NEVADA MPJE UPDATED COMPREHENSIVE EXAM
QUESTIONS AND ANSWERS SURE A+
✔✔Which items are required on the LABELING of C2-5 prescriptions? - ✔✔(1) date of
initial filling and if refilled, date of filling. (2) pharmacy name and address. (3)
prescription number. (4) name of the patient. (5) name of the prescribing physician. (6)
directions for use. (7) cautionary statements for C2-4: federal law prohibits the transfer
of this drug to any person other than the patient for whom it was prescribed.
✔✔Labeling requirements don't apply for controlled drugs if it is being used for
administration to an institutionalized patient, so long as... - ✔✔if it's a C2, no more than
7-ds at a time. If c3-5, no more than 35-ds at a time. And patient does not have
possession of the drug (it's for direct administration).
✔✔True or false: the DEA allows for the pre- or post-dating of controlled substance
prescriptions. - ✔✔FALSE. However, the law does allow a physician to write multiple C2
RXs so long as "do not fill until ..." is written on the prescription.
✔✔What does federal law say about non-prescription schedule V sales vs. state law? -
✔✔dispensed only by a pharmacist/intern (same as state). BUT, the difference between
state and federal - federal allows for max 240ml or 48 dosage units of opium containing
product, or not more than 120ml or 24 dosage units of any other CS product to the
same purchaser in a 48 hour period (state says max 60ml, or 1oz in 4oz total of
,paregoric). Purchaser must be 18 years old (state says 21). Record keeping for state
and federal is the same. Maintain records for 2 years.
✔✔Can C3-5 rxs be transferred to another pharmacy? - ✔✔If it's a different pharmacy, it
can be transferred ONCE. If it's a chain pharmacy that shares an online database, the
rx can be transferred back and forth up to the maximum refills permitted by law and the
prescribers authorization.
✔✔Can controlled substances be mailed via USPS? What are the requirements? -
✔✔YES. The inner container should be marked and sealed and placed in a plain outer
container or securely wrapped in plain paper. The inner container should contain the
name and address of the pharmacy, practitioner, or other person dispensing the
medication. The outside wrapper should be free of markings that would indicate the
nature of the contents.
✔✔Can controlled substances be shipped to individuals in another country? - NO! not
without proper authorization. The registrant must be registered with the DEA as an
"exporter" and has an export permit. - ✔✔
✔✔Which physicians are able to prescribe naloxone/buprenorphine? - ✔✔must have
special DEA registration (begins with an X). These physicians are board certified in
addiction psychiatry or addiction medicine (at least 8 hours of authorized training in the
treatment and management of opioid-dependent patients). 1st year - max 30 patients.
After 1 year, can treat up to 100 patients.
✔✔What is the 3 day rule in regards to opioid treatment programs? - ✔✔this rule refers
to physicians ONLY - does not apply to pharmacists. This rule allows prescribers who
have not yet obtained their DEA X number to ADMINISTER, but they cannot prescribe,
narcotics to patients for relieving acute withdrawal symptoms for up to 3 days.
✔✔How many intern hours must a pharmacist applicant complete in order to get
licensed? - ✔✔1740 hours
✔✔Can a pharmacist implement modifications or monitoring to drug therapy in a
patient? - ✔✔yes - but must have prescriber approval. Can make changes is pharmacist
has a collaborative agreement with a physician - this protocol outlines what a
pharmacist can change and in which situations this is possible - must be approved by
the board.
✔✔Can a pharmacist receive a temporary license in Nevada? - ✔✔yes - for up to 6
months if they qualify.
✔✔Can a pharmacy receive a temporary license in Nevada? - ✔✔YES, if they move to
a new location, they may be issued a temporary license. The board will issue a
, permanent license once a satisfactory inspection of the premises occurs at the next
scheduled board meeting.
✔✔Who makes up the pharmacy board? - ✔✔7 members appointed by the governor. 6
members are RPh with at least 5 years of experience, and are actively engaged in the
practice of pharmacy. 1 member is a member of the general public. Terms are 3 years
long. Max: 3 consecutive terms.
✔✔What is "Inactive status" for a pharmacist license? - ✔✔pharmacist must complete
an application and a statement certifying (1) not engaging in the practice of pharmacy in
this state, and (2) will not engage in the practice of pharmacy in the state while placed
on inactive status. (basically - is not, and will not, participate in the practice of
pharmacy)
✔✔True or false: a pharmacist license on "inactive status" must renew certificate of
registration biennially. - ✔✔TRUE
✔✔True or false: a pharmacist license on "inactive status" must complete continuing
education requirements during the inactive status period. - ✔✔FALSE. Not required to
complete CEs.
✔✔True or false: a pharmacist license on "inactive status" may apply to the board to
have their license returned to active status. - ✔✔TRUE
✔✔How can a pharmacist on "inactive status" return to "active status" - ✔✔send in an
application. The board will return to active status if (1) the pharmacist holds an active
license in another state OR (2) complete 30 units CE within the 2 years before the
application is filed AND passed the written CE exam on law.
✔✔What must the pharmacist submit for return to active status if they were granted
inactive status due to medical disability? - ✔✔must submit proof that they are physically
capable of resuming the practice of pharmacy
✔✔How does a pharmacist renew a registration if they forfeited their original license
(pharmacist did not renew)? - ✔✔If it's been less than 5 years, the board may renew so
long as the pharmacist hasn't committed any acts (NRS 639.210) other than failure to
renew AND they are capable and qualified (education/experience) to practice
pharmacy.
✔✔How long must a pharmacist wait to petition the board for reinstatement of licensure
if that license has been revoked? - ✔✔the pharmacist may petition after 1 year from the
date of revocation. The petition will be heard at the next board meeting, at least 30 days
after the petition is submitted.
