MD MPJE EXAM 2024 WITH 100%
CORRECT ANSWERS
Authorized dispensers other than pharmacist (9) - correct answer✔✔ MD
DO
Dentists
Podiatrists
Veterinarians
ARNPs
Midwives
NPs
Optometrists
Other dispenser can dispense under what requirements? - correct answer✔✔ Must obtain a dispensing
permit from respective board
Must "personally prepare and dispense"
May only dispense to own patients when pharmacy is not conveniently available
How many CEs are required to dispense? Renewal period? - correct answer✔✔ 10 CEs in dispense per
permit period
permit period: 5 years
Dispensers are subject to inspection by - correct answer✔✔ OSCA
What is the exception to obtaining a dispensing permit? - correct answer✔✔ starter doses
Who are authorized prescribers (10)? - correct answer✔✔ MD
DO
,Dentist
Podiatrist
Veterinarian
PAs
ARNPs
Nurse midwives
NPs (OB/GYN, pediatric, psych)
Optometrist
Who can only dispense samples and starter doses? - correct answer✔✔ Physician assistant
Who is a dependent prescriber? - correct answer✔✔ Physician assistant
Oral prescriptions can only be received by whom? - correct answer✔✔ the pharmacist
If an oral prescription is received, the pharmacist must read the rx back to the prescriber or their agent,
unless - correct answer✔✔ recorded on a voice messaging system
Prescription records are maintained for how long - correct answer✔✔ 5 years
Oral prescriptions are allowed for what type of drugs? - correct answer✔✔ Schedule III-V
non-CDS
NOT FOR CIIs - must be handwritten except in a state of emergency
What type of signatures must be on hard copy prescriptions? - correct answer✔✔ pen-to-paper
signatures - NO EXCEPTIONS
When can you use pre-printed prescription pads? - correct answer✔✔ For non-CDS only
,When MUST you use tamper-proof pads? - correct answer✔✔ Medicaid patients
Non-CDS electronic prescriptions MUST be transmitted via what? What is the exception? - correct
answer✔✔ electronic intermediaries certified by MD health care commission
Exemption: closed systems
Is an rx valid if a physician generates an electronic Rx and then print it out w/ a e-signature? - correct
answer✔✔ No, manual signature must be on all hard copies
How long must electronic prescriptions be maintained? - correct answer✔✔ 5 years
How long must hard copy prescriptions be maintained? - correct answer✔✔ 5 years
For electronic prescriptions for CDS, what additional requirements must be met? - correct answer✔✔
pharmacy must use:
- system that undergoes 3rd party audit by DEA approved auditor
- system provides audit to pharmacy
- any annotations or changes to rx must be stored or linked electronically
Are rubber stamps for prescriber's signature permissible on hard copy Rxs? - correct answer✔✔ No
First fill must be dispensed within how many days of prescription written? - correct answer✔✔ 120 days
For second fills and other refills, non-CDS prescription expires after how long? - correct answer✔✔ 1
year
For second fills and other refills, CDS III-V prescription expires after how long? - correct answer✔✔
within 6 months
, For second fills and other refills, CDS II prescription expires after how long? - correct answer✔✔ n/a - no
refills allowed
For rx record keeping, patient profile/prescription must include 3 specific things - correct answer✔✔
date of filling/refilling
pharmacist initials that filled or refilled
data-entry tech's initials
For unauthorized refills, what are the requirements to fill?(4) - correct answer✔✔ attempted to contact
prescriber
prescription is NOT a CDS
drug/device is essential to maintenance of life and continuation of therapy of a chronic condition
interruption of therapy may be detrimental to patient's health
What must a pharmacist document on an authorized refill? - correct answer✔✔ date & quantity of
drug/device
sign it
How long do you have to notify a prescriber of an unauthorized refill (non-emergency)? - correct
answer✔✔ within 72 hours
How many DS may a pharmacist dispense in an an unauthorized refill (non-emergency)? - correct
answer✔✔ 14 day supply
What is an unauthorized refill? - correct answer✔✔ a medication that has run out of refills
What is an unauthorized refill in a state of emergency? - correct answer✔✔ federal or state declaration
of emergency; can't contact prescriber
again, this does not apply to CDS
