Nevada MPJE Exam/326
Questions and Correct
Answers/Verified
True or false: "take as directed" does not fulfill the directions for use
requirements for controlled substances. - -True.
Controlled Rx must clearly specify dosage, frequency, and manner in
which the drug is to be taken.
-How often must practitioners or other people who dispense controlled
substances obtain registration from the DEA? - -Every *2* years
-True or false: an agent or employee of a registered dispenser is not
required to register with the DEA. - -True, so long as they are acting in
the usual course of their business/employment.
-True or false: a common or contract carrier or warehouseman does not
need registration with the DEA. - -True.
-Which of the following activities requires separate registration with the
DEA? (1) manufacturing. (2) distributing. (3) dispensing, prescribing,
conducting research. (4) conducting chemical analysis. - -they all do. A
separate registration for each of these activities is required.
-True or false: a person who engages in more than one group of
independent activities must obtain a separate registration for each
group of activities. - -TRUE.
-True or false: a separate registration is required for each place of
business or professional practice where controlled substances are
manufactured, distributed, used in research or scientific investigation,
prescribed or dispensed. - -TRUE
-True or false: a warehouse that stores controlled substances requires a
separate registration. - -FALSE.
-True or false: a practitioner's office where controlled substances are
prescribed but not stored or dispensed still requires a separate
registration. - -FALSE. If they are *only prescribed*, and not
stored/dispensed/administered, the location *does not require
registration*.
-True or false: a practitioner's office where controlled substances are
stored does not require a separate registration. - -FALSE - if controlled
substances are being *stored*, they *require separate registration*.
, -What items are required on the certificate of registration? - -(1) name
of registrant. (2) address of registrant. (3) registration number (DEA#)
of registrant). (4) activity authorized (is it dispensing, research, etc). (5)
the schedules of the controlled substances which the registrant is
authorized to handle.
-For a practitioner who dispenses controlled substances for use by his
patients outside of his presence, what record-keeping is required? - -(1)
name of the patient. (2) address, unless readily available (then
indicated). (3) date of dispensing. (4) name of the prescribing
practitioner and classification of license. (5) DEA #. (6) initials of the
dispensing practitioner if the dispensing is different from the
prescribing. (7) directions for use. (8) signature of the prescribing
practitioner.
-True or false: a practitioner may dispense controlled drugs to a patient
only after he has issues a written RX that allows the patient to have it
filled at another location of the patient's choosing. - -TRUE
-True or false: an individual practitioner may dispense a controlled
substance (2-4) for his own personal use. - -FALSE - they may not.
Exception: medical emergency.
-Can pharmacists use oral authorization to dispense CII medications? - -
YES, but only in emergency situations. The quantity
prescribed/dispensed must be limited to the amount adequate to treat
the patient during the emergency period. Any quantity beyond this
requires a written prescription.
-What are the requirements for dispending a CII in an emergency
situation? - -Reduce the oral authorization to writing immediately. RX
must contain all information required of controlled medications, except
the signature of the prescriber. Write on the face of the RX
"authorization for emergency dispensing" and date or oral order. Make
reasonable effort to confirm validity of registered practitioner if they are
personally unknown to the pharmacist. A written prescription must be
received, either by person or by mail, within 72 hours (if by mail, then
post-marked by 72 hours). Attach this written rx to the oral
authorization. If the written RX is not received, the pharmacist must
notify the board of the prescribers' failure to deliver.
-True or false: an individual practitioner may issue a prescription order
in order to obtain controlled substances for the purpose of general
dispensing to patients. - -FALSE - they should be filling out an order form
- prescribers cannot write an RX to a pharmacy with "for office use," for
example.
-Can a prescription for a narcotic be *given* to a patient who is
*dependent* with the sole purpose of extending their dependence on
,the medication? - -ONLY if they are in an authorized investigation in the
development of a program for rehabilitating narcotic addicts.