QUESTIONS AND ANSWERS SURE A+
✔✔Which items are required on the LABELING of C2-5 prescriptions? - ✔✔(1) date of
initial filling and if refilled, date of filling. (2) pharmacy name and address. (3)
prescription number. (4) name of the patient. (5) name of the prescribing physician. (6)
directions for use. (7) cautionary statements for C2-4: federal law prohibits the transfer
of this drug to any person other than the patient for whom it was prescribed.
✔✔Labeling requirements don't apply for controlled drugs if it is being used for
administration to an institutionalized patient, so long as... - ✔✔if it's a C2, no more than
7-ds at a time. If c3-5, no more than 35-ds at a time. And patient does not have
possession of the drug (it's for direct administration).
✔✔True or false: the DEA allows for the pre- or post-dating of controlled substance
prescriptions. - ✔✔FALSE. However, the law does allow a physician to write multiple C2
RXs so long as "do not fill until ..." is written on the prescription.
✔✔What does federal law say about non-prescription schedule V sales vs. state law? -
✔✔dispensed only by a pharmacist/intern (same as state). BUT, the difference between
state and federal - federal allows for max 240ml or 48 dosage units of opium containing
product, or not more than 120ml or 24 dosage units of any other CS product to the
same purchaser in a 48 hour period (state says max 60ml, or 1oz in 4oz total of
,paregoric). Purchaser must be 18 years old (state says 21). Record keeping for state
and federal is the same. Maintain records for 2 years.
✔✔Can C3-5 rxs be transferred to another pharmacy? - ✔✔If it's a different pharmacy, it
can be transferred ONCE. If it's a chain pharmacy that shares an online database, the
rx can be transferred back and forth up to the maximum refills permitted by law and the
prescribers authorization.
✔✔Can controlled substances be mailed via USPS? What are the requirements? -
✔✔YES. The inner container should be marked and sealed and placed in a plain outer
container or securely wrapped in plain paper. The inner container should contain the
name and address of the pharmacy, practitioner, or other person dispensing the
medication. The outside wrapper should be free of markings that would indicate the
nature of the contents.
✔✔Can controlled substances be shipped to individuals in another country? - NO! not
without proper authorization. The registrant must be registered with the DEA as an
"exporter" and has an export permit. - ✔✔
✔✔Which physicians are able to prescribe naloxone/buprenorphine? - ✔✔must have
special DEA registration (begins with an X). These physicians are board certified in
addiction psychiatry or addiction medicine (at least 8 hours of authorized training in the
treatment and management of opioid-dependent patients). 1st year - max 30 patients.
After 1 year, can treat up to 100 patients.
✔✔What is the 3 day rule in regards to opioid treatment programs? - ✔✔this rule refers
to physicians ONLY - does not apply to pharmacists. This rule allows prescribers who
have not yet obtained their DEA X number to ADMINISTER, but they cannot prescribe,
narcotics to patients for relieving acute withdrawal symptoms for up to 3 days.
✔✔How many intern hours must a pharmacist applicant complete in order to get
licensed? - ✔✔1740 hours
✔✔Can a pharmacist implement modifications or monitoring to drug therapy in a
patient? - ✔✔yes - but must have prescriber approval. Can make changes is pharmacist
has a collaborative agreement with a physician - this protocol outlines what a
pharmacist can change and in which situations this is possible - must be approved by
the board.
✔✔Can a pharmacist receive a temporary license in Nevada? - ✔✔yes - for up to 6
months if they qualify.
✔✔Can a pharmacy receive a temporary license in Nevada? - ✔✔YES, if they move to
a new location, they may be issued a temporary license. The board will issue a
, permanent license once a satisfactory inspection of the premises occurs at the next
scheduled board meeting.
✔✔Who makes up the pharmacy board? - ✔✔7 members appointed by the governor. 6
members are RPh with at least 5 years of experience, and are actively engaged in the
practice of pharmacy. 1 member is a member of the general public. Terms are 3 years
long. Max: 3 consecutive terms.
✔✔What is "Inactive status" for a pharmacist license? - ✔✔pharmacist must complete
an application and a statement certifying (1) not engaging in the practice of pharmacy in
this state, and (2) will not engage in the practice of pharmacy in the state while placed
on inactive status. (basically - is not, and will not, participate in the practice of
pharmacy)
✔✔True or false: a pharmacist license on "inactive status" must renew certificate of
registration biennially. - ✔✔TRUE
✔✔True or false: a pharmacist license on "inactive status" must complete continuing
education requirements during the inactive status period. - ✔✔FALSE. Not required to
complete CEs.
✔✔True or false: a pharmacist license on "inactive status" may apply to the board to
have their license returned to active status. - ✔✔TRUE
✔✔How can a pharmacist on "inactive status" return to "active status" - ✔✔send in an
application. The board will return to active status if (1) the pharmacist holds an active
license in another state OR (2) complete 30 units CE within the 2 years before the
application is filed AND passed the written CE exam on law.
✔✔What must the pharmacist submit for return to active status if they were granted
inactive status due to medical disability? - ✔✔must submit proof that they are physically
capable of resuming the practice of pharmacy
✔✔How does a pharmacist renew a registration if they forfeited their original license
(pharmacist did not renew)? - ✔✔If it's been less than 5 years, the board may renew so
long as the pharmacist hasn't committed any acts (NRS 639.210) other than failure to
renew AND they are capable and qualified (education/experience) to practice
pharmacy.
✔✔How long must a pharmacist wait to petition the board for reinstatement of licensure
if that license has been revoked? - ✔✔the pharmacist may petition after 1 year from the
date of revocation. The petition will be heard at the next board meeting, at least 30 days
after the petition is submitted.
