CSA – C-II Prescriptions & Dispensing | MCQs Quiz

Welcome to this mock test focused on the federal laws and regulations governing Schedule II Controlled Substances (C-IIs). This quiz is designed for pharmacy students preparing for exams like the MPJE, NAPLEX, or university-level pharmacy law courses. You will be tested on essential topics, including the pharmacist’s “corresponding responsibility,” valid prescription requirements, rules for emergency oral prescriptions, regulations on refills and multiple prescriptions for a 90-day supply, partial filling scenarios, and what a pharmacist can or cannot change on a C-II prescription. This comprehensive review will help solidify your understanding of these critical and frequently tested areas. After submitting your answers, you can download a PDF of all questions and the correct answers for future study. Good luck!

1. The “corresponding responsibility” of a pharmacist under the Controlled Substances Act (CSA) implies that the pharmacist shares responsibility with the prescriber for:

2. According to federal law, which of the following elements is NOT required on a valid written prescription for a C-II substance?

3. In an emergency situation, a prescriber may telephone a C-II prescription to a pharmacy. The prescriber must provide a written, signed “covering” prescription to the pharmacy within:

4. What is the maximum total day supply a prescriber can authorize for a C-II medication by issuing multiple prescriptions on the same day?

5. A pharmacy partially fills a prescription for OxyContin because it is out of stock. Under federal law, the remaining quantity must be dispensed within:

6. Which of the following elements can a pharmacist NEVER change or add to a C-II prescription, even after verbal consultation with the prescriber?

7. What is the status of refills for Schedule II prescriptions under federal law?

8. For a patient in a Long-Term Care Facility (LTCF), a C-II prescription is valid for partial filling for a period not to exceed:

9. A pharmacist receives an electronic prescription for a C-II drug. To be a valid prescription under federal law, it must be transmitted using a system that is:

10. For an emergency oral C-II prescription, what must the pharmacist write on the face of the corresponding written prescription upon receipt?

11. If a prescriber fails to deliver the required written prescription for an emergency C-II fill within the mandated timeframe, the pharmacist MUST notify:

12. A physician issues three separate prescriptions for Concerta on May 10th, each for a 30-day supply. The second prescription has a “do not fill before” date of June 9th. What is the earliest date the third prescription can indicate for its “do not fill before” date?

13. The same C-II partial fill rules that apply to LTCF patients also apply to patients who have a medical diagnosis documenting they are:

14. After consulting the prescriber, which of the following may a pharmacist add or change on a C-II prescription, assuming state law permits?

15. A pharmacist knowingly dispenses a fraudulent C-II prescription. This action violates the pharmacist’s:

16. The quantity prescribed and dispensed for an emergency oral C-II prescription must be limited to:

17. A prescription for a C-II drug must be written in ink or indelible pencil, or be a Type A electronic prescription, and must be manually signed by the practitioner. What is the exception to the manual signature requirement?

18. Is post-dating a C-II prescription permitted under federal law?

19. The “three core components” of a C-II prescription that a pharmacist cannot change are the patient’s name, the controlled substance prescribed, and the:

20. Under the Comprehensive Addiction and Recovery Act (CARA) of 2016, a pharmacist may partially fill a C-II prescription at the request of the patient or prescriber. The remaining portion must be filled within:

21. A pharmacist receives a C-II prescription that is missing the prescriber’s DEA number. What is the most appropriate action?

22. If a patient requests a partial fill of their C-II prescription for 30 tablets of Percocet out of a prescribed 120, and the reason is NOT related to LTCF, terminal illness, or pharmacy stock, what happens to the remaining 90 tablets under the traditional federal rule (pre-CARA)?

23. Which of the following is a valid method for prescribing a C-II medication under federal law?

24. A prescriber issuing multiple C-II prescriptions must provide written instructions on each prescription (other than the first one) indicating the earliest date on which the pharmacy may fill it. This is commonly known as the:

25. When a pharmacist partially fills a C-II prescription for a terminally ill patient, what must be recorded on the back of the prescription for each partial fill?