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Ohio MPJE Exam | Latest Verified Questions and
Detailed Answers
OVERVIEW DESCRIPTION:
This comprehensive set of multiple-choice questions is designed for the Ohio MPJE,
emphasizing federal and Ohio-specific laws. Key topics include controlled substance rules
(C-II 30-day fill, C-III-V 90-day limits), mandatory ICD-10 codes and day supply for
gabapentin and controls, pharmacist-to-technician/intern ratios, duty boundaries, labeling,
counseling, 3-year recordkeeping, transfer rules, emergency refills, and professional
responsibility. Each question includes a brief rationale to reinforce the legal standard or
board rule being tested.
QUESTION 1
A pharmacist receives a prescription for gabapentin 300 mg capsules #90 with three
refills. Under Ohio law, what additional information must be documented on the
prescription before dispensing?
A) Patient’s height and weight
B) Indication for use
C) ICD-10 code and day supply
D) NPI of the prescribing dentist
CORRECT ANSWER: C
EXPERT RATIONALE: Ohio law requires ICD-10 code and day supply on all gabapentin
and controlled substance prescriptions. This is to monitor for potential misuse.
QUESTION 2
A pharmacy employs one pharmacist, two certified technicians, and one intern. The
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pharmacist must leave for an emergency. What may the intern do in the pharmacist’s
absence?
A) Verify filled prescriptions
B) Counsel patients
C) Perform final check of technician’s work
D) Nothing that requires pharmacist supervision
CORRECT ANSWER: D
EXPERT RATIONALE: An intern must be directly supervised by a pharmacist on-site.
Without a pharmacist present, the intern cannot perform any pharmacy duties.
QUESTION 3
Which of the following tasks may a pharmacy technician perform independently under
Ohio law?
A) Accept a new verbal prescription from a prescriber
B) Transfer a controlled substance prescription to another pharmacy
C) Count medication and affix the label
D) Counsel a patient on minor side effects
CORRECT ANSWER: C
EXPERT RATIONALE: Technicians may perform non-judgmental tasks like counting and
labeling. Counseling, transfers, and taking verbal prescriptions require a pharmacist.
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QUESTION 4
A Schedule II controlled substance prescription is presented with a date of 60 days ago.
Under Ohio law, can it be filled?
A) Yes, if the pharmacist calls the prescriber for verification
B) Yes, Schedule II has no expiration in Ohio
C) No, Ohio law prohibits filling Schedule II after 30 days from issue date
D) No, but Schedule III-V can be filled up to 6 months
CORRECT ANSWER: C
EXPERT RATIONALE: Ohio law requires Schedule II prescriptions be filled within 30
days of the issue date. Schedule III-V must be filled within 90 days.
QUESTION 5
A pharmacist is counseling a patient on a new prescription for lisinopril. Under Ohio law,
which statement is correct?
A) Counseling is mandatory only for controlled substances
B) Counseling is mandatory for all new prescriptions
C) Counseling is required only if the patient asks
D) Counseling may be delegated to a certified technician
CORRECT ANSWER: B
EXPERT RATIONALE: Ohio requires the pharmacist to offer and provide counseling on
all new prescriptions, not just controlled substances.
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QUESTION 6
What is the maximum pharmacist-to-technician ratio in an Ohio community pharmacy
with one pharmacist on duty?
A) 1:1
B) 1:2
C) 1:3
D) 1:4
CORRECT ANSWER: B
EXPERT RATIONALE: Ohio law allows a ratio of 1 pharmacist to 2 technicians (or 1
technician + 1 intern). More technicians require additional pharmacists.
QUESTION 7
A prescriber writes for oxycodone 5 mg, #30, with “dispense as written” checked. The
pharmacist only has oxycodone 10 mg tablets. What is the correct action?
A) Split the 10 mg tablets and dispense half
B) Dispense the 10 mg and instruct patient to take half
C) Contact the prescriber for authorization to change strength
D) Change to hydrocodone 5 mg as equivalent
CORRECT ANSWER: C
EXPERT RATIONALE: Under Ohio and federal law, a pharmacist cannot alter the
strength of a Schedule II without prescriber authorization, even if splitting is possible.