-True or false: the *prescribing* of narcotic's to a person *dependent*
on a narcotic for the purpose of continuing his dependence is
permissible as long as that patient is in a authorized clinical
investigation in the development of a program for rehabilitating narcotic
addicts. - -FALSE - narcotics may be administered or dispensed
*directly* - but they cannot be prescribed! (this is unsafe for the patient,
who should be supervised while taking medication *they are dependent*
upon)
-What schedules of controlled medications can be accepted through
fax? - -C3-5.
C2s can be accepted via fax in only 3 circumstances: (1) compounded
for direct administration, (2) for a patient in a LTCF, or (3) for a patient
in hospice-care (or is "terminally ill")
-What items must be included in an written prescription? (nor oral or
electronic) - -for the prescriber: (1) name, (2) address - unless readily
available, (3) signature, (4) type of license, (5) DEA#. For the patient:
(1) name of the patient, (2) address, unless readily available, (3) name,
strength, quantity of drug, (4) directions for use, (5) date issued
-What items can be changed on a CII prescription? - -*strength* of drug
*quantity* of drug
*directions* for use
*date* the RX was issued
All changes require prescribing practitioner *approval*. Note the date
and time of change, and the reason for the change.
-Which items can NOT be changed on a CII prescription? - -name of the
patient, name of the drug, signature of the prescribing practitioner.
-Can a prescription blank contain more than one CII medication? - -YES.
If it's being filled immediately, the prescription can contain multiple CIIs,
other controlled medications, or non-controlled medications. They just
have to be filed appropriately. (make copies, reference the original
rx/C2 on the copies)
-Can a pharmacist return a written C2 prescription? - -yes, only if the
medication has not already been dispensed. If the medication has been
dispensed, the pharmacist shall not return the rx to the patient.
-Can multiple drugs be on a single prescription blank if the medication
is issued for future use? - -Yes if the list does not contain post dated C2
Any *C2 with "do not fill before"* or some version thereof must be
*alone on that prescription blank*.
, -When must a C2 prescription for future use be tendered? - -within 14
days of the future date indicated (on or before the 14th day).
-True or false: the date indicated on a C2 for future use must not be
later than 4 months after the date on which the prescription is written. -
-FALSE - no later than THREE months.
-True or false: for C2s with future fill date; "no combination of
prescriptions for the same medication may exceed a 90-day supply
based on the date indicated." - -TRUE.
-Are pharmacists allowed to dispense a partial fill on C2 medications? - -
*YES*. If the pharmacist is unable to supply the full quantity, you can fill
a partial quantity - note the quantity dispensed on the RX. The
*remaining quantity must be filled within 72 hours*. *If* the remainder
*cannot* be filled within *72* hours, the pharmacist must *notify the
prescriber*. No further quantity may be supplied beyond the 72-hour
period without a *new prescription*.
-How long is a C2 prescription valid for after a partial fill? Normal retail
pts vs LTC/hospice - -*regular patient*, the remainder must be filled
within *72 hours*. For patients in *LTCF or hospice/terminally-ill*, the
prescription is valid for *60 days* after its written date unless the rx is
terminated earlier by d/c of the medication.
-Can C-3 to 5 be partially filled by the pharmacist? What counts as a full
refill? - -YES
schedule 3 to 5 can be partially filled. A patient will not receive a full
refill until the entire quantity of the first prescription has been
dispensed. Example: patient has RX for Xanax 2 mg, # 60. Patient can
pick up #20. It will not count as a "full" fill until the patient picks up a
total of 60.
-Up to how long can C3-5 rxs be partially filled or refilled? - -no more
than *6 months* after the date it was originally written.
-If a pharmacist is hired as a new pharmacy manager, when must they
conduct a controlled inventory by? - -*within 48 hours*, with the
preceding pharmacist. *Both* must *sign* the *inventory*.
-How often must an inventory of controlled substances be conducted? -
-*Biennially* (every 2 years). "on any date which is within 2 years of the
date on which the previous biennial inventory was conducted."
