MPJE 2025 Final

MPJE Compentency Statement Area 1 Licensure/Personnel Percentage?

22%

What does MPJE Compentency Statement for Licensure/Personnel consist of?

Responsibilities of the pharmacist and non-pharmacist personnel, Licensures/registrations/certifications for pharmacist or non-pharmacist personnel

MPJE Compentency Statement Area 2 Pharmacist Practice Percentage?

33%

What does MPJE Compentency Statement for Pharmacist Practice consist of?

Requirements for issuing prescriptions/drug orders, Conditions under which the pharmacist or non-pharmacist personnel participates in the administration of drugs in the management of patient’s therapy, requirements regarding counseling, returning or reusing drugs, regulations and agencies regarding pharmacy practice

MPJE Compentency Statement Area 3 Dispensing Requirements Percentage?

24%

What does MPJE Compentency Statement for Dispensing Requirements consist of?

Responsibilities for determining whether RX/drugs orders are issued for legit medical purpose and within all applicable restrictions, transferring prescription/drug order information between pharmacies by authorized personnel, prospective drug ultilization reviews, exceptions to dispensing or refilling RX/drug orders, labeling, packaging, drug product condition prohibiting dispense, requirements for distribution and/or dispensing of non-prescription pharmaceutical products (including controlled substances/hazardous drugs) and the legal responsibilities associated with dispensing medications.

MPJE Compentency Statement Area 4 Pharmacy Operation Percentage?

21%

What does MPJE Compentency Statement for Pharmacy Operations consist of?

Ordering, acquisition, and distribution of drugs (including maintenance and content of such records), Recordkeeping in compliance with legal requirements (including content, inventory, maintenance, storage, handling, and reporting), delivery of drugs, conditions of permitted or mandated product selection, Compounding sterile/nonsterile, hazardous/non-hazardous drugs prep, centralized prescription processing or central fill, requirements for registration, licensure, certification, or permitting of practice setting or business entityand all aspects of pharmacy services related to patient care.

How is the NC BOP composed?

6 members (5 licensed NC pharmacists and 1 public representative) The North Carolina Board of Pharmacy (NC BOP) consists of a total of 6 members, including 5 licensed pharmacists from North Carolina and 1 public representative to ensure diverse perspectives and public interest in pharmacy-related matters.

What are the requirements to be members of the NC BOP?

Must be residents of NC at time of appointment & while serving

What is the max length of time for members NC BOP to serve?

No more than 2 complete consecutive 5 year termsas a member of the North Carolina Board of Pharmacy.

Who appoints the 1 public representative on the NC BOP?

The governor

How often do the NC BOP meet?

Twice annually

What does the NC BOP “Executive Director” do?

Serves as secretary and treasurer, performs administrative functions, may conduct investigation, file a complain, or prosecute the offender in a Board hearing

What types of disciplinary actions can the NC BOP give to pharmacy personnels?

Issue a letter of reprimand, suspend, restrict, revoke, or refuse to grant or renew license or pharmacy permit

What is an active suspension?

The pharmacist does not practice during a specified amount of timeWh

What is a Stayed Suspension?

Probation; Pharmacist or pharmacy must not violate any laws during a specified amount of time, but is allowed to practice as a pharmacist

What is a Summary Suspension?

Immediate license suspension before a hearing occurs due to the BOP decision that the public is at significant risk of harm (pharmacy must close or pharmacist cannot practice)

How long must a licensee wait to petition for reinstatement or petition the BOP to lift suspension or restriction?

At least 5 years from the effective date of suspension or restriction; however, if suspension was 5 years or less they must wait until suspension is over

How long must an applicant reapply for a permit, license, or registration that was denied by the BOP?

At least 2 years from most recent application

What are the requirements for an applicant applying for a pharmacist license via examination?

Complete NC BOP form, pay the required fees, submit a criminal record report, graduated from ACPE-accredited approved pharmacy school, pass NAPLEX/MPJE, 1500 intern hours

What is the maximum attempts for the NAPLEX and MPJE?

