Download Wisconsin Pharmacy Examining Board (PEB) Exam Questions and Answers and more Exams Pharmacy in PDF only on Docsity!
2025 - 2026 WISCONSIN MPJE EXAM/ACTUAL
180Qs&As|LATEST UPDATE 2025 SPRING|A+GRADE
How many board members make up the WI pharmacy examining board? ANSWER 7 How many pharmacy examining board members must be WI-licensed pharmacists? ANSWER 5 Who makes up the remaining 2 slots (non-pharmacists) of the WI PEB? ANSWER members of the public (example - a farmer) What are 2 situations in which the PEB may authorize deviance from the rules promulgated by the board? ANSWER 1. natural or man-made disaster
- variance is necessary to protect the public health, safety, or welfare If approved, how long is a variance (deviance from the PEB rules) permitted? ANSWER 90 days Then pharmacy can request renewal 5 business or entities subject to licensure in Wisconsin per the PEB ANSWER 1. in-state pharmacies (drug stores, apothecaries)
- manufacturers
- wholesale distributors
- out-of-state pharmacies
- home medical oxygen providers
Examples - institutional FACILITY ANSWER - hospital
- jail / correctional facility
- nursing home
- CBRF (community-based residential facility)
- county home, infirmary, mental health institution
- others as approved by the DHS What is an institutional PHARMACY (what do they do?) ANSWER Provides pharmacy services to an institutional FACILITY Out-of-state pharmacies must be licensed in Wisconsin in order to do what? ANSWER Ship, mail, or otherwise deliver a prescribed drug or device to persons in this state Only licensed pharmacies in WI can use these 3 titles ANSWER 1. pharmacy
- drug store
- apothecary What 4 things must be submitted to the PEB in order to become licensed? ANSWER 1**. location
- floor plan
- owner's name & address
- managing pharmacist's name** How far in advance must a pharmacy file for licensing? ANSWER 30 days A new pharmacy license is required if there is a change in either of these 2 things. ANSWER
submitted to the PEB. (True or False) ANSWE R True. They will respond with a decision within 60 days. If a pharmacist is gone for less than 30 minutes, does the pharmacy's physical barrier need to be used? A NSWER No. Sanitation requirements ANSWER1. maintain pharmacy in a clean & orderly manner
- proper fixtures and equipment for sanitation
- sink with hot & cold running water
- detergent
- waste disposal container(s) What equipment and resources must be present in a pharmacy? [PHAR 6.06] ANSWERimmediately accessible federal and state law resources: DEA, CSA, WI PHAR laws, WI admin code (PEB rules). Resources related to individual pharmacy practice (drug interactions, counseling, calculations, generic substitution) Poison Control number What are requirements for medication storage/security in a pharmacy? [PHAR 6.07, 6.08] ANSWERSecure Neat Order ly Clean Centrally-monitored alarm system (unless board approves otherwise) What are storage requirements for controlled substances? [PHAR 6.07] ANSWERSecurely locked
Substantially-constructed cabinet --- or --- Dispersed throughout regular inventory in a way that obstructs theft or diversion Example: alphabetical by the second letter of the drug's generic name, on the same shelves as regularly alphabetized drugs. Where and how often must temperature and humidity be measured? [PHAR 6.075] answer Temperature: refrigerator, freezer, pharmacy Humidity: pharmacy Temp & humidity = continuously monitored Record minimum and maximum values (that have occurred since last time measured, i.e. reset the device with each recording) at least ONCE EVERY BUSINESS DAY.
If a pharmacy sells drug in a manner that not part of a usual course of practice (for example, if the pharmacy goes bankrupt and auctions off its inventory to other pharmacies), what information needs to be sent to the board before/after the sale? [WSC450.11(6)] ANSWERWritten notice of the sale to the board at least 1 WEEK PRIOR to the date of the sale.
- Provide written report of the sale to the board WITHIN 10 DAYS after the sale.
- Include name & address of all purchasers with itemized inventory records. Define pharmacy OWNER [phar 1.02(11)] ANSWERPerson or entity to whom a pharmacy license is issued Define pharmacist in CHARGE [phar 1.02(9)] ANSWERPharmacist who is physically present in the licensed facility and responsible for the routine operation of a time specified by the managing pharmacist. Define MANAGING pharmacist per PHAR chapter 1 and per PHAR chapter 7 (new) answer Designated by the pharmacy owner
- Responsibility for and direct control of pharmaceutical operations in a pharmacy
- Pharmacist who accepts responsibility for the operation of a pharmacy in conformance with all laws and rules pertinent to the practice of pharmacy, and
- who is personally in full and actual charge of the pharmacy and personnel. A pharmacist in WI can manage how many pharmacies? [WSC 450.09(1)] ANSWER = 1 community + 1 institutional at any given time
- must be engaged in the practice of pharmacy of each location supervised.
