performs a CLIA-waived test for influenza that
yields a positive result. Based on the principles of the expanded prescriptive authority
framework, which action is the MOST ACCURATE? A) The pharmacist must obtain a
collaborative practice agreement from a physician before prescribing chemoprophylaxis. B) The
pharmacist must refer the patient to an urgent care clinic for a valid prescription. C) The
pharmacist may independently prescribe the appropriate antiviral medication. D) The
pharmacist may prescribe the antiviral but only dispense a 72-hour emergency supply.
● The Answer: C (The pharmacist may independently prescribe the appropriate antiviral
medication.)
● Distractor Analysis:
○ A is incorrect: SB 2402 grants independent prescriptive authority for this condition,
eliminating the collaborative practice agreement barrier.
○ B is incorrect: Referral delays care; the law explicitly empowers the pharmacist to
diagnose and treat this specific condition.
○ D is incorrect: There is no 72-hour emergency restriction on treating an infectious
disease under this statutory provision.
The Mentor's Analysis: SB 2402 removes legacy barriers, granting independent authority to
prescribe based on positive CLIA-waived tests. When facing acute, testable conditions, the
immediate priority is treating the patient safely at the counter. By utilizing independent
,prescriptive authority, you bypass the common trap of delaying care. Professional/Academic
Intuition: If it can be swabbed and tested via CLIA waiver, it can be independently
prescribed for in North Dakota.
Q2: A patient's primary insurance denies a prescribed antidepressant due to a formulary
lockout. Under ND SB 2402, the pharmacist considers a therapeutic substitution. Based on the
principles of ND pharmacy law, which conclusion is the MOST ACCURATE? A) The pharmacist
may substitute the medication if the patient verbally consents. B) The pharmacist may substitute
the medication but must notify the prescriber within 24 hours. C) The pharmacist is legally
prohibited from substituting this specific drug class. D) The pharmacist must query the PDMP
before substituting any medication.
● The Answer: C (The pharmacist is legally prohibited from substituting this specific drug
class.)
● Distractor Analysis:
○ A is incorrect: Antidepressants are statutorily exempt from pharmacist-driven
therapeutic substitution.
○ B is incorrect: Post-dispensing notification does not override the absolute statutory
ban on substituting this volatile class.
○ D is incorrect: The PDMP tracks controlled substances, not general therapeutic
substitutions.
The Mentor's Analysis: While SB 2402 expands substitution powers, it strictly protects nine
volatile drug classes from independent alteration. When facing an antidepressant rejection, the
immediate priority is contacting the prescriber directly. By utilizing the exemption list, you bypass
the common trap of illegal substitution. Professional/Academic Intuition: Never
independently substitute antipsychotics, antidepressants, or anticonvulsants.
Q3: A community retail pharmacy employs one pharmacist on the weekend shift. According to
NDAC 61-02-07.1, how many registered pharmacy technicians may be legally supervised
simultaneously? A) Three B) Four C) Five D) Six
● The Answer: B (Four)
● Distractor Analysis:
○ A is incorrect: Three is below the maximum allowed ratio, representing an inefficient
limitation.
○ C is incorrect: A 1:5 ratio is exclusively reserved for closed-door pharmacies that do
not deal directly with patients.
○ D is incorrect: Six exceeds all state maximum ratios.
The Mentor's Analysis: Safe dispensing workflow is mathematically capped to ensure adequate
oversight. When staffing a retail shift, the immediate priority is maintaining the 1:4 ratio. By
utilizing this hard limit, you bypass the common trap of under-supervised dispensing.
Professional/Academic Intuition: Retail equals four; closed doors equal five.
Q4: A patient presents a new prescription for a Schedule II opioid from an out-of-state dentist.
Based on ND Prescription Drug Monitoring Program (PDMP) rules, what is the pharmacist
required to do FIRST? A) Refuse the prescription because out-of-state prescribers are
inherently invalid. B) Request a one-year PDMP report and review it prior to dispensing. C)
Dispense the medication and submit the data to the central repository within 7 days. D) Contact
the dentist to verbally verify the DEA number.
● The Answer: B (Request a one-year PDMP report and review it prior to dispensing.)
● Distractor Analysis:
○ A is incorrect: Out-of-state prescribers are valid if actively licensed in their
respective jurisdictions.
, ○ C is incorrect: Dispenser reporting to the repository must occur daily, not weekly.
○ D is incorrect: While verification is good practice, reviewing the PDMP is the strict
statutory mandate for new controlled substance therapy.
The Mentor's Analysis: Unestablished controlled substance therapies pose high diversion and
overdose risks. When facing a new CS prescription, the immediate priority is querying the state
PDMP. By utilizing the historical review, you bypass the common trap of blind dispensing.
Professional/Academic Intuition: New patient, new opioid, mandatory one-year PDMP
query.
Q5: A pharmacy is undergoing a biennial audit. How long must a North Dakota pharmacy
preserve the original hard-copy prescription records for all dispensed medications? A) 2 years
B) 3 years C) 5 years D) 7 years
● The Answer: C (5 years)
● Distractor Analysis:
○ A is incorrect: Two years is the federal DEA minimum for inventory/invoices, which
does not supersede the ND prescription retention rule.
○ B is incorrect: Three years is the PDMP data retention limit at the state repository
level.
○ D is incorrect: Seven years is a standard federal tax retention period, not a
pharmacy board clinical standard.
The Mentor's Analysis: State law routinely enacts stricter standards than federal baselines.
When archiving files, the immediate priority is securing prescriptions for 60 months. By utilizing
the 5-year rule, you bypass the common trap of premature federal-aligned destruction.
Professional/Academic Intuition: The DEA asks for two years; North Dakota demands
five.
Q6: A pharmacist-in-charge (PIC) abruptly resigns from a community pharmacy. According to
NDAC 61-02-01, what happens to the pharmacy permit? A) It automatically transfers to the
interim PIC. B) It expires immediately, and the pharmacy must close until a new permit is issued.
C) The permit holder must notify the board, and a new permit application is required setting forth
the changes. D) The permit remains valid unconditionally until its annual June 30th expiration
date.
● The Answer: C (The permit holder must notify the board, and a new permit application is
required setting forth the changes.)
● Distractor Analysis:
○ A is incorrect: Pharmacy permits are strictly non-transferable.
○ B is incorrect: The pharmacy does not close immediately if transitional application
steps are followed legally.
○ D is incorrect: A change in PIC fundamentally alters the permit's validity, requiring
immediate action.
The Mentor's Analysis: Pharmacy permits are inextricably linked to the PIC's active license and
oversight. When a PIC leaves, the immediate priority is submitting a new application to secure
continuity of operations. By utilizing the board notification process, you bypass the common trap
of operating an unlicensed facility. Professional/Academic Intuition: A new PIC demands a
new piece of paper from the state.
Q7: A registered pharmacy technician wishes to renew their annual registration. What is the
minimum continuing education (CE) requirement they must attest to completing? A) 5 hours B)
10 hours C) 15 hours D) 20 hours
● The Answer: B (10 hours)
● Distractor Analysis:
