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Exam (elaborations)

MO MPJE Comprehensive Exam Questions With All Complete Solutions.

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Disciplinary action by the board may include.... How long May the board prohibit a licensee from reapplying? - Answer 1) public censure 2) probation 3) suspension 4) revocation Up to 7 years What does the Missouri Bureau of Narcotics and Dangerous Drugs regulate? - Answer Regulates co...

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  • August 26, 2024
  • 44
  • 2024/2025
  • Exam (elaborations)
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  • Missouri MPJE
  • Missouri MPJE
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MO MPJE Comprehensive Exam
Questions With All Complete Solutions.
Disciplinary action by the board may include....

How long May the board prohibit a licensee from reapplying? - Answer 1) public censure

2) probation

3) suspension

4) revocation

Up to 7 years



What does the Missouri Bureau of Narcotics and Dangerous Drugs regulate? - Answer Regulates
controlled substance distribution in MO.



BNDD regulates controlled substance distribution, what role does the board play? - Answer Monitors
and inspects compliance with applicable controlled substance laws



Number of board members and type - Answer 7

1 public member and 6 licensed pharmacists actively engaged in practice in MO



Grounds for disciplinary action include: - Answer • Use of CS or alcohol to point of impairment during
practice

• Guilty of criminal offense related to profession

• Obtaining fee/compensation by fraud/deception/misrepresentation

• Incompetence/misconduct/ dishonesty in performance of duties

• Violating or assisting in the violation of Board rules

• Enabling a person to practice w/o a permit or registration

• Violating professional trust or confidence

• Violating federal or state laws/regulations

• Intentionally substituting, changing content, formula, or brand w/o prescriber approval

,• Using any CS unless prescribed/dispensed/or administered by authorized HCP

Failure to cooperate with a board investigation or inspection.



In addition to a Mo license, what activities require additional certification and/or board notification? -
Answer Administering medication by RX order- section L

Immunizing by protocol - section M

Medication therapy services- N



Submit address and employment changes no later than? (Techs and pharmacists) - Answer 15 days



License renewal requirements - Answer • Oct 31st of every EVEN numbered year

• 30 hours of CE (3 CE units) earned from Nov 1st and Oct 31st of current even-numbered renewal years
(no carry over)



How far in advance do you need to submit for pre-approval of non-ACPE CE to the Board? - Answer 30
days prior to program



Specific CE requirements for renewal? - Answer No, unless you are immunizing by protocol, providing
medication therapy services, or counseling bleeding disorder patients.



Hours of CE required for *Immunizing by Protocol*? - Answer 2 hours



Hours of CE required for *MTS*? Medication therapeutic services - Answer 6 hours

Any drug therapy or disease state management ACPE code -01



Hours of CE required for dispensing/providing patient counseling on blood clotting factor concentrates? -
Answer 4 hours

Must be related to factor products, infusion treatment or therapy, or blood clotting disorders or
diseases.



How long must you keep record of your CE? - Answer 2 renewal cycles

,Inactive licenses - when can you go inactive, is CE required, how to become active again - Answer Can
only go inactive during the renewal period. Inactive still renewed biennially. CE not required unless
requesting to go active at which time must have proof of 30 hrs for each renewal period.



RPh must self report disciplinary actions within what time frame? - Answer 15 days

Any final adverse action from any state or agency

Any surrender of license

Any exclusion to participate in any state or federally funded health care program for fraud or abuse



*True or false?* When a pharmacist is not supervising, techs and interns can accept written
prescriptions. - Answer True - they can accept Written RX but they cannot accept verbal, or assist with
pharmacy practice (including preparing, dispensing, selling RX from will call, compounding, etc)



What does readily and immediately available mean? - Answer Supervising pharmacist must be on the
same physical premises as the tech/intern when supervising, or just supervise tech/intern activities using
technology.



Can a Tech/intern verify RX/orders? - Answer Yes, a qualified/"authorized" tech/intern can verify final
non-controlled RX/orders using a technology assisted verification system. P.95



Requirements for TAVS for interns/techs - Answer Non-controlled meds only

Meds in original unopened package or repackaged in compliance

Supervising RPh is physically present and able to provide immediate assistance

Tech/intern has documented initial and annual assessments of competency

RPH verifies the data entry and completes a prospective DUR

Verifies proper product dispensed with proper label to correct patient.

No manual manipulation can occur after TAV occurs except preparing for mailing, delivery, storage.

Identity of tech/intern and supervising RPH documented in records.

Tech must be nationally certified and worked as a tech for a min of 1 yr.

Proof of compliance maintained 2 years

, Supervision limits for TAVS - Answer No more than 2 techs or interns performing TAV simultaneously.
Can petition the board in writing to increase the number supervised.



For tech assisted supervision, an audit trail of data entry by techs and interns must be kept in records for
how long and must include what info - Answer *5 years*

Identity if tech/intern



Technology assisted supervision requirements - Answer RPh must be able to communicate with and
monitor. Board recommends two way video and audio however video is NOT required.

Tech/intern must complete training initially and annually. Proof maintained at least 2 yrs.

Audit trail maintained



No RPh on duty sign requirements - Answer Must be manually or electronically displayed on the
counter AND all entrance doors anytime RPh not present and supervising. Sign required even for remote
supervision. Sign must at least have 2" letters.



Can a pharmacist in another state perform DUR or prescription review for a Missouri pharmacy? -
Answer Yes, if the individual is a Missouri licensed pharmacist, OR

the pharmacist is working for a Missouri licensed pharmacy

C7



What is the difference between a protocol and a standing order? - Answer Protocols are with a
Missouri licensed physician,

standing orders are statewide and issued by the Missouri department of health and senior services



What activities can a pharmacist do under protocol? - Answer Immunize without a prescription (as of
August 2023 a protocol is no longer required, it's optional. Pharmacist can independently order and
administer vaccines.)

Medication therapy services

Prescribing HIV post exposure prophylaxis without a prescription

Dispense naloxone or naltrexone without a prescription

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