South Carolina Multistate Pharmacy Jurisprudence Examination (MPJE) Practice Exam

What should a pharmacy do if it does not have the complete quantity of a C2 medication in stock?

1. Dispense as much as available and document the quantity on the RX

2. Notify the patient to return later

3. Cancel the prescription

4. Order more immediately

The correct answer is: Dispense as much as available and document the quantity on the RX

When a pharmacy encounters a situation where it does not have the complete quantity of a Schedule II (C2) medication in stock, the appropriate action is to dispense the quantity that is available and document that amount on the prescription. This approach aligns with the regulations governing controlled substances, which allow for partial fills under certain circumstances. Partial filling of a prescription for a C2 medication is permissible, provided that the remaining quantity is supplied within a specific time frame (typically 72 hours from the time of the first fill). The pharmacy must also document the quantity actually dispensed, the date, and the pharmacist’s initials. This not only ensures compliance with legal requirements but also maintains accurate records for future reference and patient safety. Additionally, this action supports patient care by providing the patient with some of their medication rather than leaving them completely without. While notifying the patient to return later or cancelling the prescription might seem reasonable options, they do not facilitate immediate access to part of the medication, which can be crucial for patient health. Ordering more medication immediately is a necessary step but does not address the immediate needs of the patient right away. Ultimately, the decision to dispense what is available while accurately documenting it appropriately reflects best practices in pharmacy operations and adherence to regulations regarding controlled substances.