MINNESOTA MPJE 2024 EDITION. ALL
QUESTIONS AND CORRECT, VERIFIED
ANSWERS. GRADED A+
Are pharmacies required to post their hours? - ANSNo
Are pharmacists required to pass on cost savings from generic substitution to the
customer? - ANSNo; pharmacists are however required to substitute cheaper,
therapeutically equivalent generic drugs when possible
Are tech-check-tech programs allowed under Minnesota law? - ANSNo
Are there any exceptions to the pseudoephedrine rules? - ANSProducts designed for
pediatric use (<12 years)
Methamphetamine precursor drugs that are certified by the Board of Pharmacy as being
manufactured in a manner that prevents the drug from being used to manufacture
methamphetamine
Methamphetamine precursor drugs in gel capsule or liquid form
Compounds, mixtures, or preparations in powder form where pseudoephedrine
constitutes less than one percent of its total weight and is not its sole active ingredient
Are there exceptions to what controlled substances can be stored in a LTCF emergency
kit? - ANSYes; no oral, controlled stimulants
Can a home health care pharmacy provide emergency kits? - ANSYes, for use by RNs
employed in hospice or home health care setting.
Can a LTCF emergency kit contain controlled substances? - ANSYes, if kit is kept in a
locked medicine room or cabinet and access is restricted to: LPN who has been
directed by a physician to administer the drug, consultant pharmacist, or a licensed
practitioner
Can a LTCF keep a supply of HIV prophylaxis drugs to use for staff in the event of an
exposure? - ANSYes; provided by pharmacy
Can a non-pharmacist dispense a prescription while pharmacist is on break? -
ANSYes--must obtain phone number at which patient/caregiver can be reached.
Pharmacist must make reasonable effort to contact patient upon return.
Can a patient demand a brand-name drug? - ANSYes; insurance is not required to pay
for brand name drug
,Can a pharmacist make therapeutic substitutions? - ANSYes, but the pharmacist must
be working under a protocol with the specific prescriber who issued the prescription that
is being filled (a general protocol is not allowed). Prescription must not say DAW.
This can only be done if the prescribed drug is not covered by patient's insurance.
Can a pharmacist repackage drugs dispensed by another pharmacy? - ANSGenerally
no. Exceptions: medication drug repository--pharmacist or practitioner inspects drugs
and determines not adulterated or misbranded, may be repackaged and dispensed;
long-term care--may repackage into a unit-dose system compatible with that used at
LTC facility
Can a pharmacy transmit prescription claim to a third party payor without written
consent from the patient? - ANSYes, but only the PHI necessary to complete the
transaction
Can a prescriber issue multiple controlled substance prescriptions for C-IIs? - ANSYes;
limited to total of 90 day supply, can be for any legitimate medical purpose
Can a retail pharmacy operate an ADC at a LTCF? - ANSYes; considered pharmacy
stock until dispensed. ADC records count as pharmacy dispensing records and may be
stored at the retail pharmacy or other approved central location. Must register with DEA
in addition to their usual retail pharmacy DEA registration.
Can controlled substances be stored in patient care areas? - ANSYes, if under lock
Can hospital nurses prepare medications for residents going on leave from facility? -
ANSYes, up to a 72 hour supply in unit-dose-ish envelopes or some other system.
Label needs to have patient name, facility, name of medication, strength, dose, time of
administration, and initials of person preparing medication and label
Can LTCF nurses prepare medications for residents going on leave from facility? -
ANSYes, up to 72 hour supply in unit-dose-ish containers containing one medication.
Label should have resident's name, facility, name of medication, strength, dose, and
time of administration, and initials of person preparing the medication and label
Can nurses have emergency access to the pharmacy if it is closed? - ANSYes, only a
"designated RN" in any given shift. Pharmacy may prepackage drugs for emergency
withdrawal
Can pharmacists administer an immunization with a patient-specific prescription if no
protocol is in place? - ANSNo--must have protocol in place (can administer outside of
ACIP-recommended schedule, however)
Can pharmacists administer drugs? - ANSYes, IM or subQ used to treat mental
illnesses
, Can pharmacists refuse to fill abortion-related medications? - ANSYes. "No person and
no hospital or institution should be coerced, held liable or discriminated against in any
manner because of a refusal to perform, accommodate, assist or submit to an abortion
for any reason."
Can prescription orders be entered by a non-pharmacist - ANSYes, but pharmacist
must certify the accuracy of the entered information and verify prior to dispensing. The
pharmacy staff member entering the prescription order must be recorded.
Can technicians check drug dispensing machines? - ANSYes
Can technicians fill C-IVs? - ANSyes (and all other controlled substances)
Can the rest of the store stay open if the dispensing area is closed? - ANSIf the
dispensing area is enclosed and can be locked when there is no pharmacist on duty,
then yes. Nobody is allowed access to the pharmacy if no pharmacist on duty. If
dispensing area is not enclosed, entire store must close.
Can you just buy medical gas willy-nilly? - ANSNo; can only be sold to a patient on
basis of a prescription or to a hospital, practitioner, pharmacy, or other institution/person
licensed to possess these drugs for use in the usual course of practice.
Can you transfer a controlled substance prescription that has been profiled but never
dispensed? - ANSNo--you can "forward" through an e-prescribing system (includes C-
IIs)
Can you transfer a prescription between pharmacies via fax? - ANSNo
Daily sales limit of pseudoephedrine - ANS3.6 grams
DEA Form 106 - ANSReporting of drug losses
DEA Form 222 - ANSUsed for ordering Schedule II controlled substances (alternatively,
pharmacies may use online CSOS)--triplicate forms (2 to supplier, 1 retained by
purchaser). Also used when C-IIs are transferred between pharmacies, from pharmacy
back to supplier, or from pharmacy to reverse distributor.
DEA Form 224 - ANSDispenser registration ("dispenser" includes prescribing,
administering, or dispensing--retail pharmacies, hospitals, physicians, mid-level
practitioners)
DEA Form 224a - ANSRenewal registration for dispensers
DEA Form 224b - ANSChain pharmacy registration renewal
DEA Form 363 - ANSMethadone for addiction
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