Missouri MPJE Exam Questions And
Correct Answers
What bureau regulates controlled substance distribution in Missouri? - answerThe Missouri
Bureau of Narcotics and Dangerous Drugs (BNDD)
The Missouri Department of Health and Senior Services (DHSS) has regulatory jurisdiction over
pharmacies tha...
What bureau regulates controlled substance distribution in Missouri? - answer✔✔The Missouri
Bureau of Narcotics and Dangerous Drugs (BNDD)
The Missouri Department of Health and Senior Services (DHSS) has regulatory jurisdiction over
pharmacies that are __________. - answer✔✔Located within the "licensed premises" of
hospitals (except for Class-B hospital pharmacies).
What additional services can pharmacists perform in Missouri if properly certified and board
notified if required? - answer✔✔Administering medication by prescription order
Immunizing by protocol
Medication therapy services
T/F: After a name change, you must request a new license with updated name. - answer✔✔F
Address and employment changes must be reported to the board within __ days - answer✔✔15
Name change requirements - answer✔✔Written notice to the board
Legal documentation
Pharmacists must renew their license by - answer✔✔October 31st of every even numbered year
How many CEs per renewal term for pharmacist licensure - answer✔✔30
Proof of CE must be maintained in the licensee's records for - answer✔✔2 renewal cyckes
What specific CE requirements are there regarding different specialties of pharmacy? -
answer✔✔4 hours of CE for pharmacists who dispense and counsel on clotting factors, 2 hours
for immunization, and 6 hours for MTM
What adverse actions must be reported to the board and within how many days? -
answer✔✔Actions taken by other states
Any surrender of a license or authorization
Any exclusion to participate in a state/federally funded program for fraud or abuse
Pharmacists who do not wish to practice pharmacy, but keep their license without doing CE can
apply for _______ status at the time of ______. - answer✔✔Inactive Status; Renewal
For a pharmacist to go from inactive to active licensure, what must a pharmacist do? -
answer✔✔Catch up on all CE during period of inactivity and apply to the board.
Pharmacists supervising techs/interns must be readily and immediately available in which
pharmacy settings? - answer✔✔All except for FLQR (F: Renal dialysis, L: veterinary, Q:
charitable, R: remote dispensing sites)
What does readily and immediately available mean? - answer✔✔On the same physical premise
or use technology that complies with Missouri law.
Describe what verification a technician or intern can perform? - answer✔✔Non- controlled
substances using technology assisted verification systems as long as a pharmacist verifies order
entry.
When a pharmacist is not readily available/supervising, techs/interns can... - answer✔✔Accept
written/electronic prescriptions, but cannot take verbal orders or perform any other tasks.
What type of notification is required if there is no pharmacist present? - answer✔✔No
Pharmacist on Duty at least two inches in height.
If the pharmacy is being remotely supervised, how must the public be notified? - answer✔✔No
pharmacist on duty sign
Technology assisted supervision is not allowed when techs/interns are... -
answer✔✔Administering meds/vaccines, compounding, preparing, or dispensing medication.
Technology assisted- supervision requirements - answer✔✔Two-way communication by audio,
completion of employer approved training and compliance kept for 2 years, 5-year audit trail of
all activity.
Pharmacist prescriptive authority - answer✔✔NRT
Naloxone, Naltrexone
HIV PEP
Emergency medication supply if unable to obtain refill authorizations
Pharmacists may accept a hard copy prescription where? - answer✔✔Only on pharmacy
premises.
If a pharmacist can't accept a prescription off-site, can a tech? - answer✔✔No, but remote data
sentry techs can enter data remotely if following the law
What is a class I permit? - answer✔✔A consultant pharmacy permit
A Missouri pharmacy permit is not required for a pharmacist when - answer✔✔They are only
providing consulting services
A pharmacist located in another state can perform pharmacy services if - answer✔✔They are a
missouri licensed pharmacist or are working for a missouri licensed pharmacy.
Can pharmacists perform lab testing? - answer✔✔Yes, due to absent statutory direction.
However pharmacists can't "diagnose"
Prior to prescribing NRT, a pharmacist must... - answer✔✔Collect PMH
Screen for high risk patients
Prescribe based on clinical guidelines
Pharmacy records must be maintained for __ years - answer✔✔5
Patient medical records kept at the pharmacy must be produced immediately or within _____
after request from the BOP. Records not maintained at a pharmacy must be produced within ___.
- answer✔✔2 hours; 3 business days
What information must be collected when dispensing naltrexone - answer✔✔Pt name, dob,
address, ph#
Date pt seen
PCP
Documentation of screening/testing
PMH
Name and dosage of drug
Any recommended plan, follow-up, or referral
How many hours per week must a PIC be present? - answer✔✔There is no set amount of hours
What are the requirements that must be met for a pharmacist to be PIC at more than one
pharmacy? - answer✔✔The PIC must be present enough to be regularly engaged with the
operations of the pharmacy (subject to interpretation by the PIC and permit holder)
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