-Which records must be maintained in regards to the *sale of controlled
substances to a practitioner*? - -*DEA 22* form for all controlled
substances (2-5),
Questions and Correct
Answers/Verified
True or false: "take as directed" does not fulfill the directions for use
requirements for controlled substances. - -True.
Controlled Rx must clearly specify dosage, frequency, and manner in
which the drug is to be taken.
-How often must practitioners or other people who dispense controlled
substances obtain registration from the DEA? - -Every *2* years
-True or false: an agent or employee of a registered dispenser is not
required to register with the DEA. - -True, so long as they are acting in
the usual course of their business/employment.
-True or false: a common or contract carrier or warehouseman does not
need registration with the DEA. - -True.
-Which of the following activities requires separate registration with the
DEA? (1) manufacturing. (2) distributing. (3) dispensing, prescribing,
conducting research. (4) conducting chemical analysis. - -they all do. A
separate registration for each of these activities is required.
-True or false: a person who engages in more than one group of
independent activities must obtain a separate registration for each
group of activities. - -TRUE.
-True or false: a separate registration is required for each place of
business or professional practice where controlled substances are
manufactured, distributed, used in research or scientific investigation,
prescribed or dispensed. - -TRUE
-True or false: a warehouse that stores controlled substances requires a
separate registration. - -FALSE.
-True or false: a practitioner's office where controlled substances are
prescribed but not stored or dispensed still requires a separate
registration. - -FALSE. If they are *only prescribed*, and not
stored/dispensed/administered, the location *does not require
registration*.
-True or false: a practitioner's office where controlled substances are
stored does not require a separate registration. - -FALSE - if controlled
substances are being *stored*, they *require separate registration*.
, -What items are required on the certificate of registration? - -(1) name
of registrant. (2) address of registrant. (3) registration number (DEA#)
of registrant). (4) activity authorized (is it dispensing, research, etc). (5)
the schedules of the controlled substances which the registrant is
authorized to handle.
-For a practitioner who dispenses controlled substances for use by his
patients outside of his presence, what record-keeping is required? - -(1)
name of the patient. (2) address, unless readily available (then
indicated). (3) date of dispensing. (4) name of the prescribing
practitioner and classification of license. (5) DEA #. (6) initials of the
dispensing practitioner if the dispensing is different from the
prescribing. (7) directions for use. (8) signature of the prescribing
practitioner.
-True or false: a practitioner may dispense controlled drugs to a patient
only after he has issues a written RX that allows the patient to have it
filled at another location of the patient's choosing. - -TRUE
-True or false: an individual practitioner may dispense a controlled
substance (2-4) for his own personal use. - -FALSE - they may not.
Exception: medical emergency.
-Can pharmacists use oral authorization to dispense CII medications? - -
YES, but only in emergency situations. The quantity
prescribed/dispensed must be limited to the amount adequate to treat
the patient during the emergency period. Any quantity beyond this
requires a written prescription.
-What are the requirements for dispending a CII in an emergency
situation? - -Reduce the oral authorization to writing immediately. RX
must contain all information required of controlled medications, except
the signature of the prescriber. Write on the face of the RX
"authorization for emergency dispensing" and date or oral order. Make
reasonable effort to confirm validity of registered practitioner if they are
personally unknown to the pharmacist. A written prescription must be
received, either by person or by mail, within 72 hours (if by mail, then
post-marked by 72 hours). Attach this written rx to the oral
authorization. If the written RX is not received, the pharmacist must
notify the board of the prescribers' failure to deliver.
-True or false: an individual practitioner may issue a prescription order
in order to obtain controlled substances for the purpose of general
dispensing to patients. - -FALSE - they should be filling out an order form
- prescribers cannot write an RX to a pharmacy with "for office use," for
example.
-Can a prescription for a narcotic be *given* to a patient who is
*dependent* with the sole purpose of extending their dependence on
,the medication? - -ONLY if they are in an authorized investigation in the
development of a program for rehabilitating narcotic addicts.
