MPJE Maryland Exam Review (Latest 2023/ 2024 Update) Questions and Verified Answers| Grade A| 100% Correct
MPJE Maryland Exam Review (Latest 2023/
2024 Update) Questions and Verified
Answers| Grade A| 100% Correct
Q: degree/education required for a: foreign grad
Answer:
FPGEC certified
Q: when is oral english competency exam waived?
Answer:
if graduate of english speaking program accredited by nabp
Q: documents needed for license: new license
Answer:
- proof of age
- pharmacy experience affidavit
- mpje/naplex passing score
Q: documents needed for license: transfer/reciprocity
Answer: - MBOP app for pharmacist reciprocity
- NABP license transfer app
- FPGEC certificate if foreign grad
- MPJE passing score
Q: documents needed for license: foreign grad
Answer:
- proof of age
- fpgec certificate
- pharmacy experience affidavit
- mpje/naplex passing score
Q: process to reinstate license
Answer: - submit 30 ce credits obtained within last 2yrs
(can use vaccine CEs) - fee:
if within 2yrs of license expiration: $527 if more than 2yrs: $542
Q: fee for reinstating license depends on
Answer:
if within 2yrs of license expiration:
$527
if more than 2yrs: $542
Q: after a hearing X can be taken
Answer:
after a hearing action can be taken
Q: penalties must be paid within
Answer:
penalties must be paid within 30 days unless specified otherwise. appeals do not automatically
stay payment of penalty
Q: appeals to penalty do/do not…
Answer:
appeals do not automatically stay payment of penalty
Q: how long does a license renewal last?
Answer:
2 years, last day of pharmacist’s birth month every other year
Q: when is a pharmacy intern license required?
Answer:
- for performing any PI duties
- NOT required if on an APPE rotation in Maryland dont need it
- DONT need one if ur a pharm tech performing delegated pharmacy acts
Q: when is a pharmacy intern license NOT required?
Answer:
NOT required if on an
APPE rotation in Maryland dont need it - DONT need one if ur a pharm tech performing delegated pharmacy acts
Q: criteria for applying for a pharmacy intern license includes?
Answer:
must meet
ONE of the following: - currently enrolled/completed one yr of professional pharmacy in a ACPE accredited pharm
school - graduated from an accredited pharm school
- foreign grads w/fpgec certificate and the school they graduated from has estab- lished
educational equivalency approved by board
MUST GO THRU CRIMINAL BACKGROUND CHECK
Q: pharmacy intern license fees
Answer:
initial: $45 renewal: 45
Q: are there hours required for pharmacy intern license?
Answer:
no
Q: to apply for a pharmacy intern license, what must be submitted: new vs foreign grad
Answer:
new: pharm school affidavit MUST indicate applican’t status when it’s completed
foreign grad: original fpgec certiifcate
Q: is a preceptor required for having a pharmacy intern license
Answer:
N/A
Q: pharmacy intern license renewal period + how many times can they renewAnswer:
it lasts 2 years
a registered pharmacy intern may renew 1 time if he/she submits a renewal app and pays the
renewal fee
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The Board
The Board
Who are the board members?
Pharmacists
- 4 w/ 5 years experience
Pharmacy Tech - 1 w/ 5 years experience
Pubic - 2 w/ no hx of pharmacy ex
Who chairs the board?
Annually elects a member to be president, Vice President, secretary
How are board members selected?
Appointed by Governor w/ Senate confirmation
How long do board members serve?
5 year terms and no more than 2 consecutive terms
How often does the board convene?
Once every 2 years
License Requirements
License Requirements
What is the cost for new and transfer reciprocity?
New Pharmacist
- $70
Transfer/Reciprocity - $180
What is the annual renewal fee for a pharmacist?
$65
What is the CE requirement for renewal?
if 0.5 is in Approved Group Program
- 1.5 CEU
If 0.5 is not in approved group program - 2 CEU
*1 CEU = 10 hours… So 1.5 = 15 hours w/ 5 in approved group program and 2 = 20 hours
How often does the CE requirement have to be performed?
Each fiscal year
how many intern hours does a pharmacist need to be licensed in Montana?
