Ohio MPJE (Multistate Pharmacy Jurisprudence Examination), Actual Exam Newest With
Complete Questions And Correct Detailed Answers| Brand New Version!
Question 1
A prescription is written for atenolol 50 mg and dated August 15, 2017. The patient brings the
prescription to the pharmacy to be filled on March 1, 2018. According to Ohio law, can you
legally fill this prescription?
A) Yes, because it is within one year of the date of issue.
B) Yes, but only if the pharmacist calls the prescriber to verify.
C) No, because the prescription expired six months after the date of issue.
D) No, because atenolol is a drug of abuse and expires in 14 days.
E) No, because all prescriptions in Ohio must be filled within 30 days of issue.
Correct Answer: C) No, because the prescription expired six months after the date of issue.
Rationale: In Ohio, prescriptions for non-controlled dangerous drugs are valid for exactly
six months from the date of issuance for the first fill. March 1, 2018, is more than six
months past the August 15, 2017, date. Once the six-month window for the first fill has
closed, the prescription is no longer valid for dispensing.
Question 2
How long must prescription records be maintained under federal law versus Ohio law?
A) 2 years under federal law; 2 years under Ohio law.
B) 3 years under federal law; 3 years under Ohio law.
C) 2 years under federal law; 3 years under Ohio law.
D) 2 years under federal law; 5 years under Ohio law.
E) 5 years under federal law; 5 years under Ohio law.
Correct Answer: C) 2 years under federal law; 3 years under Ohio law.
Rationale: Federal law (DEA regulations) requires all records pertaining to controlled
substances to be kept for 2 years. However, Ohio Revised Code and Administrative Code
are more stringent, requiring pharmacies to maintain prescription records for a period of 3
years. Pharmacists must always follow the more restrictive law.
Question 3
In the state of Ohio, for how many years must a pharmacy maintain records regarding the sale of
poisons?
A) 1 year
B) 2 years
C) 3 years
D) 5 years
E) 10 years
Correct Answer: D) 5 years
Rationale: While standard prescription records in Ohio must be kept for 3 years, specific
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records regarding the sale of poisons are required to be kept for a period of 5 years. This is
an exception to the general record-keeping timeframe for dangerous drugs.
Question 4
A physician writes a single prescription form containing Crestor 10 mg and alprazolam 0.5 mg.
Is this a legally valid prescription format in Ohio?
A) Yes, as long as the physician signs the bottom of the form.
B) Yes, if the Crestor is for a chronic condition.
C) No, because controlled substances cannot be written on the same form as non-controlled
substances.
D) No, because alprazolam is a Schedule II drug.
E) No, because Crestor requires a separate diagnosis code.
Correct Answer: C) No, because controlled substances cannot be written on the same form
as non-controlled substances.
Rationale: Ohio law prohibits the mixing of controlled substances and non-controlled
substances on the same prescription form. Each controlled substance must generally be on
its own form, though there are specific exceptions in institutional settings; in community
practice, alprazolam (C-IV) and Crestor (non-controlled) must be separate.
Question 5
Which of the following describes the scope of a pharmacy holding a Category III terminal
distributor’s license in Ohio?
A) It may only dispense non-controlled dangerous drugs.
B) It may only dispense IV solutions and medical gases.
C) It may dispense controlled substances, dangerous drugs, and IV solutions.
D) It is limited to the sale of Schedule V over-the-counter drugs.
E) It may only act as a wholesaler to other pharmacies.
Correct Answer: C) It may dispense controlled substances, dangerous drugs, and IV
solutions.
Rationale: In Ohio, terminal distributor licenses are categorized by the types of drugs the
facility is authorized to possess. Category I is for single-dose injections of IV fluids;
Category II is for any dangerous drug; Category III is the most comprehensive, allowing
for the possession and dispensing of controlled substances in addition to everything in
Categories I and II.
Question 6
Regarding the labeling of intravenous (IV) medications in Ohio, which of the following is true?
A) Only outpatient IVs require an expiration date.
B) Only inpatient IVs require an expiration date.
