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CPJE Exam Questions with Answers 2025.
PIC can supervise pharmacies
2 pharmacies within 50 driving miles
Change of PIC reported to board within
days 30 days
PIC self-assessment every years
2 years, or within 30 days if new permit/PIC/location
PIC self-assessment form kept for years
3 years
If there's only ONE pharmacist, how long for lunch break?
30 minutes
SB 493 expanded scope of practice for ALL
REGISTERED PHARMACISTS
administer drugs and biologics when ordered by
prescriber
furnish self-administered hormonal contraceptives
furnish travel meds recommended by CDC which do not
require diagnosis
furnish Rx nicotine replacement therapy
administer immunizations published by CDC to 3y and
older
order and interpret tests
Requirements for licensure
18 yo
ACPE-accredited school
of pharmacy
150 hrs college credit, 90
of which from pharmacy
school
have a baccalaureate
degree devoted to
1
hospital pharmacy
Continued education requirement and who's exempt
30 hrs during each 2-year license period, but first 2 year license cycle is
EXEMPT from CE requirement
Continued education requirement after July 1, 2019
2 hrs pharmacy law and ethics
Licensure expiration
Last day of pharmacist's birth month
Certification of completion of CEs kept for
years 4 years
Pharmacists must disclose violation of what laws?
Any violation of law, except for traffic violations that do not involve alcohol
and controlled substances
Advanced Practice Pharmacists (APh) can do...
patient assessment
order and interpret labs
refer patients to other providers
initiate, adjust, and dc drug therapy (including controlled substance if registered
with DEA)
APh requirements
certification in relevant area of practice i.e. amb care, critical care, oncology,
pharmacotherapy
post-grad residency program
provided clinical services for ONE year at least 1500 hours under CPA
Intern pharmacist can do...
2
CII-V allowed
NP prescribing drugs
CII-V allowed
PA prescribing drugs
CII-V allowed
Self-prescribing or for family members
Can self-prescribe non-controlled
Can prescribe NC or C to family member as long as there is valid
physician/patient relationship, legitimate medical purpose, and good faith exam
Prescriptions from outside of region
Other states: yes, if prescriber has license equivalent to that of a
California prescriber
Other countries: no
Prescription requires
Patient info
name
address
Drug info
name
quantity
directio
ns
date of
issue
purpose of drug if requested by patient
Prescriber info
name, address, telephone
license classification
4
DEA number if controlled
prescriber signature
Vet prescription requires
Kind of animal
Name and address of owner
Prescription kept for
years 3 years
Medi-Cal outpatient drug prescription must have the following to be
reimbursable. Tamper-resistant pads
void appears if photocopied or has watermarks
quantity and refill check off boxes
"Rx is void if more than Rxs on paper"
serially numbered
California security form for controlled substances exceeds requirements and
can also be used
Correcting errors on Rx
Can be revised by pharmacist if minor (misspelling of drug name) or
after consultation with MD if significant
Pharmacist must document discussion, rewrite as oral Rx and original voided,
or MD resend new Rx
Refill limits
C-III and IV only:
max 5 refills within 6 months
all refills combined cannot exceed 120-day supply
Emergency refills
5
directions
expiration date
purpose of drug if written on Rx
description of drug
brand name equivalent if generic
manufacturer if generic
Prescriber info
name
date of Rx
Pharmacy info
name
address
Format of prescription label on containers must include 4 CRITICAL ITEMS
50% of label
12 point sans serif typeface
In the following order:
name of patient
name of drug, brand name equivalent if generic, manufacturer if equivalent, and
strength
directions for use
condition if on Rx
Translation
Not required to
translate beyond
what's provided by
the board
Must supply English directions for use on label or as supplemental
document Auxiliary label if it impairs ability to operate a vehicle 7
Muscle relaxants
