Download Texas MPJE Exam 2025: 150 Questions and Answers for Pharmacy Professionals and more Exams Pharmacy in PDF only on Docsity!
TX MPJE EXAM 2025/ACTUAL 150Qs&As|LATEST
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TX BOP consists of how many members? ANSWER 11 members 7 pharmacists 3 public members 1 pharmacy technician What is the minimum age requirement for purchasing an OTC product containing pseudoephedrine, ephedrine, or phenylpropanolamine in Texas? ANSWER 16 years old CII prescriptions must be filled within how many days of the date written? ANSWER 21 days How often must an automated dispensing machine (like a Pyxis) be tested for accuracy? ANSWER every 6 months or when an upgrade or change is made to then system Can CVs containing codeine, dihydrocodeine, or any codeine salts be sold OTC? ANSWER No, must have a prescription Can you fill a hard copy prescription written by a doctor in Mexico or Canada? ANSWER Yes, but hard copies only the pharmacist must call and verify that the prescription is valid and issued by an authorized prescriber within their scope of practice E-rx and verbals can't be accepted Can a pharmacist substitute a dosage form of a drug product different from what is prescribed? ANSWER Yes, if the patient consents and the prescriber is notified
substitute must not be extended-release or enteric coated and not alter clinical outcomes When compounding patient-specific prescription drugs, what information needs to be recorded? ANSWER preparation date signature or initials of person compounding signature/initials of supervising rph complete rx formula quantity of the finished compound container used for the rx how many containers are prepared references for BUD criteria, performance of quality control procedure When an rph is off-site and a prescription is delivered to patients, what information should be recorded for each rx? ANSWER date/time of delivery rx number patient name phone number of person picking up signature of the person picking up the rx Can prescriptions be delivered if the rph is absent and off-site? ANSWER yes, as long as the prescriptions have already been verified by the pharmacist
ANSWER 22 miles *however, if a community pharmacy is built within 22 miles of any already operating tele pharmacy dispensing site, then the site may continue to operate Within what time frame must a pharmacist must notify the BOP of a change in employment? ANSWER10 days Who appoints the BOP members? ANSWERThe Governor with advice and consent of the Senate How many pharmacy interns can a RPh precept at a time? ANSWER 1 *exception would be if the preceptor is supervising intern trainees and student pharmacists as part of a Tx college/school of pharmacy program A Class H Limited Prescription Delivery Pharmacy must have audits of received and delivered prescriptions conducted how often? ANSWERat least once a month A patient is being discharged from the hospital, what days supply of oxycodone can the hospital dispense? ANSWERa 7 day supply of CIIs can be dispensed without a prescription from the hospital A Class H Limited Prescription Delivery Pharmacy may deliver what types of prescriptions? ANSWERThey may deliver non-controlled dangerous drugs of any type, but may not deliver controlled substances In oder to obtain a certification as a nuclear pharmacist, how many hours of a structured educational program of didactic training and supervised practical experience in nuclear pharmacy Mac be completed? ANSWERat least 700 hours In case of an emergency, a pharmacist can administer epinephrine, what happens
next? ANSWERcall 911 directly after administration Notify PCP should be notified ASAP after the use of epinephrine bu two more than 72 hours after Can prescriptions for CS written in Canada or Mexico be filled in TX? ANSWERNo, they cannot be filled in the state of Texas, even when issued by a valid and authorized prescriber What is true regarding CII deliveries to a Free-Standing Ambulatory Care Facility when the pharmacist only works part time? ANSWERdeliveries does not have to be received by a pharmacist BOP rules require the initials of the receiving pharmacist on all invoices for CS EXCEPT at these Free Standing Ambulatory Care Facility In a hospital, how many beds are required before the continuous supervision of an on-site pharmacist is required? ANSWERcontinuous supervision is required when the pharmacy department is open if there are more than 100 beds in the facility A pharmacy that is closing may dispose of prescription drugs in what ways? ANSWER1) by transferring them to a person or entity authorized to possess drugs
- returning them to a manufacturer or supplier
- destroying the drugs following appropriate legal procedures What does a pharmacist have to do when a medication is removed from a Freestanding Emergency Medical Care Facility by authorized personnel when the pharmacist is off-duty? ANSWERthe pharmacist must audit the patient's medical record at least once every week the pharmacy is open, unless otherwise specified at a smaller interval What is the ratio of on-site pharmacists to pharmacy techs/tech trainees? ANSWER1:6 max of 3 trainees
