CPJE NEWEST EXAM WITH COMPLETE QUESTIONS AND
CORRECT VERIFIED ANSWERS (DETAILED ANSWERS) ALREADY
GRADED A+ 100% GUARANTEED TO PASS CONCEPTS!!!
Name tags - ✔✔ANSW✔✔..1. 18 point font
2. worn at all times *at work*
3. State: Name and License Status
PIC - ✔✔ANSW✔✔..1. strict liability for violation of laws
2. may supervise up to *2* pharmacies
3. the 2 pharmacies MUST be w/in *50 driving miles*
4. any change of PIC must let the board know *in writing* within *30 days*
5. PIC can*NOT* be both a PIC and Designated Representative-in-charge (DRIC) for a
wholesaler or vet food-animal drug retailer
Correcting Error or Omission on a Controlled Substance Prescription (p. 98-99) -
✔✔ANSW✔✔..*Prescription MUST be signed and dated* by the prescriber
everything else can be written by the prescriber or his/her agent
The pharmacist can make changes to any other information on the prescription as long
as the pharmD verifies the change with the prescriber 1st
Prescriptions from out of state (p. 99) - ✔✔ANSW✔✔..Can dispense *schedule III - V
directly to the patient* if:
1. written on a California security form
2. orally authorized
*Schedule II*
1. Can be *mailed* to the out-of state residence (can*NOT* dispense CII directly to the
pt)
2. must meet the requirements for controlled substances from the state it was written in
Red Flags (p. 100) - ✔✔ANSW✔✔..1. irregularities on the face of the Rx itself
2. nervous pt demeanor
3. Age or presentation of pt (young pt seeking chronic pain medications)
4. Multiple pts w/ same residential address
5. Multiple prescribers for the same pt for duplicate therapy
6. Cash payments
7. Frequent requests for early refills
8. Suspicious Rx's brought in during "busy times"
,9. Initial fills for strong opiates
10. Long distances traveled by the patient
Controlled Substance Utilization Review and Evaluation System *CURES* -
✔✔ANSW✔✔..Database for all *Schedule II-IV*
yes thats right *schedule 2 - 4*
Pharmacies report to CURES on a *weekly* basis - every 7 days!!!!
*ALL* pharmacists MSUT be registered to access CURES!!!!!!
Refills of Controlled Substances: *Schedule III - V*
(p. 101) - ✔✔ANSW✔✔..*Schedule V*
1. Refilled up to 6 months from the date of issue
2. there is *NO* refill or day supply limit as long as it is authorized by the prescriber
*Schedule III-IV*
1. may be refilled up to 5x w/in 6 months of the date written
2. all refills together canNOT exceed a *120-day supply*
*The original Fill does NOT count as a "refill" towards the 120-day supply limit*
A pharmacy may only use 1 of 2 systems for storage and retrieval of prescription refills
info of schedule III-IV controlled substances (p. 101 bottom) - ✔✔ANSW✔✔..Paper
*OR* Electronic
can*NOT* use both
*Paper*
On the back of the Rx must write:
1. Pharmacists initials
2. date dispensed
3. amount dispensed (if not indicated, it is assumed that the pharmacist refilled for the
full amount on the refill)
*Electronic*
1. Daily hard copy printout of refills for controls, with the signature and date of *all the
pharmacists* involved in dispensing
2. This printout out must be completed and provided to the pharmacy w/in *72 hours* of
the date the controls were filled
3. a log book is kept documenting each day's refills
Partial Fills of *Schedule III-V* Rx's (p. 102) - ✔✔ANSW✔✔..1. *No dispensing can
occur beyond 6 months from the date of issue*
2. other than above, treated the same as partial fills for non-schedule drugs
,Partial fills for Schedule II drugs (p. 102) - ✔✔ANSW✔✔..Partial fill for CII permissible if:
1. pharmacist is out of stock
2. Rx is for terminally ill pt
3. Rx is for SNF
Pharmacist must fill the remainder w/in *72 hours* or the remainder is *lost* and the
prescriber must be notified
The prescriber may decide to write another Rx for the remainder of the CII
*For terminally ill or SNF pts*
Pharmacist can partially fill Rx's in increments for up to *60 days* from when the Rx was
written
Biennial self-assessment form - ✔✔ANSW✔✔..*completed by PIC when*
1. every odd # year before July 1st (QOY)
2. within *30 days* of pharmacy receiving a new permit
3. within *30 days* if the pharmacy has a new PIC
Self-assessment kept on site for *3 years*
Pharmacist Breaks - ✔✔ANSW✔✔..1. *30 min*
2. can only dispense *refills* that have *already been checked* by the pharmacist
Can NOT dispense initial fills/New Rx's while pharmacist is NOT there