Anticholinergic agents that may impair vision
Any of the following with CNS depressant effects:
Antipsychotics
Antidepressants
Antihistamines
Antinauseants
Anticonvulsants
Antihypertensive agents
Controlled substances
Auxiliary label if dangerous in combo with alcohol
Disulfiram
MAO-I
Nitrates
Cycloserine
Antidiabeti
c agents
(hypoglyce
mia)
Child-
resistant
caps
MD can waive for a single Rx at a time
Patient can waive for all Rx
Patient medication profiles
Must keep all patients for ONE YEAR from date of last Rx EXCEPT when
pharmacist feels that patient WILL NOT COME BACK
Consumer Medication Information
With each NEW Rx
Not reviewed by FDA, basic information on how to use the drug and what
8
Yes
Also if different dosage form or different strength
Offer to counsel
only the pharmacist or intern can offer
Offer to counsel on mailed Rx
Written notice that pharmacist is available and telephone number
Patient's request for copy of medical records
be able to inspect records within 5 business days
copies must be available within 15 business days
Orange Book designation
AB = therapeutically equivalent
BB = NOT therapeutically equivalent
Substituting drug formulations
OK if a different formulation will improve compliance, UNLESS MD indicates no
substitution allowed
Formulations that cannot be substituted
Long acting and short acting forms
Combination drug and multiple single agents
Substituting biosimilars
OK if considered interchangeable in Purple Book
UNLESS MD indicates do not substitute
Biosimilar cannot cost more than reference product
Therapeutic interchange
Chemically different but therapeutically similar
ADDS
10
Automated Drug Delivery Systems
Must be stocked by pharmacist if cabinet stocked in the facility, or by
pharmacist/intern/tech if stocked elsewhere and brought back to the
pharmacy
Must be checked by pharmacist before removal
Repacking previously dispensed drugs
OK to repackage into blister packs etc to increase compliance and reduce
med errors
Compounded products for prescribers
OK for administration or application in the prescriber's office
NOT OK for prescribers to furnish/dispense to human patients
VETS OK to purchase and furnish/dispense up to 120-hr supply for vet
patients Traditional compounding includes...
Altering dosage form or delivery system
Altering strength
Combining ingredients
Preparing from bulk
What is NOT traditional compounding...
Reconstituting according to manufacturer
Splitting tablets
Adding flavor
503B:
outsourcing
facility is
allowed to do
what...
Allows specially licensed compounding facilities to prepare meds in BULK
and WITHOUT a prescription written for an individual patient
11
Drug supply inspection within hospital performed how often and how long to
keep record
30 days, records kept for 3 years
Irregularities during drug supply inspection reported within...
24 hr to PIC or CEO
Dispensing epi injectors
Allowed for certified persons
pre-hospital emergency
person
lay rescuer
authorized entity
Epi prescription should
include
name of person indicated
designation "section
1797.197a responder" and
"first aid purposes only"
dosage, use, and expiration
date
Providers of blood clotting
products for home use must
have...
24 hour on-call service
every day
screen telephone calls for
emergencies
acknowledge all calls
within 1 hour
pharmacy staff on-call for
emergency requests
ability to obtain all FDA-approved blood clotting products in multiple assay
ranges and vial sizes
supply ancillary infusion equipment with each Rx as needed
Must have record of name, address, drug name/strength/quantity or device
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Must make effort to communicate to patient's provider
Mobile pharmacy during emergencies should... and when to cease all activity
shares common ownership with at least one currently licensed pharmacy in good
standing
retains records of dispensing
licensed pharmacist on-site
reasonable security measures for drugs
located within declared emergency area
ceases activity within 48 HOURS after emergency is over
Test ordering and interpretation must be documented within.. and include what...
