Delaware MPJE (General) 2024. All
Questions and Correct, Verified
Answers. Graded A+
Can multiple schedule II prescriptiosn be issued with different dates? - ANSYes. Each
Rx must show issue date, not to exceed 90 days, and be legal usual prescriptions.
Central fill Rx - ANSMust notify patients using signage that parts of their prescriptions
may be processed in a different location.
Both facilities must share a common electronic file.
Labels must identify where they were filled.
Components of a prospective DUR - ANSScreening for problems due to therapeutic
duplication, interactions, OTC interactions, drug-disease CI, incorrect dosage or
duration, drug-allergy interactions, clinical abuse or misuse
Components of patient counseling - ANS**Does not include pricing information
** Do not have to encourage/explain generic use
**RPh is not required to provide counseling if the patient refuses it. Simply document
refusal
Emergency CS prescriptions - ANSIn an emergency, a pharmacist may dispense
schedule IIs upon recieving oral authorization from the prescriber, provided the
procedures comply with federal laws.
Emergency period=72 hour supply
Physician must deliver the cover within 7 days
Emergency filling of non-controlled substances - ANSProfessional judgement.
Minimum necessary for emergency period
Prescription originally dispensed from this pharmacy
If dispensed: As an emergency supply only one time. Refill date, quantity, and
pharmacist's initials must be documented in patient profile.
Prescriber must be notified in writing or verbally.
Prescription may be refilled
Emergency medications in a LTCF - ANSEmergency use medications: injectables to
meet the immediate therapeutic needs of patients.
Interim use medications: noninjectables to meet the immediate therapeutic needs of
patients
Stock supply for interim use meds: may not supply 60 drugs without prior approval of
the board. Lists must be attached to medication supply.
After using meds, must contact supplying pharmacy for restock
, Records msut be kept 2 years at pharmacy and facility
Controlled substance act: CS must only be administered by authorized personnel
Faxed Rx - ANSLegal, controlled substances follow federal regulations
Must be marked "faxed copy"
Faxing of CS - ANSPrescriptions for controlled substances may be transmtted via fax or
electronic transmission by a practitioner or by the authorized agent. Practitioner must
hand sign the fax.
Generic substitution - ANS1. Practitioner writes substitution permitted on Rx, verbally
states substitution permitted. Prescribers may issue blanket authorizations in an
institutional setting.
2. Pharmacist informs patient/representative of substitution
3. Pharmacist indicates on the prescription and the label the manufacturer/distributor of
generic.
4. Prescriber must write "brand neccessary" if they require brand name drug
Generic substitution - ANSPermissible by pharmacist, not mandatory
Prescriber must write "brand medically necessary" to prevent substitution
Patient consent/notification is required for generic substitution
How do we transfer controlled substances between pharmacies? - ANSMay transfer
CIII-CV one time only, unless they share a real time electronic database (then,
maximum by law).
Transferring RPh, write void on invalidated Rx. Write name, address, DEA of the
transferee pharmacy on the back, and the name of pharmacist recieving.
Recieving pharmacist: write the word "TRANFER" on the face. Provide all of the
required info for a usual CS Rx
How long does a supplier have to fill a partial supply of a cII? - ANS60 days from the
date form 222 was executed by the purchaser
How much can be prescribed and dispensed? - ANSCII and CIII can be 100 dosage
units or a 31 day supply, whichever is more.
Exceptions: CII for terminal illness or LTCF
Infomation needed for a controlled substance prescription - ANSPatient full name and
address
Prescriber name, address, phone, registration number, prescriber signature
Inspections by the BOP - ANSDuring business hours
Agent: may inspect and copy records; within reasonable limits and in a reasonble
manner
May make an inventory of stock drugs
Questions and Correct, Verified
Answers. Graded A+
Can multiple schedule II prescriptiosn be issued with different dates? - ANSYes. Each
Rx must show issue date, not to exceed 90 days, and be legal usual prescriptions.
Central fill Rx - ANSMust notify patients using signage that parts of their prescriptions
may be processed in a different location.
Both facilities must share a common electronic file.
Labels must identify where they were filled.
Components of a prospective DUR - ANSScreening for problems due to therapeutic
duplication, interactions, OTC interactions, drug-disease CI, incorrect dosage or
duration, drug-allergy interactions, clinical abuse or misuse
Components of patient counseling - ANS**Does not include pricing information
** Do not have to encourage/explain generic use
**RPh is not required to provide counseling if the patient refuses it. Simply document
refusal
Emergency CS prescriptions - ANSIn an emergency, a pharmacist may dispense
schedule IIs upon recieving oral authorization from the prescriber, provided the
procedures comply with federal laws.
Emergency period=72 hour supply
Physician must deliver the cover within 7 days
Emergency filling of non-controlled substances - ANSProfessional judgement.
Minimum necessary for emergency period
Prescription originally dispensed from this pharmacy
If dispensed: As an emergency supply only one time. Refill date, quantity, and
pharmacist's initials must be documented in patient profile.
Prescriber must be notified in writing or verbally.
Prescription may be refilled
Emergency medications in a LTCF - ANSEmergency use medications: injectables to
meet the immediate therapeutic needs of patients.
Interim use medications: noninjectables to meet the immediate therapeutic needs of
patients
Stock supply for interim use meds: may not supply 60 drugs without prior approval of
the board. Lists must be attached to medication supply.
After using meds, must contact supplying pharmacy for restock
, Records msut be kept 2 years at pharmacy and facility
Controlled substance act: CS must only be administered by authorized personnel
Faxed Rx - ANSLegal, controlled substances follow federal regulations
Must be marked "faxed copy"
Faxing of CS - ANSPrescriptions for controlled substances may be transmtted via fax or
electronic transmission by a practitioner or by the authorized agent. Practitioner must
hand sign the fax.
Generic substitution - ANS1. Practitioner writes substitution permitted on Rx, verbally
states substitution permitted. Prescribers may issue blanket authorizations in an
institutional setting.
2. Pharmacist informs patient/representative of substitution
3. Pharmacist indicates on the prescription and the label the manufacturer/distributor of
generic.
4. Prescriber must write "brand neccessary" if they require brand name drug
Generic substitution - ANSPermissible by pharmacist, not mandatory
Prescriber must write "brand medically necessary" to prevent substitution
Patient consent/notification is required for generic substitution
How do we transfer controlled substances between pharmacies? - ANSMay transfer
CIII-CV one time only, unless they share a real time electronic database (then,
maximum by law).
Transferring RPh, write void on invalidated Rx. Write name, address, DEA of the
transferee pharmacy on the back, and the name of pharmacist recieving.
Recieving pharmacist: write the word "TRANFER" on the face. Provide all of the
required info for a usual CS Rx
How long does a supplier have to fill a partial supply of a cII? - ANS60 days from the
date form 222 was executed by the purchaser
How much can be prescribed and dispensed? - ANSCII and CIII can be 100 dosage
units or a 31 day supply, whichever is more.
Exceptions: CII for terminal illness or LTCF
Infomation needed for a controlled substance prescription - ANSPatient full name and
address
Prescriber name, address, phone, registration number, prescriber signature
Inspections by the BOP - ANSDuring business hours
Agent: may inspect and copy records; within reasonable limits and in a reasonble
manner
May make an inventory of stock drugs