SB493 (p. 16) - ✔✔ANSW✔✔..Now can:
1. Administer drugs and biologics
2. Furnish *self-administered* hormonal contraceptives
3. Furnish travel medications
4. Furnish Rx nicotine replacement products
5. Independently initiate and administer immunizations (*> 3 yrs old*)
6. Order and interpret tests
1. Administer drugs and biologics - ✔✔ANSW✔✔..1. must be ordered by a prescriber
2. all routes of drug admin. (i.e. topical and injectable)
2. Furnish *self-administered* hormonal contraceptives - ✔✔ANSW✔✔..1. oral
formulations
2. transdermal patch
3. Vaginal ring
4. Injection (depo provera)
, 3. Furnish travel medications - ✔✔ANSW✔✔..recommended by CDC and that *do NOT
require a diagnosis*
4. Furnish Rx nicotine replacement products - ✔✔ANSW✔✔..*nicotine replacement
products*
--inhaler (Nicotrol)
--Nasal spray (Nicotrol NS)
5. Independently initiate and administer immunizations (*>/= 3 yrs old*) -
✔✔ANSW✔✔..1. immunizations recommended by the CDC
2. *3 yrs and older*
3. Physician protocol required if *< 3 yrs old*
6. Order and interpret tests - ✔✔ANSW✔✔..For purposes of monitoring and managing
efficacy and toxicity of drug therapies, in coordination w/ pt's PCP or diagnosing
prescriber
Pharmacist Licensure - ✔✔ANSW✔✔..1. 18+ yrs
2. ACPE accredited school of pharmacy
or (grad of FPGEC - foreign school of pharmacy and certified by NABP's foreign
pharmacy graduate examination committee)
3. 150 hours of semester college credit (90 from pharmacy school)
4. 1,500 hours of pharmacy experience (900 in a pharmacy)
5. Pass NAPLEX and CPJE
Continuing education/licensure - ✔✔ANSW✔✔..CE: *30h every 2 years*
License expires on the LAST day of the pharmacist's birth month
1st 2 pharmacy years are EXEMPT from having to do CE
CE certificate kept for *4 years*
Advanced Practice Pharmacist (p. 17 bottom) - ✔✔ANSW✔✔..1. Perform physical
assessments
2. Order and interpret drug therapy related tests
3. Refer pts to other healthcare providers
4. participate in the evaluation and management of patients w/ other HCP's
5. Initiate, adjust, and d/c drug therapy pursuant to a protocol
(if APP is adjusting or initiating controlled substance therapy they need to be registered
w/ the *DEA*)
APP requirements - ✔✔ANSW✔✔..1. Earn a certificate in a relavent area of practice
2. complete a residency
CORRECT VERIFIED ANSWERS (DETAILED ANSWERS) ALREADY
GRADED A+ 100% GUARANTEED TO PASS CONCEPTS!!!
Name tags - ✔✔ANSW✔✔..1. 18 point font
2. worn at all times *at work*
3. State: Name and License Status
PIC - ✔✔ANSW✔✔..1. strict liability for violation of laws
2. may supervise up to *2* pharmacies
3. the 2 pharmacies MUST be w/in *50 driving miles*
4. any change of PIC must let the board know *in writing* within *30 days*
5. PIC can*NOT* be both a PIC and Designated Representative-in-charge (DRIC) for a
wholesaler or vet food-animal drug retailer
Correcting Error or Omission on a Controlled Substance Prescription (p. 98-99) -
✔✔ANSW✔✔..*Prescription MUST be signed and dated* by the prescriber
everything else can be written by the prescriber or his/her agent
The pharmacist can make changes to any other information on the prescription as long
as the pharmD verifies the change with the prescriber 1st
Prescriptions from out of state (p. 99) - ✔✔ANSW✔✔..Can dispense *schedule III - V
directly to the patient* if:
1. written on a California security form
2. orally authorized
*Schedule II*
1. Can be *mailed* to the out-of state residence (can*NOT* dispense CII directly to the
pt)
2. must meet the requirements for controlled substances from the state it was written in
Red Flags (p. 100) - ✔✔ANSW✔✔..1. irregularities on the face of the Rx itself
2. nervous pt demeanor
3. Age or presentation of pt (young pt seeking chronic pain medications)
4. Multiple pts w/ same residential address
5. Multiple prescribers for the same pt for duplicate therapy
6. Cash payments
7. Frequent requests for early refills
8. Suspicious Rx's brought in during "busy times"
,9. Initial fills for strong opiates
10. Long distances traveled by the patient
Controlled Substance Utilization Review and Evaluation System *CURES* -
✔✔ANSW✔✔..Database for all *Schedule II-IV*
yes thats right *schedule 2 - 4*
Pharmacies report to CURES on a *weekly* basis - every 7 days!!!!
*ALL* pharmacists MSUT be registered to access CURES!!!!!!