-True or false: the *prescribing* of narcotic's to a person *dependent*
on a narcotic for the purpose of continuing his dependence is
permissible as long as that patient is in a authorized clinical
investigation in the development of a program for rehabilitating narcotic
addicts. - -FALSE - narcotics may be administered or dispensed
*directly* - but they cannot be prescribed! (this is unsafe for the patient,
who should be supervised while taking medication *they are dependent*
upon)
-What schedules of controlled medications can be accepted through
fax? - -C3-5.
C2s can be accepted via fax in only 3 circumstances: (1) compounded
for direct administration, (2) for a patient in a LTCF, or (3) for a patient
in hospice-care (or is "terminally ill")
-What items must be included in an written prescription? (nor oral or
electronic) - -for the prescriber: (1) name, (2) address - unless readily
available, (3) signature, (4) type of license, (5) DEA#. For the patient:
(1) name of the patient, (2) address, unless readily available, (3) name,
strength, quantity of drug, (4) directions for use, (5) date issued
-What items can be changed on a CII prescription? - -*strength* of drug
*quantity* of drug
*directions* for use
*date* the RX was issued
All changes require prescribing practitioner *approval*. Note the date
and time of change, and the reason for the change.
-Which items can NOT be changed on a CII prescription? - -name of the
patient, name of the drug, signature of the prescribing practitioner.
-Can a prescription blank contain more than one CII medication? - -YES.
If it's being filled immediately, the prescription can contain multiple CIIs,
other controlled medications, or non-controlled medications. They just
have to be filed appropriately. (make copies, reference the original
rx/C2 on the copies)
-Can a pharmacist return a written C2 prescription? - -yes, only if the
medication has not already been dispensed. If the medication has been
dispensed, the pharmacist shall not return the rx to the patient.
-Can multiple drugs be on a single prescription blank if the medication
is issued for future use? - -Yes if the list does not contain post dated C2
Any *C2 with "do not fill before"* or some version thereof must be
*alone on that prescription blank*.
, -When must a C2 prescription for future use be tendered? - -within 14
days of the future date indicated (on or before the 14th day).
-True or false: the date indicated on a C2 for future use must not be
later than 4 months after the date on which the prescription is written. -
-FALSE - no later than THREE months.
-True or false: for C2s with future fill date; "no combination of
prescriptions for the same medication may exceed a 90-day supply
based on the date indicated." - -TRUE.
-Are pharmacists allowed to dispense a partial fill on C2 medications? - -
*YES*. If the pharmacist is unable to supply the full quantity, you can fill
a partial quantity - note the quantity dispensed on the RX. The
*remaining quantity must be filled within 72 hours*. *If* the remainder
*cannot* be filled within *72* hours, the pharmacist must *notify the
prescriber*. No further quantity may be supplied beyond the 72-hour
period without a *new prescription*.
-How long is a C2 prescription valid for after a partial fill? Normal retail
pts vs LTC/hospice - -*regular patient*, the remainder must be filled
within *72 hours*. For patients in *LTCF or hospice/terminally-ill*, the
prescription is valid for *60 days* after its written date unless the rx is
terminated earlier by d/c of the medication.
-Can C-3 to 5 be partially filled by the pharmacist? What counts as a full
refill? - -YES
schedule 3 to 5 can be partially filled. A patient will not receive a full
refill until the entire quantity of the first prescription has been
dispensed. Example: patient has RX for Xanax 2 mg, # 60. Patient can
pick up #20. It will not count as a "full" fill until the patient picks up a
total of 60.
-Up to how long can C3-5 rxs be partially filled or refilled? - -no more
than *6 months* after the date it was originally written.
-If a pharmacist is hired as a new pharmacy manager, when must they
conduct a controlled inventory by? - -*within 48 hours*, with the
preceding pharmacist. *Both* must *sign* the *inventory*.
-How often must an inventory of controlled substances be conducted? -
-*Biennially* (every 2 years). "on any date which is within 2 years of the
date on which the previous biennial inventory was conducted."
-Which records must be maintained in regards to the *sale of controlled
substances to a practitioner*? - -*DEA 22* form for all controlled
substances (2-5),
