Download IL MULTISTATE PHARMACY JURISPRUDENCE EXAM QUESTIONS AND CORRECT ANSWERS| ACCURATE REAL E and more Exams Nursing in PDF only on Docsity!
IL MULTISTATE PHARMACY JURISPRUDENCE EXAM
QUESTIONS AND CORRECT ANSWERS| ACCURATE
REAL EXAM WITH FREQUENTLY TESTED
QUESTIONS|ALREADY A GRADED|GUARANTEED
PASS|LATEST UPDATE 2025
True or false: a schedule I drug can be prescribed, administered or dispensed for medical use -
answers - :False
What are examples of schedule I drugs - answers - :Heroin
LSD
Marijuana Peyote Methaqualone Ecstasy (methylene-dimethoxymethamphetamine) This class/schedule of drugs have a currently accepted medical use in treatment in the US with severe restrictions, but have a HIGH potential for abuse with severe psychological or physical
dependence - answers - :Schedule II
What are some examples of schedule II drugs - answers - :Morphine
Codeine Opium Methadone Hydromorphone Meperidine
Oxycodone Fentanyl
What are some examples of schedule II STIMULANTS - answers - :Amphetamine
Methamphetamine Methyphenidate (Ritalin) This class/schedule of drugs have a currently accepted medical use in treatment in the US and have LESS potential for abuse than schedules I and II substances; may lead to MODERATE or
LOW physical dependence BUT HIGH psychological dependence - answers - :Schedule III
What are the guidelines for both schedule III and IV drugs - answers - :Verbal orders ok
Refills ok, up to 5 refills in 6 months Partial fillings allowed Mandated daily sign off by the pharmacist verifying controlled substances dispensed that day
What are some examples of schedule III drugs - answers - :Products not containing more than
90mg of codeine/dosage unit Non narcotics such as benzphetamine, dronabinol, and anabolic steroids (oxandrolone) This class/schedule of drugs have a currently accepted medical use in treatment in the US and have A LOW potential for abuse relative to schedule III drugs. Abuse may lead to limited physical
dependence or psychological dependence relative to schedule III drugs - answers - :Schedule
IV
What are some examples of schedule IV drugs - answers - :Propoxyphene
Alprazolam Clonazepam
A pharmacist without their own DEA # may dispense controlled substances IF - answers -
:Pharmacy is licensed
Every transaction where a controlled substance changes hands - answers - :Must be recorded
Records filed separately Kept for 2 years
How many times can you refill a schedule II - answers - :No refills, no expiration date
Schedule III and IV - how many times can you refill and for how long - answers - :5 refills in 6
months from the date prescription is written
How many times can you refill a schedule V - answers - :Refills permitted as authorized by
prescriber
Documents disposal and destruction of scheduled drugs - answers - :DEA Form 41
Can prescription controlled substances by mailed by the pharmacist - answers - :Yes; any
quantity per US Postal regulations
The 2nd letter of a DEA number is usually what - answers - :The first letter of the practitioner's
last name
How do you figure out if a DEA number is legit - answers - :Add 1st, 3rd and 5th digit
Add 2nd, 4th and 6th digit and multiply by 2; add to the first sum Determine whether the right-most digit of the sum corresponds with the ninth placement
(There are 2 letters and 7 numbers; the 7th number is a check digit
What is required by the DEA for "practitioners"? - answers - :DEA Registration
Controlled substances must be under the control of someone registered, except - answers - :1.
