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CPJE LAW PACKAGE STUDY GUIDE 2026
COMPREHENSIVE EXAMS AND SOLUTIONS
GUARANTEED TO PASS
● DEA take back program started in what year for what purpose. Answer: 2009 nationwide program to give consumer safe way to dispose of unused drugs, but NOT controlled substances ● scheduled drugs can be sent to a designated site using what form? how do you use it?. Answer: dea 41 two copies sent to the local dea office one copy goes with drugs to destination last copy kept at sending party ● how to get a dea 41 form, how often?. Answer: party trying to dispose sends request to dea to return by form 41. can request yearly
● in what case would the party disposing the drug get a reimbursement?
. Answer: if sending back to the manufacturer ● what form is needed if cIIs are returned to manufacturer?. Answer: DEA 222 ● what is CURES? what is it for?. Answer: controlled substance utilization review and evaluation system allows pharmacists and prescribers to access pts history of controlled drug use, including CII to CIV. **not CV ● how often do prescribers wand pharmacists report/update CURES?. Answer: weekly ● what are some CIII drugs?. Answer: dronabinol codeine+apap hydrocodone +apap testosterone like androgel buprenorphine, suboxone, subutex ● examples of cIV drugs. Answer: bzds, hypnotics
● pregabalin class. Answer: cv ● robitussin ac class. Answer: cv ● lomotil class. Answer: cv. ● security Rx thermochromic ink. Answer: change color or disappear temporarily with hot breath or ru bbing it ● refills for controlled subs. Answer: not cII. others can get 5 refills or 120 days worth of refills (not counting original rx) ● institution style security prescriptions can be used only by. Answer: health care facilities licensed under health and safety code section 1250
- 24 hr acute care hospitals, snf etc includes designated prescriber information on the rx ● finish statement printed on security rxs: prescription is void if...is not noted. Answer: if the number of drugs prescribed is not noted
● id number on security prescriptions are from what organization, assigned to who?. Answer: the dept of justice assigns id number to approved security printers. not tracked by the state ● a prescriber designated by a licensed facility of ___or more prescribers can order CS rx forms. Answer: 25 ● the designated prescriber who orders CS rx forms must maintain records of what and keep them for how long?. Answer: 3years name, category of license license number federal CS registration no. qty of CS rx forms issued ● what prescriber information is listed on the secure rx?. Answer: name of md category of licensure eg MD dea number state license number address, telephone
● everything on cs rx can be filled in or corrected by pharmacist except. Answer: signature and date must be by md ● remaining portion of partialled cs (if out of stock) must be filled by pharmacy within. Answer: 72hrs ● when patient requests less than what is ordered by prescriber...what must pharmacist do?. Answer: contact md for approval of smaller amount indicate on rx of approval ● if prescriber writes for more than 30 days, insurance only covers 30 days... Answer: pharmacy fill 30 days, fill the remainder and place in separate bottle which the pt pays for. ● dea CS inventory is completed how often?. Answer: every two years ● cIIs inventory requirements. Answer: separate from c3 to c includes cii rxs, invoices, DEA 222, inventory records
● ciii to cv rxs are filed separately with what kind of stamp. Answer: big red C ● sales of cs to other pharmacies or prescribers cannot exceed (qty, not $$). Answer: 5% of the total number of cs dosage units dispensed per calendar yr ● if cs rx not obtained within 7 days after oral order. Answer: pharmacy reports failure to provide rx to california bureau of narcotic enforcement within 6 days ● the pharmacy generates a cs print out for refills of c3-5 that have been dispensed how often. Answer: at least every 72hrs ● any cs drug loss must be reported to dea, ca board of pharmacy in how long. Answer: to dea immediately to bop within 30 days ● a dea 222 form is required for what actions regarding cs?. Answer: distribution, purchase, transfer ● keep dea 222 form for how long in ca?. Answer: 3yrs
● the renewal application for the po of attorney must be signed by the same person otherwise. Answer: a new po of attorney needs to be granted when the pharmacy completes a renewal registration ● how should the po of a be stored?. Answer: filed with executed dea 222 forms, readily retrievable it is not submitted to the dea ● a pharmacy can accept faxed or electronic cIIs if. Answer: approved by dea on prescriber and pharmacy ends ● the drugs in an automated dispensing unit are properly labeled and identified with the following (6). Answer: name of drug strength dosage form manufacturer manufacturers lot number exp date ● an automated drug delivery system at a snf or intermediate care facility is licensed by ___. Answer: dept of public health
