Cheat sheet

CPJE Cheat Sheet

Patient Info & Rx Evaluation

31%of exam

Patient ProfileRx Legality CheckDispensingCS PrescriptionsPartial FillsRx Labels

Clinical Practice & Jurisprudence

36%of exam

Furnishing AuthorityCorresponding ResponsibilityPatient CounselingCS SchedulesFederal LawAPh Pathways

Pharmacy Operations & Jurisprudence

33%of exam

Board AuthorityCURESQuality AssuranceTech RatiosLoss ReportingLicense Renewal

Quick Facts

Exam
CPJE
Credential
CA Pharmacist License
Questions
90 (75 scored)
Time
2 hours
Pass
75 scaled (0-99)
Format
Computer, 4-option MC
Level
Licensure
Blueprint
June 1, 2022

CPJE Domain Weights

31 Patient Info, 36 Clinical, 33 Operations

23/75 patient info27/75 clinical practice25/75 operations

CPJE vs MPJE

CPJE

  • California only
  • Law + clinical practice

MPJE

  • Most other states
  • Law only, no clinical

CA never uses MPJE

CS Prescription Requirements

Schedule II Rx
Written or e-Rx; no verbal
Schedule II fill window
Must fill within 6 months
Verbal Schedule II
Emergency only, written follow-up
Schedule III-V Rx
Written, oral, or fax OK
E-prescribing mandate
Required since Jan 2022

Emergency Refill vs Partial Fill

Emergency refill (4064)

  • Sch III-V; excludes CII
  • Prescriber unavailable

CII partial fill

  • Controlled Schedule II
  • Patient or prescriber request

Different drugs, different rules

Partial Fills & Transfers

CII partial (stock)
Complete within 72 hours
CII partial (patient ask)
Complete within 30 days
III-V transfer
One-time only between pharmacies
Shared database exception
Multiple transfers up to max refills
Schedule II transfer
Not transferable between pharmacies

Emergency Supply & Refills

B&P 4064
Refill without prescriber if unavailable
Pharmacist judgment
Interruption would harm patient care
Required steps
Attempt contact, document, notify prescriber
Patient notice
Inform patient of emergency refill
Sch III-V allowed
Excludes Schedule II only

Prescription Label Requirements

SB 472
Standardized patient-centered label mandate
LEP support
Interpreter services during pharmacy hours
Translated SIGs
Spanish, Chinese, Korean, Russian, Vietnamese
Impairment warning
Label if drug impairs driving
Large print
Available on patient request

CSA Schedule Abuse Order

I highest abuse, V lowest abuse

I: no medical useII: high abuse, Rx onlyIV-V: low abuse, common use

CA Duty to Consult vs OBRA Offer

California (1707.2)

  • Proactive consultation required
  • New Rx or change

OBRA '90 model

  • Offer only
  • Patient may decline

CA is stricter

What Can Pharmacist Furnish?

  1. Opioid overdose riskFurnish naloxone(No Rx needed)
  2. Patient needs contraceptionFurnish hormonal contraceptive(Self-screening required)
  3. HIV exposure riskFurnish PrEP or PEP(Protocol-based)
  4. International travel plannedFurnish CDC travel meds(No diagnosis needed)
  5. Patient wants to quit smokingFurnish nicotine replacement(OTC or Rx)
  6. Refill needed, prescriber unreachableEmergency refill, B&P 4064(Sch III-V, not CII)

Controlled Substance Schedules

Schedule I
No accepted use; heroin, LSD
Schedule II
High abuse; oxycodone, fentanyl, Adderall
Schedule III
Moderate abuse; ketamine, steroids, testosterone
Schedule IV
Low abuse; Xanax, Ambien, tramadol
Schedule V
Lowest abuse; low-dose codeine syrup
CSA
Federal Controlled Substances Act

Pharmacist Furnishing Menu

Naloxone, Contraceptives, PrEP/PEP, Travel, Nicotine

No prescription neededProtocol-based furnishing5 categories to know

Schedule II vs III-V Rules

Schedule II

  • No refills allowed
  • Not transferable

Schedule III-V

  • Up to 5 refills/6 mo
  • One-time transfer OK

Refill and transfer differ

When Must Pharmacist Counsel?

  1. New drug for patientMandatory oral consultation(16 CCR 1707.2)
  2. Same drug, new strengthMandatory oral consultation(Not just an offer)
  3. Mail-order or remote patientWritten notice + phone line(40 hrs/week min)
  4. Patient declines counselingDocument refusal, skip consult(Patient's right)
  5. Drug impairs driving abilityAdd impairment warning label(B&P 4074)

Pharmacist Furnishing Authority

Naloxone
Furnish without Rx, statewide protocol
Contraceptives
Self-administered hormonal, OTC, emergency
PrEP
HIV prevention, B&P 4052.02
PEP
Post-exposure HIV, B&P 4052.03
Travel medications
CDC-recommended, no diagnosis needed
Nicotine replacement
Smoking cessation, furnish OTC/Rx
PCP notification
Notify PCP or give record

Corresponding Responsibility & Red Flags

Corresponding responsibility
Pharmacist shares duty with prescriber
21 CFR 1306.04
Federal corresponding responsibility rule
Cash red flag
Cash payment for controlled substances
Distance red flag
Long patient-prescriber-pharmacy distance
Doctor-shop red flag
Same drug from multiple prescribers

