MPJE Michigan, Questions and answers, 100% proven pass rate. 2022/2023.

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MPJE Michigan, Questions and answers, 100% proven pass rate. 2022/2023. Which prescription type is good for 12 months - ✔✔Noncontrolled and schedule 5 Which prescription type is good for 6... months - ✔✔Schedule 3-4 Which prescription type is good for 90 days - ✔✔Schedule 2 Max refills for non control - ✔✔11 Max refills for schedule 5 - ✔✔11 Max refills for schedule 3-4 - ✔✔5 Max refills for schedule 2 - ✔✔None How many transfers can schedule 3-5 have - ✔✔One (pharmacist to pharmacist only, not intern) How many drugs can be on a handwritten prescription - ✔✔4 Can prescriptions have multiple noncontrolled and controlled medications on them - ✔✔Yes How many drugs can be on a typed, e-scribed prescription - ✔✔6 When can schedule 2 prescriptions be given over the phone - ✔✔Emergencies and a written order must be signed within 7 days What serves as the signature for emergency C2s - ✔✔Name of person communicating When can a schedule 2 be faxed - ✔✔Long term care and hospice patients What must be on the prescription label - ✔✔Name of prescriber Pharmacy name and address Patient name Name of drug Quantity Directions for use Prescription number Date most recently dispensed Federal caution statement for schedule 2-4 Parts of a prescription that a pharmacist cannot change - ✔✔Patient name Prescriber name Drug product Post date Prescriptions must be kept for how long (including Medicaid and Medicare part D specific) - ✔✔5 years Medicaid: 7 years Medicare: 10 years How long must records, including DEA forms be kept - ✔✔2 years How long must receipts be kept - ✔✔90 days Quantity dispensed at one time for noncontrolled and schedule 5 - ✔✔Can request all refills at once but insurance is not required to pay for additional Who can delegate prescribing privilege - ✔✔MD and DO Who can legally prescribe noncontrolled prescriptions - ✔✔MD/DO licensed in US and Canada NP/PA/DDS/DVM in US Who can legally prescribe controlled prescriptions - ✔✔MD/DO/DDS/DVM in any US state NP/PA in Michigan Who does not have prescriptive authority in Michigan - ✔✔Chiropractors Physical therapist Psychologist Dentist can prescribe what - ✔✔Noncontrolled or controlled that treat conditions of oral structures and sequelae of dental procedures What can nurse practitioners and midwives prescribe - ✔✔Independent prescribing on noncontrolled Delegated prescriptive authority for controlled What is needed for a NP or midwive to prescribe controlled - ✔✔Physicians name and DEA number What day supply can NPs and midwives prescribe on controls - ✔✔30 day supply PAs can prescribe what - ✔✔Independent authority on noncontrolled Independent authority on controlled under a practice agreement with a MD, DO, or DPM What can podiatrists prescribe - ✔✔Noncontrolled and controlled for human hand and feet - only licensed in MI What can veterinarians prescribe - ✔✔Noncontrolled and controlled for animals Duty to counsel - ✔✔All new prescriptions Any time a patient requests it If the pharmacist deems it necessary Patients may refuse counseling but it still must be offered Pharmacist in charge - ✔✔No more than 3 pharmacies (including remote) Must work an average of 8 hours/week at each pharmacy where serve as PIC What is required in the packaging of a customized patient medication package (CPMP) - ✔✔Med guide for any drug that requires one May not be returned to stock Separate record including initials of pharmacist who prepared it What is required in the labeling of a customized patient medication package (CPMP) - ✔✔Date of prescription Directions for each drug including time and day Side effects statement CPMP serial number Name address and phone number of pharmacy Physical description of each pill When do customized patient medication packages expire - ✔✔60 days or earliest expiration of a drug in the package The pharmacy whose stock is used by central fill must report to who - ✔✔MAPS How long do central fill records need to be kept - ✔✔5 years What needs to be written on the face of controlled substance prescriptions for central fill - ✔✔Central Fill For central fill, prescription label must identify ehat - ✔✔Each pharmacy How can prescriptions be transmitted from originating to central fill pharmacies - ✔✔Fax or electronic Expiration date: non sterile aqueous