CORRECT ANSWERS
Authorized dispensers other than pharmacist (9) - correct answer✔✔ MD
DO
Dentists
Podiatrists
Veterinarians
ARNPs
Midwives
NPs
Optometrists
Other dispenser can dispense under what requirements? - correct answer✔✔ Must obtain a dispensing
permit from respective board
Must "personally prepare and dispense"
May only dispense to own patients when pharmacy is not conveniently available
How many CEs are required to dispense? Renewal period? - correct answer✔✔ 10 CEs in dispense per
permit period
permit period: 5 years
Dispensers are subject to inspection by - correct answer✔✔ OSCA
What is the exception to obtaining a dispensing permit? - correct answer✔✔ starter doses
Who are authorized prescribers (10)? - correct answer✔✔ MD
DO
,Dentist
Podiatrist
Veterinarian
PAs
ARNPs
Nurse midwives
NPs (OB/GYN, pediatric, psych)
Optometrist
Who can only dispense samples and starter doses? - correct answer✔✔ Physician assistant
Who is a dependent prescriber? - correct answer✔✔ Physician assistant
Oral prescriptions can only be received by whom? - correct answer✔✔ the pharmacist
If an oral prescription is received, the pharmacist must read the rx back to the prescriber or their agent,
unless - correct answer✔✔ recorded on a voice messaging system
Prescription records are maintained for how long - correct answer✔✔ 5 years
Oral prescriptions are allowed for what type of drugs? - correct answer✔✔ Schedule III-V
non-CDS
NOT FOR CIIs - must be handwritten except in a state of emergency
What type of signatures must be on hard copy prescriptions? - correct answer✔✔ pen-to-paper
signatures - NO EXCEPTIONS
When can you use pre-printed prescription pads? - correct answer✔✔ For non-CDS only
,When MUST you use tamper-proof pads? - correct answer✔✔ Medicaid patients
Non-CDS electronic prescriptions MUST be transmitted via what? What is the exception? - correct
answer✔✔ electronic intermediaries certified by MD health care commission
Exemption: closed systems
Is an rx valid if a physician generates an electronic Rx and then print it out w/ a e-signature? - correct
answer✔✔ No, manual signature must be on all hard copies
How long must electronic prescriptions be maintained? - correct answer✔✔ 5 years
How long must hard copy prescriptions be maintained? - correct answer✔✔ 5 years
For electronic prescriptions for CDS, what additional requirements must be met? - correct answer✔✔
pharmacy must use:
- system that undergoes 3rd party audit by DEA approved auditor
- system provides audit to pharmacy
- any annotations or changes to rx must be stored or linked electronically
Are rubber stamps for prescriber's signature permissible on hard copy Rxs? - correct answer✔✔ No
First fill must be dispensed within how many days of prescription written? - correct answer✔✔ 120 days
For second fills and other refills, non-CDS prescription expires after how long? - correct answer✔✔ 1
year
For second fills and other refills, CDS III-V prescription expires after how long? - correct answer✔✔
within 6 months
, For second fills and other refills, CDS II prescription expires after how long? - correct answer✔✔ n/a - no
refills allowed
For rx record keeping, patient profile/prescription must include 3 specific things - correct answer✔✔
date of filling/refilling
pharmacist initials that filled or refilled
data-entry tech's initials
For unauthorized refills, what are the requirements to fill?(4) - correct answer✔✔ attempted to contact
prescriber
prescription is NOT a CDS
drug/device is essential to maintenance of life and continuation of therapy of a chronic condition
interruption of therapy may be detrimental to patient's health
What must a pharmacist document on an authorized refill? - correct answer✔✔ date & quantity of
drug/device
sign it
How long do you have to notify a prescriber of an unauthorized refill (non-emergency)? - correct
answer✔✔ within 72 hours
How many DS may a pharmacist dispense in an an unauthorized refill (non-emergency)? - correct
answer✔✔ 14 day supply
What is an unauthorized refill? - correct answer✔✔ a medication that has run out of refills
What is an unauthorized refill in a state of emergency? - correct answer✔✔ federal or state declaration
of emergency; can't contact prescriber
again, this does not apply to CDS