5 Attempts

How long do you have to obtain a passing score for both NAPLEX and MPJE for licensure by examination?

Within 2 year calendar period

What happens when the Pharmacy Intern violates pharmacy practice laws?

Practical experience hours may be voided and may also impact their ability to become a pharmacist

What are the requirement for applicants applying for pharmacist license via reciprocity?

Licensed in state with equivalent licensure, pass NC MPJE, pay fee, complete NABP licensure transfer application, complete NC BOP form, submit a criminal record report

What are the requirements for Foreign Graduates with a foreign pharmacy degree to apply for pharmacist license?

Pass Foreign Pharmacy Graduate Equivalency Examination (FPGEE), complete 1500 BOP approved practical pharmacy experience hours as pharmacy intern, pass test of English as a foreign language, pass test of Spoken English, pass NAPLEX & NC MPJE

What are the additional requirements for pharmacist who apply for license via reciprocity but have been out of practice for up to 2 years?

Obtain 15 hours of CE for each year out of practice (5 hours must be live), pass NC MPJE

What are the additional requirements for pharmacist who apply for license via reciprocity but have been out of practice for more than 2 years but less than 5 years?

Obtain 500 hours of internship from NC licensed pharmacist, obtain 15 hours of CE for each year out of practice (5 hours must be live), pass NC MPJE

What are the additional requirements for pharmacist who apply for license via reciprocity but have been out of practice for more than 5 years?

Obtain 1500 hours of internship from NC licensed pharmacist, pass NAPLEX, pass NC MPJE

How many hours may pharmacist preceptors acquire?

Pharmacist preceptors may acquire 5 live hours of CE for precepting at least 160 hours for a student enrolled in one of the four NC pharmacy schools

How long must a pharmacist keep record of their CEs?

Must keep records of CE for 3 years, unless CE provide maintains an electronic database of all CE credits (NABP, ACPE)

What is the CE exception for first pharmacist license renewal if licensed via examination in the same year?

Do not need to complete CE for first pharmacist license renewal if licensed via examination, however, if licensed by reciprocity MUST complete CE

When does a pharmacist license expire?

Pharmacist license expire on December 31st every year

How often is a pharmacist license renewed?

Pharmacist license is renewed annually with a fee

What is the grace period to renew a pharmacist license after the December 31st deadline?

60 day grace period to renew pharmacist license (May continue to earn CE for renewal with no penalty)

When must you give the BOP notice of change in name, mailing address, or change in place of employment?

Within 30 days after change has occured

What is the CE exception for pharmacist licensed in NC, but residing and practicing in another state for the entire year?

You od not need to complete NC’s CE requirement, just pay the renewal fee

Which pharmacy personnel may apply for extension of time to pay license or registration renewal fee and waiver of CE requirements?

Armed Force licensee must notify NC BOP prior to expiration of license

How many surplus CE hours may be carried over for pharmacists?

Up to 5 CE hours surplus may be carried over to the following year CE requirement

How long may a pharmacist serve as temporary pharmacist manager?

No more than 90 days a pharmacist as pharmacist manager

How long can a pharmacy operate within a permanent or temporary Pharmacist manager?

No more than 30 days without a pharmacist manager

If there was a change in ownership or pharmacist manager, how long does the new pharmacist manager have to complete all controlled substances inventory?

Within 10 days (written record, signed, dated, kept in the pharmacy for 3 years)

How many pharmacy permits can a pharmacy manager serve?

Only one pharmacy permit, may also serve at one limited service permits

What is the exception for a pharmacist manager to serve two full-service permit?

May serve two full service permits if one pharmacy is newly permitted and has not yet begun providing pharmacy services to patients

When must a pharmacist manager notify Board of change in pharmacy personnel?

Within 30 days the pharmacist manager must notify the BOP

Who must separate all drug products more than 6 months out of date from the dispensing stock?

