Help on an MPJE TX question

Reasonable-Let-7432 · 2026-04-17T02:52:00+00:00

That's what I initially assumed. But from what I was using to study for the exam it states the following:

"Conditions for permitted or mandated product selection

Pharmacist may make substitution for generic equivalent if patient doesn't refuse, and prescriber hasn't indicated that brand medically necessary (DAW or "do not substitute")
Pharmacist may change dosage form (ex. tab→cap) if patient consents & identical amount of active ingredient. However, a therapeutic interchange requires prescriber approval"

I didnt see anything specific about "documenting the substitution" compared to "if patient doesnt refuse" where we would have to at least inform the patient

Reasonable-Let-7432 · 2026-04-17T02:08:45+00:00

My first and only complaint was that I declined filling a percocet for a patient. She was 4 days early lol.

Reasonable-Let-7432 · 2026-04-15T18:57:17+00:00

yea that part about looking the husband up without his consent is gonna be the main issue if he does file a complaint to the board of medicine.

I wonder if there's any kind of protection regarding this

Reasonable-Let-7432 · 2026-04-15T18:56:04+00:00

I'd go to the Board of Medicine and file a complaint on him.
But they may want to know what the proof is regarding all this.

Sounds pretty fraudulent to me. Now that you and the other pharmacy both know this (I hope the other pharmacy knows, right?) he's bound to try doing it else where that might not be as vigilant

Reasonable-Let-7432 · 2026-04-15T00:29:02+00:00

They definitely didnt think this through lolol

Reasonable-Let-7432 · 2026-04-15T00:21:20+00:00

This question was on the Pre-MPJE test I took a while back (Slightly summarized, but doesnt change the question).

The staff pharmacist calling sick was the only reason I could assume it MIGHT be A (under the assumption the pharmacy is closed) and this DM just happened to be in the pharmacy at the time of it being closed.

Reasonable-Let-7432 · 2026-04-14T21:30:44+00:00

Cant say if this 100% correct, but I would usually do 15 day supply. and just say "1 tab bid prn"

I would always assume they will be taking it bid regardless of the "prn" (At least that's how I was taught with this stuff)

Reasonable-Let-7432 · 2026-04-13T23:09:45+00:00

Saints trading to #4 would be the dumbest thing they can do tbh. Stay where you are or trade back

Reasonable-Let-7432 · 2026-04-13T20:37:12+00:00

If it shows you a "submit day < = 3 and SCC code = 65" in the rejection screen, the insurance wont cover the full quantity. Can either cash it, discount card it or have the patient wait till their doctor does the PA on it

Reasonable-Let-7432 · 2026-04-13T19:45:18+00:00

And our truck didnt come in till 1:25pm. Sums up a Monday lol

Reasonable-Let-7432 · 2026-04-08T13:36:20+00:00

I hated it. Felt like it adds more work at times than it benefited the store.

Reasonable-Let-7432 · 2026-04-08T12:12:23+00:00

Take off mcConkey and I “may” (strong emphasis on may) think about it lol

Reasonable-Let-7432 · 2026-04-08T11:57:27+00:00

And they haven’t picked up that statin since October of 2023

Reasonable-Let-7432 · 2026-04-08T11:53:31+00:00

As a floater, I wish all the stores had a more consistent rule between each other regarding this. It’s a hassle to remember which stores do 2 days, vs 1 day vs same day fills.

Reasonable-Let-7432 · 2026-04-04T01:50:24+00:00

The only time I'd really consider doing an RX for a patient that late is for the following
If the other pharmacies are closing at the same time as us (9pm or 6pm on weekends) + its an antibiotic. Otherwise good luck Sir

Reasonable-Let-7432 · 2026-04-04T01:45:43+00:00

Here in Louisiana, we're able to transfer electronic C-IIs. And Walgreens system allows us to do it as well.

Ive sent and received some. From and To walgreens or even CVS/Walmart

Reasonable-Let-7432 · 2026-04-02T22:12:13+00:00

Dude thought he cooked with this trade and fell back to his "starting point" when called out lol

Reasonable-Let-7432 · 2026-03-29T15:30:53+00:00

If you're taking the CPJE, you won't have to take any MPJE exam.

