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Question 1

Score: 0/0

Which federal act requires pharmacists to offer medication therapy management (MTM) services to Medicare Part D beneficiaries?

Omnibus Budget Reconciliation Act of 1990

Medicare Prescription Drug, Improvement, and Modernization Act of 2003

Patient Protection and Affordable Care Act of 2010

Drug Addiction Treatment Act of 2000

to track

2026 Statistics

Key Facts: MPJE Exam

120

Scored Questions

MPJE format

2h 30m

Exam Time

NABP

Passing Score

Most states

30%

Pharmacy Practice

Largest domain

$250

Exam Fee

NABP 2026

2026

UMPJE Launch

NABP transition

The MPJE has an 83-85% first-time pass rate for US pharmacy graduates. The exam consists of 120 scored questions over 2.5 hours with a passing score of 75. Pharmacy and Pharmacist Practice, along with Medication Use Process, are the largest domains at 30% each. Note: Starting January 2026, the Uniform MPJE (UMPJE) will begin replacing state-specific MPJEs to streamline licensure across states.

Sample MPJE Practice Questions

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1Which federal act requires pharmacists to offer medication therapy management (MTM) services to Medicare Part D beneficiaries?

A.Omnibus Budget Reconciliation Act of 1990

B.Medicare Prescription Drug, Improvement, and Modernization Act of 2003

C.Patient Protection and Affordable Care Act of 2010

D.Drug Addiction Treatment Act of 2000

Explanation: The Medicare Modernization Act of 2003 (MMA) established the Medicare Part D prescription drug benefit and required Part D sponsors to offer MTM services to eligible beneficiaries. MTM programs help patients manage chronic conditions and optimize medication use.

2What is the minimum age requirement for a pharmacist to administer vaccines under the Public Readiness and Emergency Preparedness (PREP) Act?

A.16 years

B.18 years

C.21 years

D.No minimum age specified

Explanation: Under the PREP Act, pharmacists must be at least 18 years old to administer FDA-authorized or approved COVID-19 vaccines and childhood vaccines to patients ages 3-18. This authorization expanded pharmacists' scope of practice during public health emergencies.

3Which organization administers the NAPLEX and MPJE examinations for pharmacist licensure?

A.American Pharmacists Association (APhA)

B.National Association of Boards of Pharmacy (NABP)

C.Accreditation Council for Pharmacy Education (ACPE)

D.Board of Pharmacy Specialties (BPS)

Explanation: The National Association of Boards of Pharmacy (NABP) administers the North American Pharmacist Licensure Examination (NAPLEX) and the Multistate Pharmacy Jurisprudence Examination (MPJE). These standardized exams are required for pharmacist licensure in most U.S. jurisdictions.

4A pharmacist with a Doctor of Pharmacy degree may use which credential abbreviation after their name?

A.RPh

B.PharmD

C.BCPS

D.DPh

Explanation: PharmD (Doctor of Pharmacy) is the professional doctoral degree credential for pharmacists who have graduated from an ACPE-accredited pharmacy program. RPh (Registered Pharmacist) refers to licensure status, while BCPS indicates board certification in pharmacotherapy.

5Which federal act requires patient counseling for Medicaid patients receiving new prescriptions?

A.Omnibus Budget Reconciliation Act of 1990

B.Food, Drug, and Cosmetic Act of 1938

C.Durham-Humphrey Amendment of 1951

D.Poison Prevention Packaging Act of 1970

Explanation: OBRA '90 mandates that pharmacists offer to counsel Medicaid patients on new prescriptions, conduct drug regimen review for therapeutic problems, and maintain patient profiles. Many states have extended these requirements to all patients regardless of insurance.

6Under federal law, how long must a pharmacy maintain records of controlled substance dispensing?

A.2 years

B.3 years

C.5 years

D.7 years

Explanation: DEA regulations require pharmacies to maintain dispensing records for Schedule II-V controlled substances for at least 2 years from the date of dispensing. State laws may require longer retention periods, and pharmacies must comply with the more stringent requirement.

7A pharmacist discovers that a prescriber's DEA registration has expired. What is the pharmacist's legal obligation?

A.Continue dispensing for 30 days while prescriber renews

B.Contact the prescriber immediately and do not dispense controlled substances

C.Dispense non-controlled substances only

D.Report the prescriber to the state medical board

Explanation: An expired DEA registration is invalid, and prescriptions for controlled substances written by an unregistered prescriber are not legally valid. The pharmacist must contact the prescriber and cannot legally dispense controlled substances until the registration is renewed.

8Which statement correctly describes collaborative drug therapy management (CDTM)?

A.Pharmacists may initiate any prescription without prescriber involvement

B.Pharmacists may adjust drug therapy under a written agreement with a physician

C.Pharmacists may diagnose medical conditions independently

D.CDTM is prohibited under federal pharmacy law

Explanation: CDTM allows pharmacists to adjust drug therapy, initiate or discontinue medications, and order laboratory tests under a written collaborative practice agreement with a physician. The specific scope varies by state law and must be defined in the agreement.

9A pharmacist receives a telephoned prescription for a Schedule II controlled substance for a hospice patient. What is required?