C) Both inpatient and outpatient IV labels must include an expiration date.
D) IV labels do not require expiration dates if used within 24 hours.
, 3
E) Only controlled substance IVs require an expiration date.
Correct Answer: C) Both inpatient and outpatient IV labels must include an expiration date.
Rationale: To ensure patient safety and drug stability, Ohio law mandates that all IV labels,
whether for use within a hospital (inpatient) or at home (outpatient), must clearly state an
expiration date (beyond-use date) and time.
Question 7
If a prescription container (such as an eye drop bottle) is too small to bear a complete label,
which of the following information MUST be included on the small container itself?
A) Directions for use and refills
B) Rx number and patient name
C) Prescriber name and pharmacy phone number
D) Drug strength and quantity
E) NDC number and manufacturer
Correct Answer: B) Rx number and patient name
Rationale: For small containers where a full label is physically impossible, Ohio law
requires the "minimal" information to be on the container itself to prevent mix-ups. This
includes the prescription number and the patient's name. The full label must still be
provided on the outer packaging (e.g., the box).
Question 8
A pharmacist discovers that a significant quantity of Adderall XR has been stolen from the
pharmacy. Who must the pharmacy notify according to law?
A) The Board of Pharmacy only
B) Local Law Enforcement only
C) The DEA only
D) The Board of Pharmacy and the DEA only
E) The Board of Pharmacy, Local Law Enforcement, and the DEA
Correct Answer: E) The Board of Pharmacy, Local Law Enforcement, and the DEA
Rationale: Under Ohio and federal law, the theft of controlled substances triggers multiple
reporting requirements. The DEA must be notified (Form 106), the Ohio State Board of
Pharmacy must be notified immediately, and local law enforcement should be contacted to
report the crime.
Question 9
When dispensing multiple drugs in the same container (multi-dose packaging), which of the
following is a requirement under Ohio law?
A) A maximum of a 90-day supply can be dispensed.
B) The expiration date of the container cannot exceed 31 days.
C) If one drug is discontinued, only that drug is considered adulterated.
D) Regular outpatient labels are not required for each drug.
, 4
E) The container must be glass to prevent cross-contamination.
Correct Answer: B) The expiration date of the container cannot exceed 31 days.
Rationale: For multi-dose containers (often used in nursing homes or for patient
convenience), the maximum beyond-use date allowed is 31 days from the date of packaging.
Additionally, if one drug in the pack is discontinued, the entire package is considered
adulterated and must be destroyed because the drugs cannot be safely separated.
Question 10
A patient brings a prescription to an Ohio pharmacy that was written by a licensed physician in
Florida for a patient on vacation there. Can the Ohio pharmacist fill it?
A) Yes, because Ohio recognizes out-of-state prescribers.
B) No, only Ohio-licensed doctors can prescribe for Ohio patients.
C) No, Florida is not a "border state" to Ohio.
D) Yes, but only if it is a non-controlled substance.
E) Yes, but only if the patient has a Florida ID.
Correct Answer: A) Yes, because Ohio recognizes out-of-state prescribers.
Rationale: Ohio pharmacists are permitted to fill prescriptions from prescribers licensed in
other U.S. states, provided the prescriber is acting within their scope of practice and the
prescription is valid in the state where it was issued.
Question 11
In Ohio, a substance is legally defined as a "poison" if it is deleterious to an adult's life in
quantities of:
A) Two grams or less.
B) Four grams or less.
C) Six grams or less.
D) Ten grams or less.
E) One ounce or less.
Correct Answer: B) Four grams or less.
Rationale: The legal definition of a poison in Ohio is a chemical or preparation that is likely
to cause death to an adult when taken in quantities of four grams (approximately 60 grains)
or less.
Question 12
Under HIPAA and Ohio law, when a patient requests their medical records from a pharmacy,
what do they have the right to see?
A) Only their list of medications.
B) Only the prices they paid.
C) Everything in their profile, including pharmacist notes and comments.
D) Only records from the last 12 months.