1500 hours in the US
- doesn’t matter if they have been a licensed pharmacist before. Need 1500 hours
What are the levels of license inactivity that are important for differing degrees of requirements to be reinstated?
3 or less years
3-5 years
5 years
If less than 3 years of inactivity, what is the re-instatement process?
3 or less
- Submit written request for status change ot the board
- Pay full license renewal fee
- Certify no legal charges prevent practice
- Provide proof of continuing education
What is the requirement for reinstatement if a person has had more than 3-5 years of inactivity?
3-5 Years inactivity
- Complete the requirements for 3 or less years
- Complete 300 hours of internship
OR - Take NAPLEX
- Pass Montana MPJE
How does reinstatement differ for a license that is inactive for 5+ years?
They must complete above
- Must TAKE NAPLEX
AND - COMPLETE 300 intern hours
When are pharmacist licensed renewed each year?
June 30
Pharmacy Intern License
Pharmacy Intern License
Who can apply to be a tech in montana/
- 18+
- Graduate high school or equivalent
T/F: A pharmacist or intern with a suspended license can apply to be a tech?
False
- Pharmacists, interns whose licenses have been denied, revoked, suspended, or restricted are ineligible
Does Montana require continuing education?
Not specified
What is the application fee for tech licenusre?
$35
What are the requirements to be licensed as a tech?
- Proof of certification by PTCB, National healthcare association, other board approved entitity
What are the requirements for a tech in training license?
- Receive initial training including non the job practical training and didactic education that is commensurate with the tasks and functions a pharmacy technician may perform
when are tech licenses renewed?
Annually before June 30th
The Pharmacy
The Pharmacy
T/F: Pharmacies must have a counseling area
True
- Must be able to offer visual and auditory confideniality
How must pharmacies be secured?
Suitable locks and or electronic barrier to detect entry by unauthorized persons
What type of sanitation equipment is required?
Safe and pure water supply
How long are records of dispensing to be kept?
2 years
- Quantity dispensed
- date
- Serial number
- Pharmacist who dispensed
- Satisfaction of state requirements for dispensing
- Records of refill date
What signage is reqiured for a pharmacy closure?
A sign must be conspicuously displayed notifying there the time of a rest/break or indicating a pharmacist is not on duty
Does a pharmacy who shares information with another pharmacy have to indicate this?
Yes
- Must indicate with a sign that explains this
- placed conspicuously
Does a pharmacy have to display a sign about generics?
Yes
- This pharmacy may be able to select a less expensive drug product that is equivalent to the one prescribed by your physician unless you or your physician request otherwise”
- Block letters, 1 inch in height
When should the board be notified of change of ownership?
Submit application 30 days prior to change
- Original license becomes void and is surrendered
- Board must be notified in writing when 5-50% of ownership changes
When should the board be notified of a change in the pharmacist in charge?
Within 72 hours
- Previous pharmacist must notify board in writing
- New pharmacist in charge must be implemented within 72 hours
When does a pharmacist have to inform the board of a change in employment or address?
Within 30 days
- This includes personal address
T/F: A automated dispensing device at an institutional facility must record information about the drug being dispensed
True
- Name
- Strength
- Quantity
- Patient
- Person removing drug
How long does information from automated dispensing need to be maintained?
2 years
T/F: A pharmacist can deliver medications for a patient to their door or prescribers office?
Nothing in this rule shall prohibit a licensed pharmacy from picking up prescriptions or delivering prescriptions at the office or home of the prescriber, and at the residence of the patient or at the hospital in which a patient is confined, by means of an employee or a common carrier
Basically saying we can mail prescriptions
Are dispensing cabinets allowed?
This is kind of grey
Nothing in this rule shall prohibit a registered pharmacist from installing an appropriate secure device as an alternate delivery system, when the pharmacy is closed. The system and counseling methods must have the prior approval of the board or its designee.
In the event of an emergency where a pharmacist is not present in a facility how are medications accessed that are within the pharmacy?
- drug may be obtained from the pharmacy by an authorized registered nurse or licensed practical nurse
- The responsible nurse shall be designated by the appropriate committee of the institutional facility.