A.The prescriber must follow up with a written prescription within 7 days

B.A faxed prescription is sufficient for all Schedule II medications

C.The prescription cannot be accepted by telephone for any reason

D.The pharmacist may dispense a 30-day supply immediately

Explanation: For hospice patients or residents of long-term care facilities, prescribers may verbally communicate Schedule II prescriptions, but must provide a written prescription within 7 days. The pharmacist must document the emergency and notify the DEA if the written prescription is not received.

10Under the PREP Act declaration for COVID-19, which healthcare professionals are covered persons authorized to administer vaccines?

A.Only physicians and nurses

B.Pharmacists, pharmacy interns, and qualified pharmacy technicians

C.Only immunization-certified pharmacists

D.Any healthcare worker with first aid training

Explanation: The PREP Act declaration authorizes pharmacists, pharmacy interns, and qualified pharmacy technicians to administer FDA-authorized COVID-19 vaccines and childhood vaccines. Qualified pharmacy technicians must meet specific training and supervision requirements.

About the MPJE Exam

The MPJE is a pharmacy law examination required for pharmacist licensure in most U.S. states and territories. It tests knowledge of federal and state-specific pharmacy laws across 4 domains: Pharmacy and Pharmacist Practice (30%), Medication Use Process (30%), Regulatory Authority and Legal Obligations (20%), and Pharmacy Operations (20%). The exam is state-specific, testing both federal law and the specific state's pharmacy regulations.

Questions

120 scored questions

Time Limit

2 hours 30 minutes

Passing Score

Exam Fee

$250 (NABP (National Association of Boards of Pharmacy))

MPJE Exam Content Outline

30%

Pharmacy and Pharmacist Practice

Licensure requirements, pharmacist scope of practice, intern and technician supervision, medication therapy management (MTM), collaborative practice agreements, prescriptive authority, immunization protocols, and professional responsibilities

30%

Medication Use Process

Prescription requirements, prescription transfers, emergency refills, compounding (non-sterile and sterile), repackaging, drug distribution, patient counseling, drug utilization review (DUR), and medication errors

20%

Regulatory Authority and Legal Obligations

Controlled Substances Act (CSA), DEA registration, controlled substance schedules, inventory management, DEA Form 222, security requirements, recordkeeping, and federal vs state law conflicts

20%

Pharmacy Operations

Pharmacy ownership, facility requirements, recordkeeping, inventory systems, hazardous waste disposal, Medicare/Medicaid compliance, REMS programs, and telepharmacy regulations

How to Pass the MPJE Exam

What You Need to Know

Passing score: 75
Exam length: 120 questions
Time limit: 2 hours 30 minutes
Exam fee: $250

Keys to Passing

Complete 500+ practice questions
Score 80%+ consistently before scheduling
Focus on highest-weighted sections
Use our AI tutor for tough concepts

MPJE Study Tips from Top Performers

1Master the Controlled Substances Act - know DEA schedules, security requirements, inventory procedures, and DEA Form 222 requirements

2Study your state's pharmacy practice act thoroughly - licensure requirements, scope of practice, technician ratios, and supervision rules

3Understand federal vs state law conflicts - which takes precedence and when state law can be more stringent

4Review OBRA '90 requirements - prospective drug utilization review (DUR) and mandatory patient counseling

5Practice applying laws to scenarios - the MPJE tests legal reasoning, not just memorization of statutes

Frequently Asked Questions

What is the MPJE pass rate?

The MPJE first-time pass rate is approximately 83-85% for US pharmacy graduates. Pass rates vary by state due to differences in state law complexity. Repeat pass rates are significantly lower. Most states require both NAPLEX and MPJE passage within a specific timeframe of each other.

How many questions are on the MPJE?

The MPJE contains 120 scored questions. You have 2 hours and 30 minutes to complete the exam. The exam is computer-based and administered at Pearson VUE testing centers. Questions cover federal pharmacy law and the specific state's pharmacy regulations.

What is the MPJE passing score?

The MPJE passing score is 75 on a scaled score. Unlike some other exams, there is no partial credit - you must achieve the full passing score in one attempt. Each state sets its own passing requirement, though most use 75.

Is the MPJE the same in every state?

No, each state has its own MPJE version that tests both federal pharmacy law and that state's specific pharmacy regulations. You must take the MPJE for each state where you seek licensure. However, starting January 2026, NABP is introducing the Uniform MPJE (UMPJE) which will eventually replace individual state MPJEs.

How should I prepare for the MPJE?

Focus on three areas: (1) Federal pharmacy law (Controlled Substances Act, DEA regulations, OBRA '90, HIPAA, Medicare/Medicaid), (2) Your specific state's pharmacy laws (practice act, regulations, board rules), and (3) Legal reasoning - many questions present scenarios requiring application of law. Review your state's pharmacy practice act and regulations thoroughly.

What is the difference between MPJE and UMPJE?

The current MPJE is state-specific, requiring separate exams for each state. The Uniform MPJE (UMPJE), launching in 2026, will be a single exam testing core pharmacy law knowledge applicable across all participating states. The UMPJE aims to reduce redundancy and facilitate licensure portability through NABP's Passport program.