● stocking of the automate drug delivery system at a snf is done by. Answer: a pharmacist restocking can be done by intern or tech under pharmacist supervision ● when does a pharmacist review orders to be taken out of an automated drug delivery system at a snf?. Answer: access order and pts profile before the drug is removed ● when can stocking for an automated drug delivery system be done at an outside pharmacy for delivery?. Answer: if it utilizes removable pockets, drawers or similar technology ● when dispensing drug to patients from pharmacy, label must include (7). Answer: name of drug, strength, dosage form manufacturer, manufacturers lot no expiration qty ● hipaa what does it stand for. Answer: health insurance portability and accountability act
therapeutic interchange educational updates on new dugs or guidelines quality improvement drug use evaluations ● how is industry involved in the formulary list?. Answer: competitive bidding process for drugs that are equivalent in either cost, dosing frequency, sideeffects. helps hospitals and PBMs choose the least expensive option ● tier based formularies are used for what setting?. Answer: outpatient drugs ● tier 1 vs 2 vs 3 for cost and preference. Answer: 1 $5 avg 2 - branded drugs similar to generics in tier 1. $25 avg 3 - specialty drugs. >$35 avg ● what is therapeutic interchange?. Answer: developed by pharmds and mds in hospitals, snfs, transitions of care automatic switching to therapeutic eq (but chemically different) drug that saves costs (drug cost or pt stay)
eg brand to generic or iv to po ● what is DATA 2000?. Answer: drug addiction treatment act allows qualifying mds with dea# starting with X to rx cIII-cV narcotics to treat opioid addiction - subutex or suboxone is fda approved for this indication ● what kind of practitioners are authorized to issue prescription? (5). Answer: physician MD or DO dentist podiatrist vet optometrist, limited, has "T" after license no. ● practitioners who can write or issue a rx under protocol? what restrictions?. Answer: PA NP certified nurse midwives - only for peri-delivery and family planning needs naturopathic doctors - no cIIs. must have "NDF" after license no. pharmacists
● keep records of ce credits for how long. Answer: 4yrs ● new licensees are exempt from ce credits for howlong?. Answer: first cycle ● pharmacist at a clinic under protocol can do what other tasks besides drug therapy and ordering related lab tests?. Answer: - administer drugs or biologicals by inj
- perform moderate or waived lab tests ● who completes the biennial pharmacy self assessment? how often?. Answer: pic on odd numbered yrs, before july 1. additionally, within 30days of new permit or new pic ● each self assessment maintained in the pharmacy for how long?. Answer: 3yrs ● pic can be in charge of max __ pharmacies within ___ miles of each other. Answer: 2, 50 driving miles ● change of pic reported to ___ in __ days. Answer: bop, 30 days
● community pharmacist can supervise __ interns at a time. Answer: two ● can an intern be allowed to do final check of rx?. Answer: yes. under direct supervision. most places dont permit it. ● in community, one pharmacist for __ tech(s). any additional pharmacist for __ tech(s). Answer: 1, 2 ● in tech check tech, what setting? and when must drug be approved by pharmacist?. Answer: in general acute h ospital with ongoing clinical pharmacy program, where pharmacists are in the pt care areas drug orders must be originally checked by pharmacist ● number of clerks per pharmacist. Answer: unlimited ● techs and clerks can call on refills for what type of rxs?. Answer: non controlled sub, cV if ciii or civ, must not have exceeded 5 refills or 120 days limit on original rx (not counting original fill) ● pharmacists or intern have to request refills for the following. Answer: if rx is older than a yr
● out of state prescriber for an out of state pt. requirements. Answer: written on cs rx of that state, and fulfill all requirements of that state. the drug is mailed or delivered to the person in that state ● filling prescriptions for puerto rico, virgin islands, guam, american samoa need what additional requirements?. Answer: treated the same. us territories ● each time med is dispensed, use a new container except. Answer: non liquid, oral med clean multiple drug med package reused by same pt not exceed one month supply auxillary label store i n cool dry place ● what law requires child resistant containers?. Answer: poison prevention packaging act of 1970 ● exceptions to child resistant packaging. Answer: NTG tabs topicals non oral pdts
● what is needed if pts doesnt want child resistant pkg?. Answer: waiver with pts signature ● expiration date on label of noncompounded drug. Answer: up to 1 year exp date from dispense date or manufacturer exp date ● exp date on compounded drug. Answer: up to 6 months from compounded or shortest exp of any. of ingredients ● impaired pharmacist recovery pgm. who are referred?. Answer: pharmacists who are chemically dependent or mentally impaired. if no other violations, referred in lieu of discipline if serious violations, referred in addition to discipline ● what rx can be given to a pt when pharmacist on lunch?. Answer: med refill that has been checked and approved by pharmacist, not requiring pt consultation ● if a pharmacist refuse to fill an rx due to personal beliefs..must. Answer: notify employer of objection