24 hours
interpretation of result
rationale for decision
information provided to the patient and healthcare team members
IM injections where and what needle
center of deltoid muscle
adults require 1 INCH with 22-25 GAUGE needle at 90 degrees
SC injections where and what needle
triceps
5/8 INCH with 23-25 GAUGE needle at 45 degrees
Which injectable is recommended to rub or massage to improve
absorption? EpiPen
Pharmacist can initiate and administer for severe allergic reactions
epinephrine
diphenhydramine
To administer vaccines pharmacist must...
14
Which naloxone formulation has instructions
Evzio has visual and audio instructions
Protocol covers ALL FDA-APPROVED formulations
To furnishing naloxone pharmacist must...
1 HOUR of continued education or equivalent curriculum-based training during
pharmacy school
ask if recipient uses opioids or knows someone who does
ask if recipient has known naloxone hypersensitivity
provide recipient with training - patient counseling CANNOT BE WAIVED
provide board-approved Fact Sheet
with patient's permission, notify the patient's PCP
keep records for THREE YEARS
How to administer Evzio
Same as Auvi-Q
Remove outer cap
Inject through clothing on outer thigh
Hear hiss and click sound during injection
Hold for 5 seconds
How to administer Narcan
Remove yellow caps off syringe
Screw on white cone
Take purple cap off capsule of naloxone
Screw capsule of naloxone into syringe
Insert white cone into nostril
Give a SHORT, STRONG PUSH to
give HALF into EACH NOSTRIL
If no reaction in 3 MINUTES, give second dose
16
How to administer injectable naloxone
Remove cap from vial
Insert needle through rubber with vial upside down
Pull back 1 mL
Inject 1 mL into upper arm or thigh muscle
If no reaction in 3 MINUTES, give second dose
To furnish nicotine replacement therapy
pharmacist must...
2 HOURS continued education or equivalent
within last two years
continued education EVERY 2 YEARS
review current use and past attempts to quit
screening questions
keep records for 3 YEARS
Screening questions for nicotine replacement
therapy
pregnant = do not furnish
heart attack with last 2 weeks, arrhythmias, chest pain = furnish with caution,
refer to provider
nasal allergies = avoid nasal spray
TMJ dysfunction = avoid gum
To furnish self-administered hormonal contraceptives pharmacist must...
1 HOUR of continued education or equivalent in pharmacy school
ask patient to complete self-screening form initially and ANNUALLY, or when
MAJOR HEALTH CHANGE
measure BLOOD PRESSURE if requesting combined hormonal contraceptives
THREE fact sheets (FDA birth control guide, patient product information,
administration fact sheet)
refer to PCP or nearby clinic for follow up
17
QA review on medication errors must be kept for
1 year on site
Medicare Part D is for...
65 years or older
< 65 with disability
ESRD
Annual CMR for Medicare Part D patients enrolled in
a MTM program
ANNUAL comprehensive medication review
adherence to non-insulin DM medications, statins,
RAS system medications
high-risk medications for 65 years and older
statin use in DM patients 40-75 years old
Covered California sold in four levels of coverage
Bronze, Silver, Gold, Platinum
Minimum coverage plan for < 30 years old
PAPs
low-income, uninsured patients get free or low-cost BRAND NAME medications
To furnish a prescription, a naturopathic doctor must have what in license...
NDF
Non-resident pharmacy has how long to report recall to any recipient or
provider 12 hours
Patient acknowledgement of HIPAA must be kept for...
6 YEARS
Sterile compounding pharmacies must receive
accreditation from...
Joint Commission AND CA BOP
What analysis to conduct prior to a drug is approved?
Failure Mode Effect Analysis (FMEA)
19
NuvaRing can be at room temperature for...
4 months
If NuvaRing falls out insert back within...
3 hours
Tagamet
cimetidine
Avinza
MS ER
Kadian
MS
ER
Cancid
as
caspofungin
Sonata
zaleplon
Foradil
formoterol
Rapaflo
silodosin
Aceon
perindopril
Veramyst
Fluticasone
Second generation cephalosporins
PO:
Cefaclor
Cefprozil
Cefuroxime
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