MPJE Prescription and Dispensing Law Practice Questions
Domain 2 of the MPJE and UMPJE outlines, the Medication Use Process, is 30% of the exam: validity of a prescription, changes, emergency refills, labeling, drug utilization review, refills, packaging, counseling, transfers, PDMP rules, recalls and returns, and drug product selection.
120 questions in 2 hours 30 minutes across all four MPJE domains, with an explanation and citation for every answer.
Or try the free prescriptions and dispensing drillA prescriber writes on a prescription that the Medication Guide should not be given to this patient because of concerns about its effect. At pickup, the patient asks the pharmacist for written information about the drug. Under FDA regulations, what should the pharmacist do?
Federal rules the exam tests
- A controlled-substance prescription is valid only if issued for a legitimate medical purpose by a practitioner acting in the usual course of practice; the pharmacist filling it has a corresponding responsibility. 21 CFR 1306.04(a)
- A drug that is not safe for use except under a practitioner’s supervision may be dispensed only on a prescription, and its label must bear “Rx only.” 21 U.S.C. 353(b)(1), (b)(4)
- Household substances and drugs covered by the Poison Prevention Packaging Act, including oral prescription drugs, are dispensed in child-resistant packaging unless an exemption applies. 16 CFR 1700.14
- Medicaid prospective drug use review requires screening each prescription and an offer to counsel the patient or caregiver. 42 CFR 456.705
- When a drug has a Medication Guide, the dispenser provides it with each prescription. 21 CFR 208.24(e)
- Oral contraceptives and estrogens are dispensed with their FDA patient package inserts. 21 CFR 310.501, 310.515
Federal law sets the floor. Where a state rule is stricter, the state rule applies, and state MPJEs test it.
Free prescriptions and dispensing drillTen questions, each explained with the regulation or statute behind the answer. The first attempt is free with a free account.Then sit all 120 questions under the clock
120 questions in 2 hours 30 minutes across all four MPJE domains, with an explanation and citation for every answer.
Or try the free prescriptions and dispensing drillCommon questions
Is OBRA ’90 counseling a federal requirement for every patient?
OBRA ’90 made prospective drug review and an offer to counsel conditions of Medicaid funding; states then wrote counseling rules, and most apply them to every patient. The MPJE tests your state’s version.
Can a patient ask for a non-child-resistant container?
Yes. The patient or the prescriber may request conventional packaging; the prescriber’s request applies to that prescription.
More MPJE guides
Original independent practice; rules quoted from the current eCFR and U.S. Code. MPJE is a registered trademark of NABP. Not affiliated with or endorsed by NABP.