Employees of registrants
- Law enforcement
- Certain military
DEA registration is based on what - answers - :What you are doing, not who you are
The DEA number of a distributor begins with: - answers - :P or R
The DEA number of a dispense begins with - answers - :A or B
Separate DEA registration is required for - answers - :Manufacturer
Distributor Dispenser Research Narcotic treatment program Exporter Chemical analysis
For a pharmacist, no manufacturing license is required if - answers - :If a narcotic is less than
20% of complete product
Who keeps copy 3 of the DEA form 222 - answers - :The purchaser of the controlled substance
What is the paper trail for a DEA 222 - answers - :Purchaser fills out DEA form 222 in triplicate
Purchaser keeps copy 3 for their records and sends copy 1 and 2 to supplier Supplier keeps copy 1 for their records Supplier sends copy 2 to the local DEA agent in THEIR area (as in the SUPPLIER's area) An order for medication which is dispensed to or for an ultimate user but does not include an
order for medication which is dispensed for immediate administration to an ultimate user -
answers - :Prescription
How long must the files of schedule II (and I per note cards) be kept - answers - :2 years
No red-ink stamped C required if - answers - :If electronically filed with special numbers
assigned to controlled substances Is an order to dispense a drug to a bed patient in a hospital /LTAC for immediate administration
in a hospital - answers - :No
A codification of the rules published in the Federal Register by the Executive departments and
agencies of the Federal Government. - answers - :Code of Federal Regulations (CFR) - under
the CSA
Is reserved for the rules of the FDA and DEA - answers - :Title 21 of the CFR
Regulations which provide specific requirements for the prescribing and dispensing of
controlled substance prescriptions - answers - :Title 21 of the CFR
A representative of a prescriber authorized to communicate prescriptions on behalf of the
prescriber - answers - :Agent
Can agents of a prescriber phone in emergency CII prescriptions - answers - :NO
What can an agent of a prescriber do per Title 21 - answers - :Prepare a controlled substance
prescription for the signature of the prescriber Orally communicate a prescrber's CIII, CIV, or CV prescription to a pharmacist Transmit, by fax, a prescriber's written CII prescription to a pharmacist (when permitted) Under Title 21 of the Code of Federal Regulations, a prescription for a controlled substance may
be issued only by an individual practitioner who is: - answers - :1. Authorized to prescribe
controlled substances by the jurisdiction in which he licensed to practice AND
- Either registered with the DEA or exempted from registration (ex. Public Health Service, Federal Bureau of Prisons, or Military Practitioners) OR
- An agent or employee of a hospital or other institution acting in the normal course of business or employment under the registration of the hospital or other institution
To be valid, a prescription must be issued.... - answers - :For a legitimate medical purpose by a
practitioner acting in the usual course of his professional practice
The term "Legitimate Medical Purpose" is defined by ..... and not the________________ -
answers - :State Law, NOT by the DEA
Discuss Gonzales vs. Oregon in 2006 - answers - :Oregon says its ok to prescribe lethal doses
for suicide, the DEA says no but the state of Oregon won
- Rx written in DIFFERENT COLOR inks or written in different handwriting
- Apparent erasure marks
A pharmacist may not knowingly......(3 things) - answers - :1. Fill an Rx that is illegitimate
- Fill an Rx for a doctor to dispense in his/her office
- Fill an Rx for detox or maintenance
Who may legally write an Rx for a controlled substance - answers - :State law determines who
is eligible to write prescriptions and is what, any limitations
DEA mandated items on a controlled substance Rx includes: - answers - :1. Patient info (name,
address)
- Doctor info (signature, name, address, DEA #)
- Prescription info (date of issue, name of drug, strength, dose form, quantity, directions, refills)
What changes may a pharmacist make to an Rx written for Schedule III-V controlled substances -
answers - :1. May add or change patient's address upon verification
- May add or change dosage form, drug strength, drug quantity, directions for use, or issue date ONLY AFTER consultation with and agreement of prescriber
- Changes must be noted on the prescription
What changes are NEVER permitted to a controlled substance prescription - answers - :1.
