Florida MPJE 2024 Edition. All Exam
Questions and Correct, 5-Star Rated
Answers. Graded A+
ADRs must be reported on which form - ANSMed Watch Form
Adulterated - ANScontaminated- filthy, putrid, or decomposed substance
or contains harmful substance in the drug container
facilities used to make, pack or hold if do not conform to cGMP
it does not contain the strength, quality, or purity of drug that it claims to contain
it is mixed with something so as to reduce it's quality or strength
Adulteration - ANSGross - Think inside the capsule
Adulteration Examples - ANS- contains any filthy, putrid, or decomposed substance
- contains unapproved / unsafe color additive
- exposed to any unsanitary condition where it may have been contaminated
- involving substandard cGMPs
- mixed or substituted with another product to reduce its strength
- strength, quality, purity not meeting standards
- used in substitution of another substance
- container is composed of any poisonous or deleterious substance which may render
the contents injurious to health.
Advertising of OTC drugs is by - ANSFTC
Advertising of Rx drugs is by - ANSFDA
After what period of time does an unfilled DEA form become invalid if a distributor can't
supply it? - ANS60 days
ALL Pharmacy Permits - ANS- Non - transferrable
- renew every 2 years
- must be 18 years old
- community pharmacy permit required in FL to dispense CII or III
- permits and licenses must be conspicuously displayed
- must wear name badges to identify (ie tech, pharmacist)
- No CS Advertising
- No advertising of ephedrine drugs for stimulation, mental alertness, weight loss,
appetite control, energy, non-FDA approved indications
- check expiration dates every 4 months - remove expired immediately
- maintain CQI program to deal with errors
written P&P
,conduct reviews every 3 months
record or database of errors with incident summarized
- must hang sign regarding generic substitution
Are Central Fill Pharmacies permitted in Florida? - ANSYes
- may fill CS for pharmacies they have a contracted agreement with
- must keep records for 2 years
Are Common Databases permitted in Florida? - ANSYes
- properly licensed
- common ownership
- database owner must have P&P manual
- maintain records of all pharmacist activity
- no RPh is responsible for errors of another pharmacist that is not under direct,
personal supervision
Are Drug samples allowed in community pharmacies - ANSNO
Are medication guides required for all drugs? - ANSNo, only the drugs FDA deems
appropriate
Are Pharmacies single permit? - ANSYes, usually - exception is Hospital may have a
community permit or a Community may have a Special Parenteral and Enteral Permit
Are samples allowed in Class II Institutional Pharmacies? - ANSYes, upon written
request of prescriber
Automated Filling systems in Class I Pharmacy require? - ANS- pharmacist must
perform prospective drug use review and approve each medication order prior to
administration except for overrides (require retrospective review) - requires electronic
verification process or daily pharmacist audit.
Automated Filling systems in Community Pharmacy require what? - ANS- P & P manual
- final loading check by pharmacist
- readily retrievable electronic record to ID all involved with dispensing
- mechanism to deal with product recalls
- minimum dual verification (barcode, electronic, RFID)
- must be able to generate patient specific drug label
Biologics Price Competition and Innovation Act - ANSThis act establishes generic
approval pathway for biologics (BLA).
Can a CII be faxed? - ANSYes, but must provide hard copy when picking up
Can a consultant RPh order lab tests? - ANSYes - if have 3hrs of related CE
,Can a Military MD write an Rx for a controlled substance without a DEA number? -
ANSYes. Must use Military number. May fill at a community pharmacy.
Can a PA or NP prescribe controls? - ANSNOT in Florida
Can a pharmacy compound a drug for "office use" - ANSYes
Can a physician give a blanket approval for non child resistant containers for a patient?
- ANSNo
May however give auth for an individual Rx
Can compounded prescriptions be ordered for "office use"? - ANSYes
must be in amounts limited to anticipated use
Can controlled substances be prescribed or dispensed for "Office Use?" - ANSNO
Can Hospital Interns and Residents write an Rx for a controlled substance without a
DEA number? - ANSYes. May use the hospital DEA number plus their hospital ID
number at the end. May fill Rx at community pharmacy and would just use the hospital
DEA.
Can pharmacies advertise drugs? - ANSYes, but not Controlled Substances
Can pharmacies order CI & II from suppliers electronically? - ANSYes on CSOS
Can pharmacists and prescribers have a mutual relationship? - ANSYes, as long as
there are no kick backs
Can Prescriptions be compounded in FL Pharmacy? - ANSYes, must be in anticipation
of prescriptions based on routine, regular prescribing patterns.
Can prescriptions for CII be given verbally? - ANSOnly in emergency situations
Can returned meds be put back in stock? - ANSNo, except unit dose meds
Can you Central Fill CII prescriptions? - ANSNO
Can you mail controlled substances? - ANSYes - in US only. Package must be
unmarked regarding contents
Can you write prescriptions for multiple schedules on the same blank? - ANSNO
CE for testifying for Department of Health? - ANSYes, 5 hours per case, up to 10.
