CSA – C-III to C-V & Specific Acts | MCQs Quiz

About This Quiz

Welcome, future pharmacists! This mock test is expertly designed to challenge your knowledge of federal laws governing Controlled Substances Act (CSA) Schedules III through V and other specific, critical acts. This quiz covers essential topics for your MPJE and NAPLEX exams, including prescription requirements, refill limits, dispensing rules, and the Combat Methamphetamine Epidemic Act (CMEA). It also touches upon modern legislative changes like the MATE Act, which has reshaped Medication for Opioid Use Disorder (MOUD) treatment. Use this as a tool to assess your understanding, identify areas for improvement, and build confidence. After submitting your answers, you can download a complete PDF of all questions and the correct answers for your study records. Good luck!

1. A prescription for butalbital, aspirin, and caffeine (Fiorinal), a C-III substance, is written on March 1st with 5 refills. What is the last day this prescription can be refilled?

2. Under federal law, what is the maximum number of times a prescription for zolpidem (C-IV) with refills can be transferred between two pharmacies that DO NOT share a real-time, online database?

3. A patient requests an OTC sale of a codeine-containing cough syrup (a C-V substance). Which of the following is NOT a federal requirement for the transaction?

4. According to the Combat Methamphetamine Epidemic Act (CMEA), what is the maximum amount of pseudoephedrine a person can purchase via mail order in a 30-day period?

5. The MATE Act of 2023 mandates a one-time, 8-hour training for which group of healthcare professionals to receive or renew their DEA registration?

6. A physician calls in a new prescription for testosterone gel (a C-III substance). Which of the following actions must the pharmacist take immediately?

7. A valid faxed prescription for a C-III substance can serve as the original prescription, EXCEPT if it is for:

8. What is the federal limit on the amount of an opium-containing C-V product that can be sold OTC to an individual in a 48-hour period?

9. For CMEA logbook purposes, how long must the retailer maintain the logbook of pseudoephedrine sales?

10. The DATA 2000 Act introduced the “X-Waiver” which allowed qualified practitioners to prescribe and dispense which specific C-III medication for opioid use disorder?

11. A patient presents a prescription for Phentermine 37.5mg (C-IV) dated two months ago with 2 refills. The patient filled it for the first time today. How many more refills can the patient get and for how long is the prescription valid?

12. Which statement is TRUE regarding partial filling of a C-III prescription for a patient who is not in a LTCF or terminally ill?

13. A pharmacy sells a box of pseudoephedrine 30mg tablets containing 24 tablets. The purchaser must sign the logbook for this transaction. What is the minimum quantity of pseudoephedrine that triggers the logbook requirement?

14. Which federal law first established quantity and record-keeping requirements for the sale of “scheduled listed chemical products” like pseudoephedrine at retail?

15. With the elimination of the X-Waiver, how must a practitioner now indicate that a buprenorphine prescription is intended for the treatment of Opioid Use Disorder (OUD)?

16. A prescription for a C-V medication (e.g., Lomotil) has how many refills allowed under federal law?

17. When two pharmacists transfer a C-IV prescription, the transferring pharmacist must perform which of the following actions?

18. The CMEA requires that all products containing pseudoephedrine, ephedrine, or phenylpropanolamine be stored in which manner?

19. If a pharmacy experiences a theft of pseudoephedrine, they must report it to the DEA. What is the required form and timeframe for this report?

20. Which of the following controlled substances can be prescribed via a valid oral prescription?

21. A patient brings in a new prescription for Tylenol with Codeine #3 (C-III) for 30 tablets with “5 refills”. This is the patient’s first time filling this medication. What is the maximum number of tablets the patient can receive over the life of this prescription?

22. An electronic prescription for alprazolam (C-IV) is sent to your pharmacy. The transmission fails, and the prescriber’s software prints out a copy that is faxed to you instead. What must this faxed copy contain to be valid?

23. A 17-year-old comes to the counter to purchase Robitussin AC (a C-V). Under federal law, can you complete this sale?

24. What is the single-day purchase limit for pseudoephedrine under the CMEA?

25. Prior to its elimination, an “X-Waiver” was a special registration issued by the DEA that was required to prescribe buprenorphine for OUD. Which agency was responsible for issuing the waiver in conjunction with the DEA?