Changes to patient's name
- Controlled substance prescribed (except for generic substitution)
- Prescriber signature
What changes may a pharmacist make to an Rx written for schedule II controlled substance -
answers - :State law determines what changes may be made to a CII prescription after oral
consultation with the prescriber
- answers - :On 11/19/2007, in the preamble to the Final Rule entitled Issuance of Multiple Rxs for CII Controlled Substances, the DEA stated that "The essential elements of the CII prescription (i.e. name of the controlled substance, strength, dosage form, and quantity prescribed) MAY NOT BE MODIFIED ORALLY. This is in opposition to the DEA's previous policy which treated CII's like CV's
What are hospital interns assigned in order to prescribe controlled substances - answers - :A
DEA suffix
schedule II prescriptions can be written or verbal, no exceptions - answers - :False - just
written, except for exceptions
What are exceptions to the rules regarding schedule II medications only being written -
answers - :1. Emergency supply - pt needs drug immediately; MD cannot get prescription to
the pt or pharmacy; Schedule III will not alleviate pain
- Rx reduced to writing and MD contacted - Rx must be mailed to RPh within 7 days OR RPh must notify the nearest office of the DEA
- On the face of the prescription, it must say "AUTHORIZED FOR EMERGENCY DISPENSING" Per Federal Law, quantity is limited to ____________________ in regard to an emergency
prescription - answers - :Emergency period
Who may further define what and how long an emergency period is - answers - :State law
Can a prescription for a controlled substance be written in pencil - answers - :NO
Federal Law allows for prescribers to transmit prescriptions electronically to a pharmacy,
provided that ___________________ - answers - :The transmitting and receiving systems are
CERTIFIED by an approved outside agency that meets the Federal Regulations
Partial filling of schedule II Rxs are allowed if____________ - answers - :It is allowed if the
pharmacist is unable to supply the full quantity, BUT THE BALANCE MUST BE FILLED WITHIN 72 HOURS OR THE BALANCE IS VOID
What does CARA stand for - answers - :Comprehensive Addiction and Recovery Act of 2016
What does CARA of 2016 allow - answers - :A patient may request a partial fill and the
pharmacist may fill the balance within the 30 days from the date it was written However, most states specifically prohibit partial fills of a CII
What is the exception to the 72 hour rule - answers - :LTCF and patients who are terminally ill,
may be filled in partial quantities to include individual dosage units, valid for 60 DAYS from issue date
What are the schedule II labeling requirements - answers - :Date filled
Pharmacy name and address Rx number Name of patient Name of prescriber Directions Cautionary statements if required
What are the exemptions to the schedule II labeling requirements - answers - :Not more than
7 day supply
Not in possession of user Institution maintains safeguards and records Pharmacist employs some system to identify the supplier, the products, the patient,, directions, and cautions if needed
What are the rules of transferring schedule III-V controlled substances - answers - :1.
Permissible between pharmacies on a one-time basis only
- Pharmacies which electronically share a real-time on-line database may transfer up to the maximum refills permitted by law and the prescriber's authorization
- Transfer must be communicated directly between two licensed pharmacists
- Transferring pharmacist must write "VOID" on face of prescription, include the name, address and DEA# of the pharmacy to which it was transferred and the name of the receiving pharmacist on the back
- Receiving pharmacist must write "TRANSFER" on the face and record the information from the original Rx, number of refills left, name, address of pharmacy, DEA of pharmacy and name of the pharmacist who transferred the prescription
A schedule V - non prescription must be dispensed directly by whom - answers - :Pharmacist
only
What rules apply to non prescription schedule V drugs - answers - :Not more than 240ml/8oz
of any controlled substance containing opium, nor more than 48 dosage units in any 48 hour period Not more than 120ml/4oz of any controlled substance containing another controlled substance, nor more than 24 dosage units in a 48 hour period Purchase must be at least 18 years old Identification required Bound record book kept: record item dispensed, quantity, purchaser name and address and initials of Rph
Who may dispense rehab medications - answers - :Licensed practitioner (RPh, RN, LPN under
direction of licensed practitioner)
How long must records be kept for maintenance programs - answers - :3 years
Security and storage standards are established by whom - answers - :DEA
True or false: only approved narcotic treatment programs may undertake maintenance
treatment - answers - :True