List general responsibilities of "managing pharmacist" [WSC 450.09(1); PHAR 6.04(3), PHAR 7.62(5)(6) = new phar 7] ANSWER- Provide training & verify competence of an unlicensed person prior to the unlicensed person performing a delegated task
- Determine which acts may be delegated
- Notify all pharmacists which delegated acts may be performed by specific unlicensed persons.
- Disclose this information to the board upon request)
- Signed pharmacy license application, most recent renewal application, OR most recent amended schedule of operations.
- Responsible for all the professional operations of the pharmacy. If a managing pharmacist is absent for (amount of time, continuously), another pharmacist must be delegated. [WSC 450.09(1)(b)] ANSWER> 30 days How is the board notified of a change in pharmacy manager and within what timeframe must this be reported? [PHAR 6.03] ANSWERWithin 5 days of the change How? Requirements for original licensure of non-foreign graduates in WI? [PHAR 2.02] ANSWER- Completed and signed application form
- Statement from the Dean
- Evidence of 1500 hours completed
- Fees
- NAPLEX passing (evidence of)
- MPJE-WI passing
Before performing physician-delegated services, what must a pharmacist do? [phar 7.12 (new)] ANSWERDocument the delegated act Maintain document x 5 years after the last delegated act under the delegation was performed Activities that are performed only by a pharmacist? [phar 7.03, 7.04, 7.08] (new Phar 7) ANSWERDUR Verbally transfer a Rx Provide patient consultation Who can perform the final check on prescriptions? ANSWERPharmacist Delegate, if approved via delegate-check-delegate program Automated technology, if applicable Who can administers drugs and devices (other than vaccines) and under what circumstances? (phar 7.13 (4), wsc 450.03(1) (f)(g)] ANSWERA person who has completed a course of study & training in administration technique conducted by ACPE or approved by the board.
- Only under the supervision of a licensed pharmacist who has completed a training course (as above)
- Notified prescriber or enters record of administration in a shared patient record system. Define DELEGATE (phar 7.14(d) (new)) ANSWERA person to whom the pharmacist has delegated a task (e.g., product verification for delegate-check- delegate)
Define SUPERVISING PHARMACIST (phar 7.14(d) (new)) ANSWERLicensed WI pharmacist who is responsible for the operations and outcomes of product verification done by a delegate & ensuring for direct supervision of the delegate According to the new PHAR 7.61, what can pharmacy students do and under what circumstances? ANSWERDefinition of student = completed 2nd year of pharmacy school Limited to performing duties under the direct supervision of the delegate define DIRECT SUPERVISION per new PHAR 7.60 (1) ANSWERImmediate availability to continually coordinate, direct, and inspect IN REAL TIME the practice of another Define GENERAL SUPERVISION per new PHAR 7.60 (2) ANSWERTo continually coordinate, direct, and inspect the practice of another. Describe (in more detail) general supervision per new PHAR 7.62(2) ANSWER- shall be available to the unlicensed person for consultation either in person or contact by telecommunication means What tasks can a pharmacist assign to a delegate or "unlicensed person" (technicians, students, etc.)? [new PHAR 7.62(7), 7.62(2)] ANSWERAny delegated act APPROVED BY THE MANAGING PHARMACIST Who is responsible for training, verifying competency, and determine which tasks can be completed by "unlicensed persons"? [new phar 7.62 (5)(6)] ANSWERManaging pharmacist What are "unlicensed persons" NOT allowed to do? [new phar 7.62(3)] ANSWERProvide final check for accuracy & correctness of a drug product or device (unless approved via delegate-check- delegate process)
ANSWERphysician, PA, APNP Can Rx's be prepared by nurses or ancillary support persons? MED 17. ANSWERYes - physicians and practitioners can delegate this task (PREPARING prescriptions). The name & address & signature of the preparer must also be on the Rx. Prescribing authority of physician assistants? ANSWERWithin the scope of a supervising physician CII - CV APNP prescribing authority? ANSWERNO ANABLOIC STEROIDS CII - CV Independent prescribing authority within areas of competence.
- Must include APNP prescriber certification # on all Rx's Optometrist prescribing authority? ANSWERLimited to eye & human visual system NO CII's Obtain certification to prescribe therapeutic pharmaceutical agents & limited to agents listed in SPS 10.
