Licensure & Personnel
22%of exam
Pharmacist Practice
33%of exam
Dispensing Requirements
24%of exam
PMP ChecksRx TransfersGeneric SubstitutionPartial Fills
Pharmacy Operations
21%of exam
Quick Facts
- Exam
- TX MPJE (state-specific)
- Questions
- 120 (100 scored + 20 pretest)
- Time
- 2.5 hours
- Result
- Pass or fail only
- Format
- Computer-based, Pearson VUE
- Level
- Pharmacist licensure exam
- Areas
- 4 competency areas
- Outline
- Valid through Feb 2027
DEA Number Format
Two letters, seven digits, second is last name
First letter: registrant typeSecond letter: last namePractitioners use A, B, FMid-level uses M prefix
TSBP & Pharmacist Licensing
- TSBP
- Independent state regulatory agency
- License renewal
- Biennial, birth-month expiration
- CE required
- 30h per 2 years
- TX law CE
- At least 1 hour
- Internship hours
- 1,500 hours required
- PIC
- Pharmacist-in-charge, compliance owner
Technicians & Ratios
- Tech ratio
- 1:6 (Class A, on-site)
- Trainee limit
- Max 3 of 6 trainees
- Tech registration
- TSBP registration required
- Tech-trainee limit
- Time-limited, must certify
- Non-pharmacist tasks
- No verification, no counseling
DEA Registration
- DEA renewal
- Every 3 years
- DEA number
- 2 letters, 7 digits
- 2nd letter
- Registrant last-name initial
- 1st letter
- Registrant type code
- Mid-level Rx
- State authority, own DEA
Refill Rule by Schedule
Schedule II zero refills, III-V five refills
Schedule II: zero refillsSchedule III-V: five refillsLimit: six months onlyAfter limit: new Rx
Federal vs Texas C-II Fill Window
Federal Rule
- No fill deadline set
- Pharmacist judgment applies instead
Texas Rule
- 30-day fill window
- Counted from issuance date
Texas is stricter
Refill Decision
- Schedule II Rx→No refills ever(New Rx only)
- Schedule III-V Rx→Up to 5 refills(Within 6 months)
- Refills expired→Require new prescription
- Partial fill C-II→Complete within 72 hours
- Emergency oral C-II→Written follow-up in 7 days
Controlled Substance Scheduling
- Schedule I
- No accepted medical use
- Schedule II
- No refills, written only
- Schedule III-V
- Up to 5 refills, 6 months
- Codeine Sched V
- 200mg per 100mL/100g
- Oral Schedule II
- Emergency only, 7-day follow-up
- Buprenorphine
- Schedule III, OUD treatment
Schedule II vs III-V
Schedule II
- No refills allowed
- Written or e-Rx only
Schedule III-V
- Up to 5 refills
- Oral or fax allowed
Refills split by schedule
Prescription Requirements
- Federal Rx elements
- Name, drug, DEA number, date
- DAW
- Blocks generic substitution
- Corresponding responsibility
- Pharmacist verifies legitimacy
- Partial fill C-II
- 72 hours to complete
- 90-day supply C-II
- Multiple Rx, earliest-fill dates
- TX C-II fill window
- 30 days from issuance
Adulterated vs Misbranded
Adulterated
- Impurity or contamination
- Fails compendial standard
Misbranded
- False or misleading label
- Missing required information
Content vs label issue
Counseling & DUR
- OBRA-90
- Prospective DUR, counseling
- DUR checks
- Interactions, duplication, dosage, allergy
- Counseling offer
- Required every new Rx
- Immunization age
- Under 14 needs referral
- Flu vaccine exception
- Age 7 and older exempt
PMP Trigger Drugs
Opioid, Benzo, Barbiturate, Carisoprodol trigger PMP checks
Opioid triggers PMP checkBenzodiazepine triggers PMP checkBarbiturate triggers PMP checkCarisoprodol triggers PMP check
Partial Fill vs New Fill
Partial Fill
- Same prescription number used
- 72-hour completion window
New Prescription
- Required after 72 hours
- Prescriber must reissue order
Same Rx vs new Rx
PMP Check Decision
- Opioid Rx→Check PMP first
- Benzodiazepine Rx→Check PMP first
- Barbiturate or carisoprodol→Check PMP first
- Veterinarian prescriber→PMP check exempt
