South Carolina Multistate Pharmacy Jurisprudence Examination (MPJE) Practice Exam

What is the maximum limit for a C2 narcotic prescription when prescribed by a Nurse Practitioner?

1. 30-day supply

2. 5-day supply with agreement

3. Initial 7-day supply

4. No limit if signed by a supervising physician

The correct answer is: 5-day supply with agreement

The maximum limit for a Schedule II (C2) narcotic prescription when prescribed by a Nurse Practitioner (NP) in South Carolina is restricted to a 5-day supply with proper agreement in place. This is consistent with the regulations governing the prescribing practices of NPs, ensuring that they have management protocols and agreements with a supervising physician or medical collaboration. This 5-day limit is established to promote safe prescribing practices and to mitigate the risk of misuse and dependency on narcotic medications. It encourages more frequent patient evaluations and reassessments of the need for medication, thereby fostering better patient care outcomes. The stipulation about having an agreement ensures that the NP operates within a framework of oversight, providing a safety net for both the patient and the healthcare system. In contrast, options mentioning a 30-day supply or no limit if signed by a supervising physician would not adhere to the legal requirements specific to NPs, as these provisions usually apply to physicians with different prescribing limits and responsibilities. Therefore, the specified limitation serves as a crucial safeguard within the state’s framework for opioid prescribing.