oral compounds - ✔✔14 days Expiration date: non sterile aqueous topical compounds - ✔✔30 days Expiration date: non sterile nonaqueous topical compounds - ✔✔6 months Beyond use date: sterile multi unit vials - ✔✔28 days from first entrance Beyond use date: sterile ampules - ✔✔Immediate If the pharmacy is out of stock for a C2, when must the remaining quantity be filled - ✔✔Within 72 hours If the pharmacy partials the C2, when must the remaining quantity be filled for terminally ill or long term care - ✔✔60 days from the prescription issue date If normal patients get a partial C2: Federal rule vs Michigan rule - ✔✔Federal: must void the remaining quantity Michigan: must complete fill within 30 days If the prescriber does not supply the written emergency C2 prescription in 7 days what should the pharmacist do - ✔✔Report to DEA and LARA What is the days supply for an emergency C2 - ✔✔Amount to cover emergency period for MD/DO/PA/NP Form 222 - ✔✔Used whenever a schedule 2 drug changes hands (distribution from supplier to pharmacy, sending outdated supply to reverse distributor, etc) When is a form 222 not reauired - ✔✔When a central fill pharmacy delivers drug to the originating pharmacy Who can sign a form 222 - ✔✔MI certifies anyone with a CS license Where must form 222s be kept - ✔✔On site (including voided ones) Form 41 - ✔✔Used to document destruction and or disposal of any controlled substance on site What should be used if a schedule 3-5 drug is sent back to the supplier or to a reverse distributor - ✔✔Invoice Form 106 - ✔✔Used to document significant loss or theft of any controlled substance Who to notify and when for significant loss or theft - ✔✔DEA within 1 business day and Board within 10 business days What to do for insignificant losses - ✔✔Witnessed and initialed in pharmacy records What control inventory must have an exact count - ✔✔Schedule 2 and any container over 1000 units When does control substance inventory need to be done - ✔✔annually, at least 30 days before May 1st but not later than 60 days after May 1st How long do inventory records need to be kept and where - ✔✔On site for 2 years In an OP setting, when must the prescriber use MAPS - ✔✔Any 3 day or more supply in an OP setting, prescriber must register with MAPS before prescribing any controlled substance Who is exempt from MAPS reporting - ✔✔Inpatient dispensing and anything less than 48 hour day supply or less Who can MAPS report printouts be shared sitb - ✔✔No one (including prescriber) Day supply for any controlled substance for acute pain - ✔✔7 day supply in a 7 day period The federal caution statement must be on what schedules - ✔✔2-4 only Any product with how much codeine is considered a schedule what - ✔✔>90 mg per dosage unit, schedule 2 Tylenol 3 and 4 are schedule what - ✔✔3 Cough syrups containing codeine 200 mg/100 mL are schedule what - ✔✔5 OTC products must contain how much codeine per package - ✔✔240 mg or less What must Pharmacist's and pharmacies due in order to use the Naloxone standing order - ✔✔Pharmacist must do the required training Pharmacies must register with the Michigan department of health and human services (MDHHS) How often must naloxone dispensed through standing order be reported to the health department - ✔✔Quarterly What drugs are included in pseudoephedrine sales - ✔✔Pseudoephedrine Ephedrine Phenylpropanolamide Records for pseudoephedrine sales - ✔✔Must log all OTC sales in log book How often does recertification for pseudoephedrine happen - ✔✔Annually Exceptions to the federal anti-tampering act - ✔✔Insulin Non-oral OTC products (creams, lozenges, toothpaste, etc) What MAT treatment can community pharmacies dispense - ✔✔Naltrexone Suboxone Pure food and drug act - ✔✔1906 - prohibited selling adulterated and misbranded drugs Food drug and cosmetic act - ✔✔1938 - established NDA, required medications to have adequate directions for use and required labeling Drugs marketed before Food Drug and Cosmetic Act - ✔✔Were not subject to review or NDA requirements What act recognized USP-NF and homeopathic pharmacopoeia of the US as official compendia - ✔✔Food drug and cosmetic act Durham Humphrey act - ✔✔1951 - created prescription only and OTC drugs Authorized verbal prescription orders and permitted prescription refills Kefauver Harris Act - ✔✔1962 - now drugs [Show More]

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