CE for volunteer work? - ANS1 hour for every 2 hours worked. Up to 5 hours total
, CE Requirements for Pharmacists - ANS-30 hours every 2 years (30 hours = 3 CEU)
-1st time renewal must have 1hr HIV/AIDS or end of life
-Each renewal requires 2 hours of Med Errors
-10 of 30 hours must be live, video teleconference or through an interactive computer
based application
-5 hours of risk management CE may be obtained by attending BOP meeting. May get
10/2 years
-If 1st renewal is <12 months - No CE required
-If 1st renewal is 12 to 24 months - 15 hours
- Retain documents x 2 years
- 3hr special course to order lab tests - part of a Prescriber Care Plan
- Drug Therapy Management - act or service by RPH in compliance with prescriber care
plan
CI - ANSHeroin, LSD, Marijuana, Qualones
CII - ANSPentobarb, Codeine
Class I Institutional Pharmacy - ANSNursing Home
- all meds are administered from individual prescription containers to the patient and in
which meds are not dispensed on the premises
- does not have a pharmacy on the premises- no dispensing allowed on the premises
- drugs securely stored - available only to appropriate licensed staff
- must have a consultant of record named
- consultant must provide written, on site consultation (drug reg review) every month
- may use automated filling systems
- May contract with a pharmacy to provide "starter doses" until the other contracted
pharmacy can dispense / deliver meds.
Class I Institutional Pharmacy? - ANSNursing Home
All meds administered, none dispensed
Class I Pharmacy - Emergency Kit - ANS- drug selection determined by Medical
Director, DON and Pharmacist
- Must have written P&P for use
- Kit must be sealed + all contents labeled
- if seal is broken must reseal by next business day
- inventory log must be attached to kit
- MD prescribe emergency medicine which is administered by nurse or MD
- consultant pharmacist oversees record keeping and inventory, ensures valid
prescription subsequently written and restocks inventory.
- facility may have controls but does not need to be DEA registered.
- ICD/FF Intermediate Care Facility for Developmentally Disabled may have up to FIVE
controlled substances with up to three doses of each for 60 beds or less (three
additional doses of each for 60 more beds). Nurse or pharmacist may inventory, replace
and reseal.
Questions and Correct, 5-Star Rated
Answers. Graded A+
ADRs must be reported on which form - ANSMed Watch Form
Adulterated - ANScontaminated- filthy, putrid, or decomposed substance
or contains harmful substance in the drug container
facilities used to make, pack or hold if do not conform to cGMP
it does not contain the strength, quality, or purity of drug that it claims to contain
it is mixed with something so as to reduce it's quality or strength
Adulteration - ANSGross - Think inside the capsule
Adulteration Examples - ANS- contains any filthy, putrid, or decomposed substance
- contains unapproved / unsafe color additive
- exposed to any unsanitary condition where it may have been contaminated
- involving substandard cGMPs
- mixed or substituted with another product to reduce its strength
- strength, quality, purity not meeting standards
- used in substitution of another substance
- container is composed of any poisonous or deleterious substance which may render
the contents injurious to health.
Advertising of OTC drugs is by - ANSFTC
Advertising of Rx drugs is by - ANSFDA
After what period of time does an unfilled DEA form become invalid if a distributor can't
supply it? - ANS60 days
ALL Pharmacy Permits - ANS- Non - transferrable
- renew every 2 years
- must be 18 years old
- community pharmacy permit required in FL to dispense CII or III
- permits and licenses must be conspicuously displayed
- must wear name badges to identify (ie tech, pharmacist)
- No CS Advertising
- No advertising of ephedrine drugs for stimulation, mental alertness, weight loss,
appetite control, energy, non-FDA approved indications
- check expiration dates every 4 months - remove expired immediately
- maintain CQI program to deal with errors
written P&P
,conduct reviews every 3 months
record or database of errors with incident summarized
- must hang sign regarding generic substitution
Are Central Fill Pharmacies permitted in Florida? - ANSYes
- may fill CS for pharmacies they have a contracted agreement with
- must keep records for 2 years
Are Common Databases permitted in Florida? - ANSYes
- properly licensed
- common ownership
- database owner must have P&P manual
- maintain records of all pharmacist activity
- no RPh is responsible for errors of another pharmacist that is not under direct,
personal supervision
Are Drug samples allowed in community pharmacies - ANSNO
Are medication guides required for all drugs? - ANSNo, only the drugs FDA deems
appropriate
Are Pharmacies single permit? - ANSYes, usually - exception is Hospital may have a
community permit or a Community may have a Special Parenteral and Enteral Permit
Are samples allowed in Class II Institutional Pharmacies? - ANSYes, upon written
request of prescriber
Automated Filling systems in Class I Pharmacy require? - ANS- pharmacist must
perform prospective drug use review and approve each medication order prior to
administration except for overrides (require retrospective review) - requires electronic
verification process or daily pharmacist audit.