- Non-trigger drug→PMP check optional
PMP / PDMP Checks
- PMP mandate
- Since March 2020
- Trigger drugs
- Opioid, benzo, barbiturate, carisoprodol
- Check timing
- Before prescribing or dispensing
- Exempt prescriber
- Veterinarians only
- PMP name
- PMP Aware, Texas platform
Rx Transfer Decision
- Schedule II drug→Never transferable
- Schedule III-V, independent pharmacies→One transfer only
- Shared real-time database→Multiple transfers allowed
- Non-controlled drug→State law governs
Rx Transfers & Refills
- Schedule II transfer
- Not transferable, ever
- Schedule III-V transfer
- One-time, unless shared system
- Generic substitution
- Default unless DAW noted
- Orange Book A-rating
- Bioequivalent, substitutable
- Refill limit III-V
- 5 refills, 6 months
Labeling & OTC Rules
- Label required
- Pharmacy, Rx#, drug, directions
- WAC not required
- Wholesale cost excluded
- PPPA exemption
- Sublingual nitroglycerin exempt
- CMEA limit
- 9g pseudoephedrine per 30 days
- CMEA daily cap
- 3.6g pseudoephedrine per day
TX Pharmacy Classes
A-Community B-Nuclear C-Institutional D-Clinic E-Nonresident
A: community pharmacyB: nuclear pharmacyC: institutional pharmacyD: clinic pharmacyE: nonresident pharmacy
DEA Form 222 vs 106
Form 222
- Schedule II transfers
- Order or distribution record
Form 106
- Theft or loss report
- Notify DEA and police
Transfer vs loss report
Which USP Standard
- Nonsterile prep→USP <795>
- Sterile prep→USP <797>
- Hazardous drug→USP <800>
- Category 1 CSP→Shortest BUD, no testing
- Category 2 CSP→Longer BUD, monitoring required
CS Recordkeeping & Forms
- DEA Form 222
- Schedule II transfers only
- DEA Form 106
- Theft or significant loss
- DEA Form 41
- Destruction of substances
- DEA Form 224
- New pharmacy registration
- Federal retention
- 2 years minimum
- TX retention
- 2 years, matches federal
Class A vs Class C Pharmacy
Class A
- Community pharmacy type
- Dispenses to the public
Class C
- Institutional pharmacy type
- Hospital or hospice setting
Retail vs inpatient setting
Inventory & Loss Reporting
- Annual CS inventory
- Yearly on May 1, exact
- Schedule II count
- Exact, not estimated
- III-V count
- Exact if over 1,000 units
- Loss report
- DEA and local police
Compounding Standards
- USP <795>
- Nonsterile compounding
- USP <797>
- Sterile compounding
- USP <800>
- Hazardous drug handling
- Category 1 CSP
- 12h room, 24h fridge
- Category 2 CSP
- Longer BUD, more testing
TX Pharmacy License Classes
- Class A
- Community pharmacy
- Class B
- Nuclear pharmacy
- Class C
- Institutional pharmacy
- Class D
- Clinic pharmacy
- Class E
- Non-resident pharmacy
- Permit renewal
- Biennial, all classes
Common Traps
Federal vs Texas C-II Fill Window
Federal sets no deadline ≠ Texas caps it at 30 days
DEA Registration vs Board Licensure
DEA renews every 3 years ≠ TSBP renews every 2 years
Adulterated vs Misbranded Drugs
Adulterated means bad content ≠ Misbranded means bad labeling
PMP Trigger Drugs vs All Controlled Substances
PMP checks four drug classes ≠ Not every Schedule II drug
Passing Score vs Score Report
Historic threshold was 75 ≠ Report now shows pass or fail
Class A vs Class C Pharmacy
Class A serves the public ≠ Class C serves inpatients only
Last Minute
- 1.Weights: 22, 33, 24, 21%
- 2.120 questions, 100 scored total
- 3.2.5 hours, Pearson VUE format
- 4.Result reported as pass or fail
- 5.Schedule II: no refills ever
- 6.Schedule III-V: five refills, six months
- 7.PMP check: opioid, benzo, barbiturate, carisoprodol
- 8.Tech ratio: 1:6 (Class A)
- 9.TX C-II fill window: 30 days
- 10.CE: 30 hours per 2 years
- 11.Pharmacy classes: A through E
- 12.DEA registration renews every 3 years
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