E) Nothing; pharmacies are not "covered entities" for records requests.
Complete Questions And Correct Detailed Answers| Brand New Version!
Question 1
A prescription is written for atenolol 50 mg and dated August 15, 2017. The patient brings the
prescription to the pharmacy to be filled on March 1, 2018. According to Ohio law, can you
legally fill this prescription?
A) Yes, because it is within one year of the date of issue.
B) Yes, but only if the pharmacist calls the prescriber to verify.
C) No, because the prescription expired six months after the date of issue.
D) No, because atenolol is a drug of abuse and expires in 14 days.
E) No, because all prescriptions in Ohio must be filled within 30 days of issue.
Correct Answer: C) No, because the prescription expired six months after the date of issue.
Rationale: In Ohio, prescriptions for non-controlled dangerous drugs are valid for exactly
six months from the date of issuance for the first fill. March 1, 2018, is more than six
months past the August 15, 2017, date. Once the six-month window for the first fill has
closed, the prescription is no longer valid for dispensing.
Question 2
How long must prescription records be maintained under federal law versus Ohio law?
A) 2 years under federal law; 2 years under Ohio law.
B) 3 years under federal law; 3 years under Ohio law.
C) 2 years under federal law; 3 years under Ohio law.
D) 2 years under federal law; 5 years under Ohio law.
E) 5 years under federal law; 5 years under Ohio law.
Correct Answer: C) 2 years under federal law; 3 years under Ohio law.
Rationale: Federal law (DEA regulations) requires all records pertaining to controlled
substances to be kept for 2 years. However, Ohio Revised Code and Administrative Code
are more stringent, requiring pharmacies to maintain prescription records for a period of 3
years. Pharmacists must always follow the more restrictive law.
Question 3
In the state of Ohio, for how many years must a pharmacy maintain records regarding the sale of
poisons?
A) 1 year
B) 2 years
C) 3 years
D) 5 years
E) 10 years
Correct Answer: D) 5 years
Rationale: While standard prescription records in Ohio must be kept for 3 years, specific
, 2
records regarding the sale of poisons are required to be kept for a period of 5 years. This is
an exception to the general record-keeping timeframe for dangerous drugs.
Question 4
A physician writes a single prescription form containing Crestor 10 mg and alprazolam 0.5 mg.
Is this a legally valid prescription format in Ohio?
A) Yes, as long as the physician signs the bottom of the form.
B) Yes, if the Crestor is for a chronic condition.
C) No, because controlled substances cannot be written on the same form as non-controlled
substances.
D) No, because alprazolam is a Schedule II drug.
E) No, because Crestor requires a separate diagnosis code.
Correct Answer: C) No, because controlled substances cannot be written on the same form
as non-controlled substances.
Rationale: Ohio law prohibits the mixing of controlled substances and non-controlled
substances on the same prescription form. Each controlled substance must generally be on
its own form, though there are specific exceptions in institutional settings; in community
practice, alprazolam (C-IV) and Crestor (non-controlled) must be separate.
Question 5
Which of the following describes the scope of a pharmacy holding a Category III terminal
distributor’s license in Ohio?
A) It may only dispense non-controlled dangerous drugs.
B) It may only dispense IV solutions and medical gases.
C) It may dispense controlled substances, dangerous drugs, and IV solutions.
D) It is limited to the sale of Schedule V over-the-counter drugs.
E) It may only act as a wholesaler to other pharmacies.
Correct Answer: C) It may dispense controlled substances, dangerous drugs, and IV
solutions.
Rationale: In Ohio, terminal distributor licenses are categorized by the types of drugs the
facility is authorized to possess. Category I is for single-dose injections of IV fluids;
Category II is for any dangerous drug; Category III is the most comprehensive, allowing
for the possession and dispensing of controlled substances in addition to everything in
Categories I and II.
Question 6
Regarding the labeling of intravenous (IV) medications in Ohio, which of the following is true?
A) Only outpatient IVs require an expiration date.
B) Only inpatient IVs require an expiration date.