- Rx must contain state of certification & drug indication Hydrocodone MAX 300 mg/100 mL (or 100 g) --- or --- MAX 15 mg per dosage unit May provide Rx samples to a patient under their care
Podiatrist prescribing authority ANSWERLimited to conditions affecting the foot & ankle Does NOT include the use of general anesthesia Dentist prescribing authority [DE3.03, WSC 447] ANSWER2021 - CAN give COVID vaccines :) Limited to mouth/oral cavity CII - CV Must get board approval if using controlled substances for research purposes May prescribe controlled substances only within the course of legitimate practice. Dental hygienists may not prescribe or order medications Veterinarian prescribing authority ANSWERLimited to the care of animals (may prescribe both veterinary and human-only meds to animals) CII - CV Rx must contain both the name of the patient (animal) and the human client/owner. T/F: CII Rx's can be partially filled on a repeating basis for terminally ill or LTCF patients. ANSWERTrue Can you partial fill a script for the treatment of opioid use disorder? ANSWERNO
- no partials. In fact, NO retail Rx whatsoever for this indication...must be
Inventory records are to be kept for how long? ANSWER5 years Codeine as a sole ingredient is considered to be what CS schedule? ANSWERCII Examples of adulterated meds ANSWER"INSIDE the bottle" - purity or drug integrity affected fire-damaged, contaminated, GMPs not followed, expired. Adulterated = "invalid" drugs Examples of misbranded meds ANSWER"OUTSIDE the bottle" - labeling, information misrepresented impersonated, false advertising, ripped label on bottle of OTC drug, missing medication guide Includes TV ads, marketing, etc - very broad definition Misbranded = how drug is PORTRAYED to the public = "perception" Compounding - what is the 5% rule? ANSWERSection 503A of the FFDCA prohibits the traditional compounding pharmacy from dispensing or distributing more than five percent of the pharmacy's total prescription orders to patients outside of the state in which the pharmacy is located. "Color" books ANSWEROrange book = therapeutic equivalence (generics) Pink book = vaccines Pink sheet = news reports Purple book = biologics
(biosimilars) Red book = drug pricing Red book (another one) = pediatrics Yellow book = travel health (CDC) Green book = animal drugs T/F: The FDA is responsible for investigating reports of counterfeit drugs ANSWERTRUE Filthy, putrid, decomposed, or otherwise contaminated drugs are considered (adulterated/misbranded). ANSWERadulterated Lack of adequate controls during the manufacturing process or lack of tests to confirm drug quality leads to drugs that are (adulterated/misbranded) ANSWERadulterated A combination drug contains an ingredient that is recognized in the official compendia but its strength differs from the official standards. This drug is (adulterated/misbranded). ANSWERadulterated The official monographs of the are used to make sure the drug meets the standards or requirements for the compound's identity, strength, quality, and purity. ANSWERUSP
When is it necessary for the FDA to review pre-market safety data for a dietary supplement? ANSWERWhen a new dietary ingredient is introduced Biologics are derived from living organisms, such as animals, microorganisms, or yeast. What conditions must be met in order for a drug to be considered biosimilar or interchangeable with an FDA-approved biological product? ANSWER1. Same MOA
- Same route of administration
- Same dosage form and strength
- Will only be approved for the same indications as the reference product <<>> T/F: federally-employed prescribers (such as those in the U.S. armed forces, Indian Health, Federal Bureau of Prisons) are exempt from DEA registration. ANSWERTRUE. Including the Space Force, if you were wondering. Class I recall ANSWERReasonable probability that the use or exposure to a product WILL cause serious adverse health consequences or death. example: morphine with 10 x the amount of active ingredient Class II recall ANSWERMay cause temporary or medically reversible adverse health consequences - possibility of severe effect is remote. example: particles in ketorolac vials Class III recall ANSWERnot likely to cause adverse health consequences example: inconsistently-applied coloring
T/F: pharmacists are mandatory reporters of child abuse and neglect. ANSWERTRUE T/F: drug reps and manufacturers cannot initiate conversations with other healthcare providers about the off-label use(s) of their drugs. ANSWERTRUE - verbal misbranding only if a healthcare provider voluntarily, on their own accord, requests the information T/F: some states are allowed to fill prescriptions from foreign countries ANSWERTRUE - typically states that border Canada or Mexico T/F: if a drug has been FDA-approved for one indication, prescribers are legally allowed to prescribe it for an other reason they feel is both safe & effective for a patient's health condition. ANSWERTRUE This is common & often beneficial. May request supporting medical literature from the prescriber. Sometimes even medical guidelines promote this practice. However, sometimes it is inappropriate and unsafe (#COVID #hydroxychloroquine) T/F: auxiliary labels should be provided on every prescription, but it ultimately at the discretion of the pharmacist. ANSWERFALSE - NOT at the discretion of the pharmacist The pharmacy supplying the C-II drug to another entity (e.g., another pharmacy or paramedic service) keeps what color copy of the DEA 222 form? ANSWERbrown