(a) Removal of any drug from the pharmacy, floor stock, or night cabinet by an authorized nurse must be recorded on a suitable form showing the following information:
(i) patient name;
(ii) the patient’s room number if applicable;
(iii) the name, strength, and quantity of drug removed;
(iv) the date and time the drug was removed;
(v) the signature of the nurse removing the drug; and
(vi) documentation of pharmacy review.
T/F: Out of state mail order pharmacies must be licensed by montana to deliver to patients within montana
True
- no out of state pharmacy may ship, mail, or deliver to patients in this state without a montana pharmacy license
What are the fees for a pharmacy license?
Original Certification
- $240
Annual Renewal - $150
Utilization plan approval/Renewal - $75
Does a pharmacy have to be owned by a pharmacist/
No
- Can be a registered pharmacist in good standing in Montana
OR - managed/supervised by a pharmacist that is actively engaged with the pharmacy
What is the requirement of a pharmacy ownership if the owner is not a pharmacist?
The manager or supervisor of the pharmacy is a registered pharmacist in good standing in the state of Montana and that the pharmacist will be actively and regularly engaged and employed in, and responsible for the management, supervision and operation of such pharmacy.
What is the RPh to tech ratio?
Formally
1 pharmacist to 4 techs
Now
- Ratio determined by pharmacist in charge
T/F: Interns count towards the pharmacist to tech ratio
No
- they do not count
- but also there isn’t a ratio so it doesn’t matter
Compounding
Compounding
How soon after compounding an immediate use compound does it expire?
1 hour
- must be used w/in 1 hour
- usually not in a ISO class 5 condition
What is the stability of a low risk CSP?
Room Temp
- <48 hours
Refridgeration - up to 14 days
Freezer - 45 days
What is the stability of medium risk CSP?
Room Temp
- 30 hours
Refridgeration - up to 9 days
Freezer - 45 days
What is the stability of high risk CSP?
Room Temp
- 24 hrs
Refridgeration - 3 days
Freezer - 45 days
How long are multi dose vials good for?
1 month or the manufacturer expiration
- whichever is shorter
Behind the counter
Behind the counter
Which drugs are required to be Behind the Counter?
- Ephedrine
- Pseudophedrine
What are the dispensing requirements for pseudoephedrine?
Max
- 3.6 g/day
- 9 g/30 days
Records - Date/time of transaction
- Name/address/DOB/photo ID (type of id used/issuing government entity)
- Number of packages purchased/total grams/name of preparation
- Signature of the purchaser or unique number for purchaser
How long must pseudoephedrine record sells be kept?
2 years
T/F: Syringe can be dispensed w/o a prescription
True
Which vaccines can a pharmacist administer w/o a CPA
- influenza 12+
- Pneumococcal
- Tetanus
- Diphtheria
- Pertussis age 18+
- Herpes Zoster
Drug Administration
Drug Administration
What is the minimum age of vaccination in montana under a CPA?
Age 7+
- All immunizations under CDC guidelines
How long must immunization records be kept?
At least 7 years or 7 years after individual turns 18. Whichever is later
T/F: Pharmacists may administer epinephrine or diphenhydramine
True
- >12
OR
7-12 w/ a CPA
Long Term Care
Long Term care
Who can access dispensing units?
- If night cabinets are used to store drugs in the absence of a pharmacist, they must be locked and sufficiently secure to deny access to unauthorized persons, and must be located outside of the pharmacy area.
- Contents of night cabinets must be prepackaged. Only specifically authorized personnel may obtain access by key or combination, pursuant to a valid prescription order.
- The pharmacist-in-charge shall, in conjunction with the appropriate committee of the facility, develop inventory listings of drugs included in these cabinets and determine who may have access.
Think of this like an omni cell
Can a nurse get a medication from the pharmacy w/o a pharmacist present
yes
- must have policy and procedure
- cannot be available in floor stock
- needed to treat immediate needs of a patietn
- RN or LPN can retriev
How long after a medication is obtained w/o a pharmacist in a n emergency be reviewed by a pharmacist?
Within 72 hours
Remote Pharmacy
Remote PHarmacy
How far must a telepharamcy be from another pharmacy
20 miles radius
How must a telepharamcy be connected to parent pharmacy?