prescriptions for dangerous drugs if permitted by the bylaws and policy of the institution What is the maximum amount of a CV of non-prescription opium (ml) that can be sold to any one individual within a 48 - hour period? ANSWERlimited to 240 ml or 48 solid dosage units of non-prescription opium Epidemic or pandemic diseases, bioterrorism, or highly fatal infectious agents must be reported to who? ANSWERDepartment of Health How many times can a pharmacy school graduate fail the NAPLEX or Tx MPJE before being required to take classes in the failed areas? ANSWER5 times (retaken 4 times) How often does the Tx BOP require a CS inventory? ANSWERon first day of opening and then annually (DEA requires every 2 years) A new completed pharmacy application must be submitted to the BOP no later than how many days before a pharmacy changes location? ANSWER30 days Auto-refil programs can be used for all schedules of drugs except which ones? - answer Except for CII-CIII Med-pak records shall include what? ANSWERpt name/address med-pak ID # Rx # for each individual rx included manufacturer/distributor names for each product ID information for each medication med-pak prep
date BUD special labeling instructions dispensing pharmacist's initials or ID How can a physician prohibit a substitution for a brand name medication? ANSWERthe prescriber must write "Brand necessary" or "brand medically necessary" in their own handwriting across the face of the rx ***signing on a "no substitution line, check boxes, and other notations that indicate substitution instructions are not valid methods to prohibit substitution, and pharmacists may substitute generics in this case if the pt agrees Who is responsible for the education and training of pharmacy techs? ANSWERthe PIC In a Class C pharmacy facility where the pharmacist is not on duty or the pharmacy is closed, who may be designated to remove a prescribed drug from the pharmacy? ANSWERa designated licensed nurse or practitioner **only sufficient quantities to meet therapeutic needs may be removed and should be recorded How many credit hours must be completed for a pharmacist who is compounding sterile preparations or is supervising sterile compounding? ANSWER20-hour ACPE accredited course and experience related to sterile compounding **must include: aseptic processing, sterilization techniques; quality control and quality assurance; chemical, pharmaceutical and clinical properties of drugs; and container, equipment, and closure system selection Who can a pharmacist dispense an opioid antagonist to? ANSWERper standing order, to a person at risk of an overdose or to a family member or friend of a person
hours on high risk preparations within the period leading up to the license renewal **also applies to technicians How old must a patient be to receive accelerated refill when all other requirements are met? ANSWER18 years old A pharmacist from the main provider site must visit its remote tele pharmacy location(s) how often? ANSWERonce a month and the visit must be documented and kept at the remote site How many years of experience as a pharmacist are required prior to becoming a preceptor? ANSWER1 year unless the RPh is residency trained, then it's 6 months Clinic pharmacies with expanded formularies must have the PIC, consultant pharmacists, or staff pharmacists visit the clinic how often? ANSWERmonthly A clinic pharmacy formulary in the state of Texas may not contain what class(es) of drugs? ANSWERscheduled substances ED drugs nalbuphine (Nubain) ***however, if clinics serve a patient population of 80% or more indigent patients, the clinic may petition for a more expanded formulary to serve the needs of the population Clinic pharmacies are limited to keeping a formulary with what drugs? ANSWERtoxoid and vaccine products topical medications
OB-GYN
medications vitamins anti-infective agents musculoskeletal medications How long is an emergency remote location pharmacy license valid for? ANSWER6 months, but it can be renewed for another 6 months after that if there is still a need for an emergency location What trends should be reported to the Department of State Health Services? ANSWERunusual or increased prescription rates or trends that may be caused by bioterrorism, epidemic, or pandemic disease **includes: an increase in the number of rxs to treat respiratory or GI complaints, antibiotics, and sales of OTC products that treat respiratory symptoms, GI complaints or fever What is the appropriate license for a community pharmacy that compounds sterile preparations? ANSWERClass A-S license In what time frame must an RPh, intern, or tech notify the BOP of an address change? ANSWER10 days Within what time frame must the Board be notified of the change of ownership of a community pharmacy that produces sterile compounds? ANSWER10 days Daily hard-copy reports should be produced in what timeframe? ANSWERwithin 72 hours
What information should be on the label if the prescription is going to an institutionalized patient and the prescription will not be in the possession of the ultimate user? ANSWERdispensing pharmacy name/address rx number name and strength of the drug pt name prescriber name BUD (if not in manufacturer bottle) Documentation for destruction of dangerous drugs must include what? ANSWERdispensing pharmacy name/address drug name/strength rx number (if applicable) the pharmacist's signature Recalled drugs must be removed from inventory within what time frame? ANSWER24 hours Pharmacists and Vaccinations ANSWERRPh may give vaccines to patients under a written protocol with a phsyician Children < 14 may be vaccinated by RPh if there is a physician referral/rx Children > 7 can be vaccinated for the flu w/o a rx/referral In addition to the DEA requirements for written CS prescriptions, what does the state of TX require to be on the hard copy? ANSWERthe quantity written as a word date of birth, age of pt