The pharmacist manager must separate

When must a pharmacist manager report to the BOP after becoming aware of dispensed drug caused or contributed to death of patient or customer?

Must report within 14 days of becoming aware via incident report on BOP portal

Who must the pharmacist manager inform when the pharmacy closes permanently?

Inform NC BOP and DEA

When must the pharmacist manager return the pharmacy permit to BOP upon pharmacy closure?

Within 10 days of closing date to be returned to the BOP

When must the pharmacist manager notify the public upon pharmacy closure?

Within 30 days of closing and keep a sign posted until 15 days after the closing date (Must do the same if closing for more than 14 consecutive days)

When is a pharmacy permit valid?

Once the pharmacist manager signs the joint application (owner & pharmacist manager)

What must the pharmacist manager complete prior to BOP pharmacy permit issuance?

Must complete an online module on NC pharmacy law

What are requirements for out of state pharmacies to dispense prescriptions into NC?

Must obtain a pharmacy permit from NC BOP, submit evidence of valid/current license or permit in residing state, pharmacy personnel report annually

When must out-of-state pharmacy report and update pharmacy personnel to the NC BOP?

Reports made annually; however, if change in officer, owner or pharmacist manager must be updated within 30 days

When must out-of-state pharmacy notify NC BOP of receipt of any order or decision imposing disciplinary action by BOP, FDA, or other state or federal agency?

Notify BOP within 5 days of receipt

Which facilities can apply for a limited service permit?

Facilities with an auxiliary medication inventories or automated dispensing devices, direct-to-patient delivery system (not in pharmacy), facilities medications dispensed by NP or PA, county health department, free or charitable pharmacy, critical access hospital pharmacy

When must a pharmacist manager notify NC BOP of any change in assistant pharmacist manager?

The pharmacist manager must notify within 15 days

How long can a limited service permit operate without a permanent or temporary pharmacist manager?

Only operate for 30 days for limited service permit

How long can a limited service permit operate with a temporary pharmacist manager or assistant pharmacist manager?

For up to 90 days after the previous person left for limited service permit

How often does pharmacist manager inventory for limited service permit facilities?

Auxiliary medication inventories, automated dispensing devices, direct-to-patient delivery system: At least once per calendar quarter
NP or PA dispense: At least once a week
County health department: At least once a week

When does a pharmacy permit expire?

A pharmacy permit expired on December 31st annually

When must a pharmacy permit be renewed?

Pharmacy permit must be renewed annually with a fee

When will a pharmacy permit be consider lapsed after December 31st?

Not renewed by March 1st will be considered lapsed

What happens to a pharmacy if pharmacy permit is not renewed by March 31st?

The pharmacy will closed and must re-apply for a new permit

Where must the pharmacy public hours that a pharmacist on duty be published in the pharmacy?

In a conspicuous location

How is the grocery pharmacy physically required to be?

Separated from other businessesW

What must mail order pharmacies need to affix onto their dispensed medication containers?

The mail order toll-free number

Does the pharmacist at the out-of-state pharmacy need to be licensed with NC BOP?

No, the pharmacist does not need to be licensed with NC BOP

Can pharmacy technicians receive called in prescriptions or call for refill authorizations?

Yes, only certified technicians can received non-controlled called in prescriptions and refills.

When must a pharmacy technicians be required to register with BOP?

Must register with NC BOP within 30 days of employment

What are the two requirements for a pharmacy technician to become a certified technician?

1) Must pass national pharmacy technician certification board exam
2) Must obtain and maintain certification

When must a pharmacy technician renew their license?

Must renew renew annually by December 31st and pay fees; grace period of 60 days afterwards

What are the requirements to for a pharmacy technician license?

High school diploma or equivalent or currently enrolled in a program which awards one; must complete required training by supervising pharmacy manager within 180 days of the date the technician began employment

What is the pharmacist to technician ratio in NC pharmacy?

