Nebraska MPJE Exam/ 396 Questions with
Certified Ans.
T or F. All pharmacies must have a PIC, even mail order. - Answer: True
Define PIC - Answer: Pharmacist responsible for practice of pharmacy on Pharmacy's License
Works w/in the physical confines *unless remote dispensing pharmacy*
PIC duties - Answer: -Develop/implement *policies/procedures* (hosp)
-Ensure that pharmacist *review medical orders* prior to first dose (with exceptions) (hosp)
-Operational *Law Conformance*
-Initial Inspection presence
-File *Required Reports*
-*Notify* Dept. of HHS and patients if pharmacy closing
-*Supervision* and performance assessment
-Employee credentialing verification
Page 1 of 94
,T or F. Pharmacist review is required of all medical orders prior to first dose being administered
to patient in hospital. - Answer: T (with exceptions)
-STAT Orders (given immediately and ONCE)
-Harm to patient
Is telepharmacy allowed in hospitals to allow pharmacist review of orders? - Answer: Yes
When is pharmacist review of medical order not required in hospital? - Answer: When
practitioner controls ordering/dispensing/administration of the drug
*OR
*Endoscopy suite
*ER
*Etc.
When time does not permit pharmacist review
*Stat order (x1)
*When status of patient would be significantly compromised by the delay
Does a hospital need a separate pharmacy license? - Answer: Only if serving patients outside of
the hospital (but ok to do for any hospital within the healthcare system)
What reports are required for PIC to submit? - Answer: *Annual Pharmacy Quality Assurance
Report
*Semiannual as required by Parkinson's Disease Registry Act
Details submitted in semiannual report required by Parkinson's Disease Registry Act - Answer: -
List of Patients taking registered PD Drugs
-*Name & Address of Patient/Prescriber*
Page 2 of 94
,-SSN
How to change PIC - Answer: -*Notify* DHHS immediately
-*Control Substance Inventory*
-Contain all info required in biennial inventory
-Maintain in pharmacy for 5 years
-Forward to Dept within 30 days
Do you need to send controlled substance inventories to anybody? - Answer: Forward to the
Department
What to do if pharmacy ceases legal existence or discontinues business - Answer: Notify the
Department within 15 days:
-Sale/Disposition of any pharmaceutical product or device. (including legend/controls) -
Invoices/inventory records
-Location of all patient records
-Return Pharmacy *Licence, DEA Registration, unused 222 forms* (including a and d)
What to do if pharmacy has change of ownership - Answer: Notify the Department within 15
days
-How to transfer CIIs? -How long must transfer records be kept? - Answer: -222 form
-2 years
How to transfer schedule III-V medications (to a pharmacy, wholesaler, etc.) - Answer: Must be
documented in writing
-Drug name
-Dosage form
Page 3 of 94
, -Strength
-quantity
-date transferred
-name/address/DEA# of parties involved
How do reverse distributors for controlled substances work? - Answer: -Pharmacy submits DEA
222 form/record of transfer (CIII-V)
-Reverse distributor files DEA 41 for destruction
Practice of Pharmacy definition - Answer: -Interpret/evaluate/implement *medical orders*
-*Dispense* drugs/devices
-Drug *product selection*
-*Administration* of drugs/devices
-DUR
-Counseling
-Provide pharmaceutical care
-MTM
-*Compounding, Labeling, Storage* of dispensed/repackaged products
-Maintenance of records
Can orders from presciber's from outside state be filled? - Answer: Yes, if that prescriber could
be authorized to prescribe in this state
Is it illegal for unauthorized people to provide pharmaceutical care and compound/dispense
drug/devices? - Answer: Yes, and it is illegal to permit or direct a person to do so
Is it illegal to (attempt to) coerce a pharmacist to enter into a delegated dispensing agreement?
- Answer: Yes
Page 4 of 94
Certified Ans.
T or F. All pharmacies must have a PIC, even mail order. - Answer: True
Define PIC - Answer: Pharmacist responsible for practice of pharmacy on Pharmacy's License
Works w/in the physical confines *unless remote dispensing pharmacy*
PIC duties - Answer: -Develop/implement *policies/procedures* (hosp)
-Ensure that pharmacist *review medical orders* prior to first dose (with exceptions) (hosp)
-Operational *Law Conformance*
-Initial Inspection presence
-File *Required Reports*
-*Notify* Dept. of HHS and patients if pharmacy closing
-*Supervision* and performance assessment
-Employee credentialing verification
Page 1 of 94
,T or F. Pharmacist review is required of all medical orders prior to first dose being administered
to patient in hospital. - Answer: T (with exceptions)
-STAT Orders (given immediately and ONCE)
-Harm to patient
Is telepharmacy allowed in hospitals to allow pharmacist review of orders? - Answer: Yes
When is pharmacist review of medical order not required in hospital? - Answer: When
practitioner controls ordering/dispensing/administration of the drug
*OR
*Endoscopy suite
*ER
*Etc.
When time does not permit pharmacist review
*Stat order (x1)
*When status of patient would be significantly compromised by the delay
Does a hospital need a separate pharmacy license? - Answer: Only if serving patients outside of
the hospital (but ok to do for any hospital within the healthcare system)
What reports are required for PIC to submit? - Answer: *Annual Pharmacy Quality Assurance
Report
*Semiannual as required by Parkinson's Disease Registry Act
Details submitted in semiannual report required by Parkinson's Disease Registry Act - Answer: -
List of Patients taking registered PD Drugs
-*Name & Address of Patient/Prescriber*
Page 2 of 94
,-SSN
How to change PIC - Answer: -*Notify* DHHS immediately
-*Control Substance Inventory*
-Contain all info required in biennial inventory
-Maintain in pharmacy for 5 years
-Forward to Dept within 30 days
Do you need to send controlled substance inventories to anybody? - Answer: Forward to the
Department
What to do if pharmacy ceases legal existence or discontinues business - Answer: Notify the
Department within 15 days:
-Sale/Disposition of any pharmaceutical product or device. (including legend/controls) -
Invoices/inventory records
-Location of all patient records
-Return Pharmacy *Licence, DEA Registration, unused 222 forms* (including a and d)
What to do if pharmacy has change of ownership - Answer: Notify the Department within 15
days
-How to transfer CIIs? -How long must transfer records be kept? - Answer: -222 form
-2 years
How to transfer schedule III-V medications (to a pharmacy, wholesaler, etc.) - Answer: Must be
documented in writing
-Drug name
-Dosage form
Page 3 of 94
, -Strength
-quantity
-date transferred
-name/address/DEA# of parties involved
How do reverse distributors for controlled substances work? - Answer: -Pharmacy submits DEA
222 form/record of transfer (CIII-V)
-Reverse distributor files DEA 41 for destruction
Practice of Pharmacy definition - Answer: -Interpret/evaluate/implement *medical orders*
-*Dispense* drugs/devices
-Drug *product selection*
-*Administration* of drugs/devices
-DUR
-Counseling
-Provide pharmaceutical care
-MTM
-*Compounding, Labeling, Storage* of dispensed/repackaged products
-Maintenance of records
Can orders from presciber's from outside state be filled? - Answer: Yes, if that prescriber could
be authorized to prescribe in this state
Is it illegal for unauthorized people to provide pharmaceutical care and compound/dispense
drug/devices? - Answer: Yes, and it is illegal to permit or direct a person to do so
Is it illegal to (attempt to) coerce a pharmacist to enter into a delegated dispensing agreement?
- Answer: Yes
Page 4 of 94