Refills of Controlled Substances: *Schedule III - V*
(p. 101) - ✔✔ANSW✔✔..*Schedule V*
1. Refilled up to 6 months from the date of issue
2. there is *NO* refill or day supply limit as long as it is authorized by the prescriber
*Schedule III-IV*
1. may be refilled up to 5x w/in 6 months of the date written
2. all refills together canNOT exceed a *120-day supply*
*The original Fill does NOT count as a "refill" towards the 120-day supply limit*
A pharmacy may only use 1 of 2 systems for storage and retrieval of prescription refills
info of schedule III-IV controlled substances (p. 101 bottom) - ✔✔ANSW✔✔..Paper
*OR* Electronic
can*NOT* use both
*Paper*
On the back of the Rx must write:
1. Pharmacists initials
2. date dispensed
3. amount dispensed (if not indicated, it is assumed that the pharmacist refilled for the
full amount on the refill)
*Electronic*
1. Daily hard copy printout of refills for controls, with the signature and date of *all the
pharmacists* involved in dispensing
2. This printout out must be completed and provided to the pharmacy w/in *72 hours* of
the date the controls were filled
3. a log book is kept documenting each day's refills
Partial Fills of *Schedule III-V* Rx's (p. 102) - ✔✔ANSW✔✔..1. *No dispensing can
occur beyond 6 months from the date of issue*
2. other than above, treated the same as partial fills for non-schedule drugs
,Partial fills for Schedule II drugs (p. 102) - ✔✔ANSW✔✔..Partial fill for CII permissible if:
1. pharmacist is out of stock
2. Rx is for terminally ill pt
3. Rx is for SNF
Pharmacist must fill the remainder w/in *72 hours* or the remainder is *lost* and the
prescriber must be notified
The prescriber may decide to write another Rx for the remainder of the CII
*For terminally ill or SNF pts*
Pharmacist can partially fill Rx's in increments for up to *60 days* from when the Rx was
written
Biennial self-assessment form - ✔✔ANSW✔✔..*completed by PIC when*
1. every odd # year before July 1st (QOY)
2. within *30 days* of pharmacy receiving a new permit
3. within *30 days* if the pharmacy has a new PIC
Self-assessment kept on site for *3 years*
Pharmacist Breaks - ✔✔ANSW✔✔..1. *30 min*
2. can only dispense *refills* that have *already been checked* by the pharmacist
Can NOT dispense initial fills/New Rx's while pharmacist is NOT there
SB493 (p. 16) - ✔✔ANSW✔✔..Now can:
1. Administer drugs and biologics
2. Furnish *self-administered* hormonal contraceptives
3. Furnish travel medications
4. Furnish Rx nicotine replacement products
5. Independently initiate and administer immunizations (*> 3 yrs old*)
6. Order and interpret tests
1. Administer drugs and biologics - ✔✔ANSW✔✔..1. must be ordered by a prescriber
2. all routes of drug admin. (i.e. topical and injectable)
2. Furnish *self-administered* hormonal contraceptives - ✔✔ANSW✔✔..1. oral
formulations
2. transdermal patch
3. Vaginal ring
4. Injection (depo provera)
, 3. Furnish travel medications - ✔✔ANSW✔✔..recommended by CDC and that *do NOT
require a diagnosis*
4. Furnish Rx nicotine replacement products - ✔✔ANSW✔✔..*nicotine replacement
products*
--inhaler (Nicotrol)
--Nasal spray (Nicotrol NS)
5. Independently initiate and administer immunizations (*>/= 3 yrs old*) -
✔✔ANSW✔✔..1. immunizations recommended by the CDC
2. *3 yrs and older*
3. Physician protocol required if *< 3 yrs old*
6. Order and interpret tests - ✔✔ANSW✔✔..For purposes of monitoring and managing
efficacy and toxicity of drug therapies, in coordination w/ pt's PCP or diagnosing
prescriber
Pharmacist Licensure - ✔✔ANSW✔✔..1. 18+ yrs
2. ACPE accredited school of pharmacy
or (grad of FPGEC - foreign school of pharmacy and certified by NABP's foreign
pharmacy graduate examination committee)
3. 150 hours of semester college credit (90 from pharmacy school)
4. 1,500 hours of pharmacy experience (900 in a pharmacy)
5. Pass NAPLEX and CPJE
Continuing education/licensure - ✔✔ANSW✔✔..CE: *30h every 2 years*
License expires on the LAST day of the pharmacist's birth month
1st 2 pharmacy years are EXEMPT from having to do CE
CE certificate kept for *4 years*
Advanced Practice Pharmacist (p. 17 bottom) - ✔✔ANSW✔✔..1. Perform physical
assessments
2. Order and interpret drug therapy related tests
3. Refer pts to other healthcare providers
4. participate in the evaluation and management of patients w/ other HCP's
5. Initiate, adjust, and d/c drug therapy pursuant to a protocol
(if APP is adjusting or initiating controlled substance therapy they need to be registered
w/ the *DEA*)
APP requirements - ✔✔ANSW✔✔..1. Earn a certificate in a relavent area of practice
2. complete a residency