- Computer
- Video
- Audio
All of them
T/F: A tele pharmacy must have a technician present
True
- Registered w/ board
- Certified
- Have 500 hours of experience
T/F: Telepharmacies must submit copies of new prescriptions to the parent pharmacy
True
- Original prescription must be kept blank at the remote site
What should a prescription filled at a tele have that a parent doesn’t?
Idk how to word this. They just need to be distinguishable that it came from the tele and not parent site
What must happen if connectivity is lost to the parent site?
No new prescriptions may be processed, filled, or dispensed until connectivity is reestablished
If a tele pharmacy loses connectivity to parent can refill be dispensed?
Sure can
T/F: New prescriptions do not require counseling if dispensed from telepharmacy
False
- All new must be offered to counsel via video or audio
Is central filling allowed?
A pharmacy may outsource prescription drug order fill-in g or processing to a central filling or processing pharmacy
- Same owner or written contract agreement
- Share common electronic file
Medical Offices
Medical Offices
Is it unlawful for a patient to be administered a unit dose under medical suprvision
No it is not unlawful
T/F: There are restrictions on drug samples in medical offices
Nope, no restrictions
If a community pharmacy has a medication available, can a prescriber dispense the medication themselves?
Not really
- must not be available from a community pharmacy
- unless it is a specific medicaiton
What are the labeling requirements that must be met by a prescriber to dispense
- Name, address, and phone number of dispenser
- Name of a prescriber
- Name of patient
- Name and strength of drug
- direction for use
- date of filling
Miscellaneous
Miscellaneous
Correctional facilities dispensing rules
Medications brought by or with an inmate upon admission to the correctional facility must not be used unless specifically authorized by a physician or that physicians designee at the correctional facility and medication identity has been confirmed by a licensed healthcare professional.
T/F: A vet can give medicaitons
True
- vets can dispense
What is a limited service pharmacy?
Family planning clinic
- operates under contract with the department of public health and human services
- Providers pharmaceutical care under the review of a consulting pharmacist and dispenses legend drugs while not under contract with the DPHHS
What must a limited service pharmacy disclose?
- Name
- Address
- Telephone number
- Title of the designated person in charge of the limited service pharmacy
The limited service pharmacy is to provide adequate:
- Drug labeling
- counseling materials to all patients, including the name of the limited service pharmacy consulting
- Contact info of a knowledgable individual at the clinic in the event of an adverse reaction
- Records maintenance and retention
- Drug storage and security
Records
Records
Can a pharmacy keep patient records electronically
Yes
- Can be a hard copy or a computerized form
How long must patient records be maintained:
3 Years
Howl long must records with collaborative practice be maintained?
7 years
What documentation of the information entered into the computer is correct:
- A bound log book in which each pharmacist involved in dispensing signs daily attesting to accuracy
- A daily printout with the prescription info which is verified, dated, and signed by the pharmacist responsible for verification
- a software system which requires a unique log in for each function so that the individual involved in dispensing activities can be easily and accurately determined
how long are most records kept in montana?
2 years
How long do controlled prescriptions need to be held?
2 Years
Can schedule 2 drugs be be filed with other prescriptions?
No
- Schedule 2 must be filed separately
How long do legend prescriptions need to held?
2 years
Who can request or receive records?
Licensed practitioners or pharmacists who care for the patient, as well as representatives of government care agencies (medicaid, medicare, IHS, VA, etc)
What are the requirement for reporting suspected fraud/abuse?
Upon recognizing clinical abuse or misuse, the pharmacist shall take the appropriate steps to resolve the problem which shall, if necessary include consultation with the prescriber
What are the requirements for reporting ADRs
In the event of an AR (anaphylaxis) notify the patients primary care provider, the provider with which the collaborative practice agreement is held, and to the United States vaccine adverse event reporting system
What must a RPh review on patient profile prior to dispensing?
- Patient name
- age or DOB
- gender
- address
- Telephone number
- any specific info relevant to drug therapy on the patient profile
What must a pharmacist review when checking PDMP?
- Utilization habits
- Therapeutic duplications
- contradicting condition
- Allergies or drugs
- Drug dosage and tx duration