Automated Filling systems in Community Pharmacy require what? - ANS- P & P manual
- final loading check by pharmacist
- readily retrievable electronic record to ID all involved with dispensing
- mechanism to deal with product recalls
- minimum dual verification (barcode, electronic, RFID)
- must be able to generate patient specific drug label
Biologics Price Competition and Innovation Act - ANSThis act establishes generic
approval pathway for biologics (BLA).
Can a CII be faxed? - ANSYes, but must provide hard copy when picking up
Can a consultant RPh order lab tests? - ANSYes - if have 3hrs of related CE
,Can a Military MD write an Rx for a controlled substance without a DEA number? -
ANSYes. Must use Military number. May fill at a community pharmacy.
Can a PA or NP prescribe controls? - ANSNOT in Florida
Can a pharmacy compound a drug for "office use" - ANSYes
Can a physician give a blanket approval for non child resistant containers for a patient?
- ANSNo
May however give auth for an individual Rx
Can compounded prescriptions be ordered for "office use"? - ANSYes
must be in amounts limited to anticipated use
Can controlled substances be prescribed or dispensed for "Office Use?" - ANSNO
Can Hospital Interns and Residents write an Rx for a controlled substance without a
DEA number? - ANSYes. May use the hospital DEA number plus their hospital ID
number at the end. May fill Rx at community pharmacy and would just use the hospital
DEA.
Can pharmacies advertise drugs? - ANSYes, but not Controlled Substances
Can pharmacies order CI & II from suppliers electronically? - ANSYes on CSOS
Can pharmacists and prescribers have a mutual relationship? - ANSYes, as long as
there are no kick backs
Can Prescriptions be compounded in FL Pharmacy? - ANSYes, must be in anticipation
of prescriptions based on routine, regular prescribing patterns.
Can prescriptions for CII be given verbally? - ANSOnly in emergency situations
Can returned meds be put back in stock? - ANSNo, except unit dose meds
Can you Central Fill CII prescriptions? - ANSNO
Can you mail controlled substances? - ANSYes - in US only. Package must be
unmarked regarding contents
Can you write prescriptions for multiple schedules on the same blank? - ANSNO
CE for testifying for Department of Health? - ANSYes, 5 hours per case, up to 10.
CE for volunteer work? - ANS1 hour for every 2 hours worked. Up to 5 hours total
, CE Requirements for Pharmacists - ANS-30 hours every 2 years (30 hours = 3 CEU)
-1st time renewal must have 1hr HIV/AIDS or end of life
-Each renewal requires 2 hours of Med Errors
-10 of 30 hours must be live, video teleconference or through an interactive computer
based application
-5 hours of risk management CE may be obtained by attending BOP meeting. May get
10/2 years
-If 1st renewal is <12 months - No CE required
-If 1st renewal is 12 to 24 months - 15 hours
- Retain documents x 2 years
- 3hr special course to order lab tests - part of a Prescriber Care Plan
- Drug Therapy Management - act or service by RPH in compliance with prescriber care
plan
CI - ANSHeroin, LSD, Marijuana, Qualones
CII - ANSPentobarb, Codeine
Class I Institutional Pharmacy - ANSNursing Home
- all meds are administered from individual prescription containers to the patient and in
which meds are not dispensed on the premises
- does not have a pharmacy on the premises- no dispensing allowed on the premises
- drugs securely stored - available only to appropriate licensed staff
- must have a consultant of record named
- consultant must provide written, on site consultation (drug reg review) every month
- may use automated filling systems
- May contract with a pharmacy to provide "starter doses" until the other contracted
pharmacy can dispense / deliver meds.
Class I Institutional Pharmacy? - ANSNursing Home
All meds administered, none dispensed
Class I Pharmacy - Emergency Kit - ANS- drug selection determined by Medical
Director, DON and Pharmacist
- Must have written P&P for use
- Kit must be sealed + all contents labeled
- if seal is broken must reseal by next business day
- inventory log must be attached to kit
- MD prescribe emergency medicine which is administered by nurse or MD
- consultant pharmacist oversees record keeping and inventory, ensures valid
prescription subsequently written and restocks inventory.
- facility may have controls but does not need to be DEA registered.
- ICD/FF Intermediate Care Facility for Developmentally Disabled may have up to FIVE
controlled substances with up to three doses of each for 60 beds or less (three
additional doses of each for 60 more beds). Nurse or pharmacist may inventory, replace
and reseal.