2:1 Pharmacist to Technician ratioW

How can pharmacist increase the pharmacist to technician ratio?

They may petition with the BOP to increase the ratio; however, the additional technician MUST be certified

What is waived if a pharmacy technician works solely at free clinics?

The pharmacy technician registration fee is waived

Who is eligible to become a pharmacy intern?

Currently enrolled in ACPE-accredited pharmacy school, foreign pharmacy graduates, pharmacist licensed in another state gaining practical experience for reciprocity, pharmacist iwth inactive NC license for reinstatment, graduate of pharmacy school who have not been licensed or denied licensure as a pharmacy in any state with an active NC pharmacist application

When must a pharmacy intern notify NC BOPP if they are no longer eligible to be an intern?

Must notify the NC BOP within 5 calendar days and cease working as a pharmacy intern

What happens when a pharmacy causes or permits a pharmacy intern to violate pharmacy law?

The pharmacist will forfeit their ability to supervise pharmacy interns

How long can a pharmacist legally work per work day?

A permit holder shall not require a pharmacist to work longer than 12 continuous hours per work day

How many breaks can a pharmacist receive if they worked for 6 continuous hours?

A pharmacist may receive a 30 minute meal break and one additional 15 minute break

What can a pharmacy technician do during a pharmacist break?

Prescriptions can be received, certified techs can receive telephone prescription orders, prescription prepared may be picked up by patient or representative (must log patients phone number for pharmacist counseling issues)

How long must the pharmacist be absent before the pharmacy has to be closed?

The pharmacy must be closed if the pharmacist is not present for a period of 90 minutes or more

How are schedule I drugs classified?

• No accepted medical use (may not be dispensed or prescribed)

• High potential for abuse

  • Lack of accepted safety use

What are examples of schedule I drugs?

Marijuana (federal law), LSD, peyote, mescaline, heroin, bath salts

How are schedule II drugs classified?

• Currently accepted medical uses

• High potential for abuse

  • May lead to severe physical or psychological dependence

What are examples of schedule II drugs?

Fentanyl, codeine, hydrocodone, opium tincture, amphetamine, pentobarbital, phencyclidine, dronabinol oral solution

How are schedule III drugs classified?

• Currently accepted medical use

• Potential for abuse (less than schedule I or II)

• Moderate or low physical dependence or high psychological dependence

What are examples of schedule III drugs?

Human chorionic gonadotropin/HCG (unique to NC), pentobarbital suppositories, Fioricet, buprenorphine, codeine with acetaminophen ketamine, dronabinol capsules

How are schedule IV drugs classified?

• Low potential for abuse relative to schedule III

• Limited physical or psychological dependence

What are examples of schedule IV drugs?

alprazolam, lorazepam, clorazepate, modafinil, phentermine, lemborexant, zolpidem, suvorexant, eszopliclone

How are schedule V drugs classified?

• Low potential for abuse relative to schedule IV

• Limited physical or psychological dependence

What are examples of schedule V drugs?

Codeine suspension, diphenoxylate/atropine, lacosamide, pregabalin

How are schedule VI drugs classified?

• No currently accepted medical use

• Relatively low potential fo abuse and psychic or physiological dependence

What are examples of CVI drugs (unique to NC)?

marijuana, tetrahydrocannabinols

What composition of hemp may be used in NC?

Hemp extract (composed of <0.9% THC and >5% cannabidiol by weight) may be used for intractable epilepsy

Who are exempt from DEA registration?

Agents or employees of registrant, drug reps, common carriers, ultimate users, law enforcement officers, prescribers and dispensers in US government service

How often do manufacturers and distributors renew their DEA license?

Manufacturers and distributors must renew annually

How often do pharmacies (dispensers) and practitioners (prescribers) have to renew their DEA license?

Dispensers and practitioners must renew every 3 years

What is DEA Form 223?

DEA Certificate of Registration (Must be maintained at registered location and available for inspection)