MPJE: Multistate Pharmacy Jurisprudence Examination Quiz: Ordering Rules

What this quiz covers

This quiz focuses on Ordering Rules, giving you a quick way to practice the rules, question types, and explanations that matter most for MPJE: Multistate Pharmacy Jurisprudence Examination.

How to use this quiz

Try each quiz question before looking at the correct answer. Use the explanations to review missed ideas, then come back to similar questions until the pattern feels familiar.

Question 1

1. DEA Form 224
2. DEA Form 41
3. DEA Form 106
4. DEA Form 222 or CSOS (correct answer)

Question 2

1. The distributor must notify the pharmacy's state board of pharmacy before filling the order
2. The distributor must require the pharmacy to submit a patient count report before fulfilling the order
3. The distributor must identify, investigate, and report suspicious orders to the DEA before shipping (correct answer)
4. The distributor may fill the order as long as a valid DEA Form 222 is presented

Question 3

1. The pharmacy is correct; DEA Form 222 compliance preempts all state ordering reporting requirements
2. The state reporting requirement is invalid because controlled substances are exclusively regulated by federal law
3. State reporting requirements apply only to dispensing, not to ordering
4. States can impose additional reporting requirements for Schedule II orders if not conflicting with federal law. (correct answer)

Question 4

1. Accept the shipment and document the receipt; no further action is needed since the distributor is responsible for the form
2. Return the entire shipment since it cannot be accepted without a Form 222
3. File a DEA Form 106 for the missing Form 222
4. Refuse the shipment until a valid DEA Form 222 or CSOS record is obtained for the Schedule II opioids. (correct answer)

Question 5

1. No violation exists because the purchases were made more than 1 year ago
2. Only a minor violation because 18 months is close to the 2-year retention requirement
3. No violation if the pharmacy can demonstrate the purchases through bank statements
4. A recordkeeping violation exists due to failure to produce DEA Form 222s for inspection. (correct answer)

Question 6

1. A separate DEA registration specifically for electronic ordering
2. A DEA-issued CSOS digital certificate for the registrant authorized to sign orders (correct answer)
3. FDA approval of the pharmacy's electronic ordering software
4. Prior written authorization from the state board of pharmacy

Question 7

1. A completed DEA Form 222 for each Schedule III order
2. CSOS electronic ordering for all Schedule III transactions
3. A DEA Form 41 submitted to the distributor prior to ordering
4. A standard purchase order or invoice reflecting the pharmacy's DEA registration number (correct answer)

Question 8

1. Execute a DEA Power of Attorney (POA) naming the staff pharmacist as an authorized agent to sign DEA Form 222 (correct answer)
2. Notify the state board of pharmacy about the delegation in writing
3. Submit a DEA Form 224 amendment adding the staff pharmacist as a co-registrant
4. Include a signed letter with each DEA Form 222 order authorizing the staff pharmacist for that order

Question 9

1. Within 72 hours of physical receipt
2. Upon receipt, typically the same business day. (correct answer)
3. Within 30 days, consistent with the biennial inventory schedule
4. Only when the next DEA audit is scheduled

Question 10

1. The pharmacy may resubmit it with an updated date
2. The distributor may fill it after obtaining verbal approval from the DEA
3. The order is void; the pharmacy must prepare a new DEA Form 222 to place the order (correct answer)
4. The form remains valid indefinitely as long as both parties remain DEA-registered

Question 11

1. A completed DEA Form 222 signed by the pharmacist-in-charge
2. A purchase order or invoice reflecting both parties' DEA registration numbers (correct answer)
3. A CSOS electronic order submitted through the DEA portal
4. A DEA Form 224 amendment identifying the Schedule IV substance to be ordered

Question 12

1. CSOS eliminates the pharmacy's obligation to maintain controlled substance records
2. CSOS orders are processed faster by the DEA than paper forms, reducing wait times
3. CSOS reduces paper handling, provides an electronic audit trail, and eliminates risks associated with lost or altered paper forms (correct answer)
4. CSOS is mandated by state law for all pharmacies with annual Schedule II volume above a threshold

Question 13

1. Void the form and start a new DEA Form 222; do not attempt to correct errors on an executed form (correct answer)
2. Cross out the error, initial it, and continue using the same form
3. Submit the form with the error and attach a correction memo to the DEA
4. Contact the distributor to correct the form on the receiving end

Question 14

1. The pharmacy may not order, receive, or dispense controlled substances until the registration is reinstated or renewed (correct answer)
2. The pharmacy may continue ordering Schedule III-V substances but not Schedule I or II
3. The pharmacy has a 30-day grace period to continue ordering while the renewal is processed
4. The pharmacy's existing inventory may be dispensed but no new orders may be placed

Question 15

1. 1 year from the date of the transaction
2. 2 years from the date of the transaction (correct answer)
3. 5 years from the date of the transaction
4. 6 years from the date of the transaction

Question 16

1. The pharmacy may ship Schedule II drugs back to the manufacturer using standard commercial carriers without DEA oversight
2. The pharmacy must use DEA Form 41 to destroy the inventory in place
3. The pharmacy must notify the state board of pharmacy within 24 hours and surrender all inventory
4. The manufacturer must issue a DEA Form 222 to the pharmacy to receive the returned Schedule II drugs (correct answer)

Question 17

1. Duplicate serial numbers indicate a potential DEA violation and require immediate investigation. (correct answer)
2. Duplicate serial numbers are acceptable if they are from different distributors
3. The DEA assigns duplicate serial numbers to high-volume pharmacies as a standard practice
4. Duplicate serial numbers only require a correction memo filed with the state board

Question 18

1. A DEA Form 41 filed with the DEA certifying the transfer as a destruction event
2. A DEA Form 222 issued by the receiving pharmacy to document the Schedule II transfer between DEA registrants (correct answer)
3. A standard invoice reflecting both pharmacies' names and the quantities transferred
4. A DEA Form 106 documenting the transfer as a controlled substance loss

Question 19

1. Pharmacist must verify Schedule II receipt and documentation, even if a technician physically accepts the delivery. (correct answer)
2. Technicians may never be present when Schedule II drugs are delivered
3. Schedule II deliveries must be refused unless a pharmacist is physically present to accept them
4. Technician acceptance of a Schedule II delivery is equivalent to pharmacist acceptance and satisfies all documentation requirements without any pharmacist review.

Question 20

1. No; a new DEA registration is required for the new location before ordering controlled substances. (correct answer)
2. Yes; the pharmacist's DEA number covers all locations where the pharmacist practices
3. Yes; as long as the state pharmacy license covers the new location, the DEA registration automatically transfers
4. Yes; the pharmacy may use the old registration for up to 6 months at the new location