West Virginia MPJE (Pharmacy Jurisprudence) Practice Exam

Can you do an emergency fill of a CII prescription?

1. Yes, but only with written authorization

2. No, never allowed

3. Only if the prescriber is present

4. Yes, with the prescriber's oral authorization and minimum quantity necessary until a written or electronic prescription is provided within 7 days

The correct answer is: Yes, but only with written authorization

In the context of emergency fills for controlled substances, particularly Schedule II (CII) prescriptions, the correct answer involves conditions under which such an emergency fill can be legally conducted. Specifically, it is permissible for a pharmacist to dispense a one-time emergency supply of a CII medication when it is necessary for a patient's immediate care. This scenario is based on the understanding that the prescribing practitioner can provide oral authorization for the prescription. The law requires that the pharmacist only provide the minimum quantity necessary to meet the urgent needs of the patient. Following this, it is crucial that the prescriber provides a written or electronic prescription to the pharmacy within 7 days after the emergency fill has been carried out. This requirement ensures that there is a documented prescription in place and maintains the integrity and security involved in prescribing CII medications. This procedure reflects the need for flexibility during emergencies while also enforcing regulations that safeguard against misuse and ensure patient safety. The other choices presented do not accurately encapsulate the specific legal provisions governing emergency fills for CII prescriptions.