Patient Counseling Duty

16 CCR 1707.2
Duty to Consult regulation
CA standard
Mandatory consultation, not just offer
Trigger
New drug, strength, or directions
Content
Directions, storage, precautions, warnings
Remote patient
Written notice + phone access
Response time
10-min avg or 1-hr callback
Opt-out
Patient may refuse consultation

Federal Law Foundations

OBRA '90
DUR + offer-to-counsel origin
HIPAA
Privacy, minimum necessary disclosure
DEA registration
Renew every 3 years
FDA authority
Approval, recalls, REMS programs
CSA scheduling
DEA classifies by abuse potential

Loss Reporting Timing

Theft = 14 days, Other = 30

Theft: 14 daysOther: 30 daysThreshold triggers report

CURES Query Duty vs Registration

Prescribers

  • Must query before Rx
  • Every 6 months

Pharmacists

  • Register for access only
  • No mandatory query duty

Prescriber duty, not pharmacist

Controlled Substance Action Picker

  1. Schedule II lost or stolenReport to Board + DEA 106(14 or 30 days)
  2. Suspect diversion patternRefuse fill, document reasoning(Corresponding responsibility)
  3. New CII patient visitCheck CURES (prescriber duty)(Pharmacist just registers)
  4. Schedule III-V refill elsewhereOne-time transfer allowed(Unless shared database)
  5. CII qty incomplete at fillPartial fill: 72 hrs if stock(30 days if patient asked)
  6. Biennial count dueComplete full CS inventory(Every 2 years)

Board of Pharmacy Authority

B&P Code
Div 2 Ch 9, pharmacy law
Title 16 CCR
Board regs, Division 17
Board members
13: 7 pharmacists, 6 public
B&P 4200.2
CPJE tests clinical + jurisprudence
Occupational analysis
Outline updated every 3-7 yrs

Employee Theft vs Other Loss

Employee theft

  • Any amount reportable
  • 14-day deadline

Other loss

  • Threshold-based reporting
  • 30-day deadline

Theft has no minimum

CURES / PDMP Rules

CURES
CA's PDMP, run by DOJ
Mandatory query
Prescribers only, not pharmacists
Query trigger
New Schedule II-IV patient
Query interval
Every 6 months if continuing
Pharmacist duty
Register for CURES access
Timing rule
Within 24 hrs before prescribing

Quality Assurance & Errors

16 CCR 1711
Quality assurance program mandate
Investigation window
Start within 2 business days
QA record retention
1 year, immediately retrievable
Self-assessment 17M-13
Community/outpatient pharmacy self-audit
Self-assessment retention
Keep on file 3 years

Inventory Loss & Theft Reporting

Employee theft
Report any amount, 14 days
Other loss
Report within 30 days
Tablet threshold
99 dosage units aggregate
Injectable threshold
10 single-dose units aggregate
Multi-dose threshold
2+ vials or bags
CS inventory count
Biennial, every 2 years

Technician Ratios & Supervision

B&P 4115 ratio
2:1 additional, 1:1 solo
Solo pharmacist
Max 1 technician on duty
Hospital/inpatient ratio
1 pharmacist per 2 techs
Direct supervision
Pharmacist verifies all tech work
Tech scope limit
No counseling, no clinical judgment

APh & License Renewal

Certification criterion
Board-certified specialty (BPS, etc.)
Residency criterion
Accredited PGY, 50%+ direct care
Protocol criterion
One year clinical services, protocol
License renewal
Every 2 years, birth-month deadline
CE requirement
30 hrs; 2 law-ethics; 1 cultural

Common Traps

CURES Query Duty ≠ Pharmacist

Prescriber must query Pharmacist just registers

Offer to Counsel ≠ CA Rule

Other states offer only CA requires actual consultation

Schedule II ≠ Refillable

Zero refills allowed New Rx each time

CPJE ≠ MPJE

CA has own exam MPJE not used here

Theft ≠ Threshold-Based Loss

Theft reports any amount Loss needs threshold met

Emergency Refill: CII Excluded Only

Applies to dangerous drugs + Sch III-V Only Schedule II excluded (4064)

APh ≠ Automatic Upgrade

Requires 2 of 3 criteria Extra application and fee

Last Minute

  1. 1.Weights: 31% / 36% / 33%
  2. 2.90 Qs, 75 scored, 2 hrs
  3. 3.Pass = 75 scaled (0-99)
  4. 4.CURES duty = prescribers, not pharmacists
  5. 5.CA requires consultation, not just offer
  6. 6.Schedule II: no refills, no transfer
  7. 7.Furnish naloxone, contraceptives, PrEP-PEP, travel meds
  8. 8.Theft: report any amount, 14 days
  9. 9.Other loss: threshold-based, 30 days
  10. 10.Tech ratio max 2:1 (varies)
  11. 11.CPJE is California-only, not MPJE
  12. 12.E-prescribing mandatory for controlled substances
Same family resources

Explore More MPJE Pharmacy Jurisprudence

Continue into nearby exams from the same family. Each card keeps practice questions, study guides, flashcards, videos, and articles in one place.