Ohio MPJE Exam | Latest Verified Questions and
Detailed Answers
OVERVIEW DESCRIPTION:
This comprehensive set of multiple-choice questions is designed for the Ohio MPJE,
emphasizing federal and Ohio-specific laws. Key topics include controlled substance rules
(C-II 30-day fill, C-III-V 90-day limits), mandatory ICD-10 codes and day supply for
gabapentin and controls, pharmacist-to-technician/intern ratios, duty boundaries, labeling,
counseling, 3-year recordkeeping, transfer rules, emergency refills, and professional
responsibility. Each question includes a brief rationale to reinforce the legal standard or
board rule being tested.
QUESTION 1
A pharmacist receives a prescription for gabapentin 300 mg capsules #90 with three
refills. Under Ohio law, what additional information must be documented on the
prescription before dispensing?
A) Patient’s height and weight
B) Indication for use
C) ICD-10 code and day supply
D) NPI of the prescribing dentist
CORRECT ANSWER: C
EXPERT RATIONALE: Ohio law requires ICD-10 code and day supply on all gabapentin
and controlled substance prescriptions. This is to monitor for potential misuse.
QUESTION 2
A pharmacy employs one pharmacist, two certified technicians, and one intern. The
,2|Page
pharmacist must leave for an emergency. What may the intern do in the pharmacist’s
absence?
A) Verify filled prescriptions
B) Counsel patients
C) Perform final check of technician’s work
D) Nothing that requires pharmacist supervision
CORRECT ANSWER: D
EXPERT RATIONALE: An intern must be directly supervised by a pharmacist on-site.
Without a pharmacist present, the intern cannot perform any pharmacy duties.
QUESTION 3
Which of the following tasks may a pharmacy technician perform independently under
Ohio law?
A) Accept a new verbal prescription from a prescriber
B) Transfer a controlled substance prescription to another pharmacy
C) Count medication and affix the label
D) Counsel a patient on minor side effects
CORRECT ANSWER: C
EXPERT RATIONALE: Technicians may perform non-judgmental tasks like counting and
labeling. Counseling, transfers, and taking verbal prescriptions require a pharmacist.
,3|Page
QUESTION 4
A Schedule II controlled substance prescription is presented with a date of 60 days ago.
Under Ohio law, can it be filled?
A) Yes, if the pharmacist calls the prescriber for verification
B) Yes, Schedule II has no expiration in Ohio
C) No, Ohio law prohibits filling Schedule II after 30 days from issue date
D) No, but Schedule III-V can be filled up to 6 months
CORRECT ANSWER: C
EXPERT RATIONALE: Ohio law requires Schedule II prescriptions be filled within 30
days of the issue date. Schedule III-V must be filled within 90 days.
QUESTION 5
A pharmacist is counseling a patient on a new prescription for lisinopril. Under Ohio law,
which statement is correct?
A) Counseling is mandatory only for controlled substances
B) Counseling is mandatory for all new prescriptions
C) Counseling is required only if the patient asks
D) Counseling may be delegated to a certified technician
CORRECT ANSWER: B
EXPERT RATIONALE: Ohio requires the pharmacist to offer and provide counseling on
all new prescriptions, not just controlled substances.
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QUESTION 6
What is the maximum pharmacist-to-technician ratio in an Ohio community pharmacy
with one pharmacist on duty?
A) 1:1
B) 1:2
C) 1:3
D) 1:4
CORRECT ANSWER: B
EXPERT RATIONALE: Ohio law allows a ratio of 1 pharmacist to 2 technicians (or 1
technician + 1 intern). More technicians require additional pharmacists.
QUESTION 7
A prescriber writes for oxycodone 5 mg, #30, with “dispense as written” checked. The
pharmacist only has oxycodone 10 mg tablets. What is the correct action?
A) Split the 10 mg tablets and dispense half
B) Dispense the 10 mg and instruct patient to take half
C) Contact the prescriber for authorization to change strength
D) Change to hydrocodone 5 mg as equivalent
CORRECT ANSWER: C
EXPERT RATIONALE: Under Ohio and federal law, a pharmacist cannot alter the
strength of a Schedule II without prescriber authorization, even if splitting is possible.