What is the maximum number of days a hospital can maintain if a patient is verified to be
enrolled in an approved narcotic treatment program - answers - :180 days
When can the Attorney General revoke a license - answers - :When there is an imminent
danger to the public health and safety A bill that was passed to help clarify points of the Controlled Substances Act and facilitate a
greater collaboration between Federal entities and drug supply chains - answers - :Ensuring
Patient Access and Effective Drug Enforcement Act of 2016 Due to failure of the registrant to maintain effective control against diversion or otherwise comply with the obligations of a registrant, there is a substantial likelihood of an immediate threat that death, serious bodily harm, or abuse of a controlled substance will occur IN THE
ABSENCE of an IMMEDIATE SUSPENSION of the registration - answers - :Imminent Danger to
the Public Health and Safety Companies who inadvertently violate the CSA to submit a corrective action plan to remediate the violation before their registration is suspended and the supply of drugs to patients is
interrupted (What's the question?) - answers - :Violation
What is Subutex - answers - :Buprenorphine
What is Suboxone - answers - :Buprenorphrine /Naloxone
What DEA numbers must be on a prescription for buprenorphine - answers - :The prescriber's
regular DEA number and a DEA number that has an X indicating his ability to prescribe buprenorphine
What must a prescriber do to be able to prescribe - answers - :Physician gets a waiver through
special circumstances or through 8 hours of addiction training
How many patients can a physician treat - answers - :No more than 30 addictions the first
year; then can apply to treat up to 100 addiction patients
What does HIPPA stand for - answers - :Health Insurance Accountability and Accountability Act
(HIPAA) of 1996
What issues does HIPPA address - answers - :Protecting patient information
Allows patients to access their medical records and provide more control over how patient's personal health info is used and disclosed
What date did HIPPA take effect even though it's dated 1996 - answers - :April 14, 2013
Who is entitled to see the information of a particular prescription - answers - :1. The patient
and anyone the patient authorizes to see his/her medical information
- The physician who wrote the prescription and his/her office staff as needed
- The pharmacist who filled the prescription and his/her office staff as needed
Tussionex suspension is considered what schedule and why - answers - :Schedule II: Contains
not more than 15mg of dihydrocodeine per dosage unit
Ambien is considered what schedule and why - answers - :Schedule IV: despite having a lower
risk of dependence and fewer side effects than benzodiazepines which are also C-IV
Meprobamate - answers - :Schedule IV: trick question....dont confuse it with meperidine
Fiorinal - answers - :Schedule III
Fiorinal is composed of what 3 drugs and is what schedule - answers -
:butalbital/aspirin/caffeine; III
Fioricet is composed of what 3 drugs and is what schedule - answers -
:Butalbital/APAP/Caffeine; AND IS NOT CONTROLLED If you want to return a CII item to the wholesaler, what form must you use? (You should ask Ed
King) - answers - :Trick question - wholesaler must fill out the DEA-222 form
Kassebaum-Kennedy Act - answers - :HIPPA
Who came up with HIPPA - answers - :Department of Health and Human Services
True or false: An order purporting to be a prescription issued not in the usual course of professional treatment or in legitimate and authorized research is not a valid prescription and a
pharmacist may NOT knowingly fill one. - answers - :True
What do you do with unused medications to be disposed of that cannot be flushed - answers
- :Mix with coffee grounds or cat litter and seal in a container
What are the newest regulations regarding disposal of unwanted controlled substances -
answers - :The FDA on October 9, 2014 expanded pharmacy take-back programs to include
controlled substances Previously patients had to dispose of themselves (by flushing or discarding), surrender them to law enforcement, or seek assistance from the DEA
What 3 drugs are in the. CSA category of "scheduled listed chemical products" - answers -
:Ephedrine, pseudoephedrine (PSE) and phenylpropanolamine
What are the daily limits on OTC salts of ephedrine, pseudoephedrine containing products -
answers - :3.6 gram per day
What is the monthly limit on OTC sales of ephedrine, PSE containing products - answers - :
gram per 30 days
Where should PSE or PPA or ephedrine products be kept - answers - :Behind a counter or in a
locked cabinet
What information must be included in the logbook for sales of PSE, ephedrine products -
answers - :Product name
Quantity sold Names and addresses of purchasers Dates and times of sales
What must the purchaser of PSE do when making a PSE purchase - answers - :Present a photo
ID and sign the logbook