C) Both inpatient and outpatient IV labels must include an expiration date.
D) IV labels do not require expiration dates if used within 24 hours.
, 3
E) Only controlled substance IVs require an expiration date.
Correct Answer: C) Both inpatient and outpatient IV labels must include an expiration date.
Rationale: To ensure patient safety and drug stability, Ohio law mandates that all IV labels,
whether for use within a hospital (inpatient) or at home (outpatient), must clearly state an
expiration date (beyond-use date) and time.
Question 7
If a prescription container (such as an eye drop bottle) is too small to bear a complete label,
which of the following information MUST be included on the small container itself?
A) Directions for use and refills
B) Rx number and patient name
C) Prescriber name and pharmacy phone number
D) Drug strength and quantity
E) NDC number and manufacturer
Correct Answer: B) Rx number and patient name
Rationale: For small containers where a full label is physically impossible, Ohio law
requires the "minimal" information to be on the container itself to prevent mix-ups. This
includes the prescription number and the patient's name. The full label must still be
provided on the outer packaging (e.g., the box).
Question 8
A pharmacist discovers that a significant quantity of Adderall XR has been stolen from the
pharmacy. Who must the pharmacy notify according to law?
A) The Board of Pharmacy only
B) Local Law Enforcement only
C) The DEA only
D) The Board of Pharmacy and the DEA only
E) The Board of Pharmacy, Local Law Enforcement, and the DEA
Correct Answer: E) The Board of Pharmacy, Local Law Enforcement, and the DEA
Rationale: Under Ohio and federal law, the theft of controlled substances triggers multiple
reporting requirements. The DEA must be notified (Form 106), the Ohio State Board of
Pharmacy must be notified immediately, and local law enforcement should be contacted to
report the crime.
Question 9
When dispensing multiple drugs in the same container (multi-dose packaging), which of the
following is a requirement under Ohio law?
A) A maximum of a 90-day supply can be dispensed.
B) The expiration date of the container cannot exceed 31 days.
C) If one drug is discontinued, only that drug is considered adulterated.
D) Regular outpatient labels are not required for each drug.
, 4
E) The container must be glass to prevent cross-contamination.
Correct Answer: B) The expiration date of the container cannot exceed 31 days.
Rationale: For multi-dose containers (often used in nursing homes or for patient
convenience), the maximum beyond-use date allowed is 31 days from the date of packaging.
Additionally, if one drug in the pack is discontinued, the entire package is considered
adulterated and must be destroyed because the drugs cannot be safely separated.
Question 10
A patient brings a prescription to an Ohio pharmacy that was written by a licensed physician in
Florida for a patient on vacation there. Can the Ohio pharmacist fill it?
A) Yes, because Ohio recognizes out-of-state prescribers.
B) No, only Ohio-licensed doctors can prescribe for Ohio patients.
C) No, Florida is not a "border state" to Ohio.
D) Yes, but only if it is a non-controlled substance.
E) Yes, but only if the patient has a Florida ID.
Correct Answer: A) Yes, because Ohio recognizes out-of-state prescribers.
Rationale: Ohio pharmacists are permitted to fill prescriptions from prescribers licensed in
other U.S. states, provided the prescriber is acting within their scope of practice and the
prescription is valid in the state where it was issued.
Question 11
In Ohio, a substance is legally defined as a "poison" if it is deleterious to an adult's life in
quantities of:
A) Two grams or less.
B) Four grams or less.
C) Six grams or less.
D) Ten grams or less.
E) One ounce or less.
Correct Answer: B) Four grams or less.
Rationale: The legal definition of a poison in Ohio is a chemical or preparation that is likely
to cause death to an adult when taken in quantities of four grams (approximately 60 grains)
or less.
Question 12
Under HIPAA and Ohio law, when a patient requests their medical records from a pharmacy,
what do they have the right to see?
A) Only their list of medications.
B) Only the prices they paid.
C) Everything in their profile, including pharmacist notes and comments.
D) Only records from the last 12 months.
E) Nothing; pharmacies are not "covered entities" for records requests.