practitioner's phone number at the practitioner's usual place of business intended use for the drug How many CE hours are required to renew your license? ANSWER30 hours A pharmacist can be delegated the right to prescribe by a physician under an order or protocol in a hospital-based clinic. What does that pharmacist have to submit to the Board? ANSWERan application provided by the BOP before signing any prescriptions must send a copy of the protocol must update the notification to the Board annually Which schedule of CS must be locked up? ANSWERCII
**200 mg/ 100 ml or less CV **1.8 grams/100 ml CIII Federal Practitioners ANSWERofficials of the US Armed Forces, Public Health Service or Bureau of Prisons not required to register with the DEA CII prescriptions written by these practitioners may only be filled on the military base or at the facility where the prescriber practices If a CII is written by a federal practitioner (not registered with DEA) and has to be filled off base, what is required? ANSWERmust be written be written on a Tx official form that is only dispensed by the TSBP to practitioners that are registered with the DEA Can you fill a CIII-CV prescription written by a federal practitioner off base if they aren't registered with the DEA? ANSWERyes, it may be filled off base or outside of the practice location Who is authorized to be a witness of the destruction of dangerous drugs at healthcare facility or institution? ANSWERDirector of nursing commissioned peace officer Licensed nurse Agent of the Texas Board of Pharmacy facility administrator Within what timeframe must a PIC report the loss of significant amount of information? ANSWERwithin 10 days from the discovery of the loss When removing a drug from floor stock, what must be kept in a record? ANSWERdrug name strength dosage
form quantity date/time signature of person removing location of the floor stock How many internship hours are required for licensure as a pharmacist? ANSWER1500 hours How long must vaccine records be kept readily available? ANSWER2 years Vaccine administrative requirements ANSWERkeep records available for 2 years, including any notifications sent to prescriber must notify the provider who issued the written protocol for the vaccination within 24 hours of administration PCP of patient must also be notified within 14 days from admin Texas Pharmacy Act ANSWERprimary law governing the practice of pharmacy in Tx establishes BOP and its authorities/responsibilities promote, preserve, and protect the public health, safety, and welfare of Texans through effectively controlling and regulating the practice of pharmacy Automated Dispensing Systems and Pharmacists ANSWERdispensing process must be fully automated from the time the pharmacist releases the rx to when its dispensed to the patient procedures must be in place for testing the accuracy of the system (Q months/each upgrade document testing RPh must review, approve, and be accountable for the transmission of each rx drug order to the system RPh is also responsible for performing a PDR review RPh must check, verify, and document that the automated pharmacy dispensing
an authorized physician assistatn APRN out-of-state: physicians, dentists, veterinarians, podiatrists ***out of state APRNs and PAs, Canadian and Mexican practitioners, and practitioners from other foreign countries may not write prescriptions for CS to be filled in Tx How many ACPE approved hours must a pharmacist complete before becoming a preceptor? ANSWER3 hours of preceptor training If a natural or manmade disaster has occurred that prohibits the RPh from being able to contact the practitioner, what days supply can an RPh dispense? (not including CIIs) ANSWER30 days, with professional judgement to determine whether failure to refill the prescription might result in an interruption of therapy **must inform the prescriber at the earliest reasonable time Requirements for RPh and techs to be appointed to the BOP ANSWERlicensed/registered for at least 5 years before appointment must be in good standing How often must a clinical pharmacy w/ a pt population of 80% indigent, resubmit a petition for an expanded formulary? ANSWERevery 2 years Under what circumstances can a PIC of more than one Class A pharmacy? ANSWERif they aren't open at the same time If there is an emergency, up to two Class A pharmacies can be open at the same time as long as the PIC works at least 10 hours at each (must not be done for more than a consecutive 30-day period)
If a Rph is participating in drug therapy management at a hospital, hospital-based clinic, or academic healthcare center under physician order/protocol must complete how many hours of CE? ANSWERat least 6 hours related to drug therapy (must be ACPE accredited) What can an RPh not change on a CII prescription? ANSWERpt name drug name prescriber name/signature prescription date In the ED, medications can be supplied in prepackaged quantities with how many days supply for outpatient use when the RPh is not on duty? ANSWERno more than a 72 hour supply BOP requires that inventories... ANSWERbe signed by the PIC and notarized within 3 days of completion, excluding weekends and holidays