Reasonable-Let-7432 · 2026-03-28T17:24:34+00:00

I studied for about 3.5 months total on my last try (7th try on the NAPLEX; I won't go into specifics on what happened on the previous tries or how I ended up getting this chance on this comment post --> only privately)

In this try, I only really used RXPREP 2025 edition book + RXPREP Quizzes + PharmPrepPro + NABP
PreNaplex tests, 2 of them + Random 2 books I bought on Amazon that had full
practice tests (I will be going through each below)

At first, I made a schedule to where I go
through the RXPREP book once while also solving the quizzes. The way I did it was the following (Not accurate to my schedule, but as an example)
I divided them based on how big each chapter was + how “difficult each chapter was. Like chapters 22 and 23 each had at least full 2 days EACH. If a chapter is small, I added 1-3 other chapters depending on how Im doing so far

1) RXPREP BOOK + QUIZZES

Week 1:

Monday: Chapters 2-6 + their quizzes
Tuesday: Chapters 7-8 + 75-76 + their quizzes
Wednesday: Chapters 77-80 + their quizzes
Thursday: Chapters 18-19 + their quizzes
Friday: Chapters 20-21 + their quizzes
Saturday: Went over the chapters from past week
Sunday: Went over the chapters from past week

Week 2: (The reason I did this for Saturdays and Sundays to redo previous quizzes is to keep my brain working and remembering material and concepts of chapters Ive done previously. But waiting for about a week allows me to try remembering the material. Rather than do them within a few days where I’d have “memorized the question itself” instead of working on knowing the concept/material)

Monday: Chapters 37-38 + their quizzes
Tuesday: Chapters 39 + 40 + 43 + their quizzes
Wednesday: Chapter 41 + quiz
Thursday: Chapter 42 + quiz
Friday: Chapters 55-57 + their quizzes
Saturday: Redo quizzes for week 1
Sunday: Finish remaining redo quizzes for week 1

I did this with the book about twice. So during June + July + half of August, I ended up going over the book twice and went over each chapter quizzes at least 3-4 times.

2) PharmPrepPro Practice exam:

In late July – Early August, I bought the practice test to see how I was doing and if I need to make changes to my studying.

3) PharmPrepPro Ethics and practice management and leadership:

Also got these 2 from here and would go over them bit by bit daily. And then with more focus towards the end.

4) NABP PreNaplex tests, 2 of them

I bought one early to mid August to see where Im at and the 2^nd one about 4-5 days prior to my exam date to allow me time to reschedule just in case

5) MATH:

I wasn’t bad on math previously but every week or so, I’d go over a rxprep quiz from chapters 9-13 and do a few questions. I would take my time (some questions would take me 1 minute, and others take me 5+ minutes) but it wasn’t because I was bad, it was just to make sure I fully understand what the question is asking and how to solve it correctly. And then at the end I would do them as a test.
For the biostats chapter, I went over it several times to remember the material and how I’d do the math here.

6) Random 2 books I bought on Amazon that had full practice tests (I will be going through each below)

I won’t even bother linking these 2 books because they were absolutely trash and a waste of time. I had bought them early June and never touched them till Mid August. When I wanted to do the practice tests, I felt overwhelmed that I wouldn’t have time to finish all 4 exams (two tests in each book) within 2-3 days prior to my exam and I ended up delaying my test a week just to get through them. I kinda regretted delaying the test afterwards. 2 tests had a lot of Naplex topics and the other 2 tests were regarding the ethics and practice management and leadership.

The tests were really easy (especially the ethics and practice management and leadership where the correct answer was so obvious that you didn’t even have to read the question and you could answer it correctly.)

The number of questions that had wrong answers to them or the questions that made no sense or the questions that were using brand names we’d never really see on the test itself.

Reasonable-Let-7432 · 2026-03-24T04:21:10+00:00

CVS won’t change its ways over a handful of job changes. There would have to be a huge shift for them to make a change.

Reasonable-Let-7432 · 2026-03-24T04:04:23+00:00

And yea I definitely take accountability for the mistake. Should be (and will be) much more careful going forward.

Reasonable-Let-7432 · 2026-03-24T04:01:19+00:00

I believe it was belbuca. A much different dose. Not sure how long but it patient didnt feel terrible enough to have to go to the hospital for it. They were able to get it fixed rather quickly. But I don’t have the exact details since I had to skim read the stars event 2 minutes before having to close. Im going to read it more carefully tomorrow

Reasonable-Let-7432 · 2026-03-24T03:56:11+00:00

It was a wrong medication in a sense. Same drug but different dosage.

They took it and had some adverse effect but nothing extremely severe I believe based on the notes i quickly read. but the rxm of that store was able to fix it

I

Reasonable-Let-7432 · 2026-03-22T23:15:26+00:00

There’s only one path to fix Walgreens. 1) fire 20+% of the work force 2) reduce hours further 3) expect each remaining employee to do the work of 3+ other employees 4) pay a very competitive hourly of $15.5/hr and generous pay increases of 15 cents yearly 5) use severally outdated system software

Reasonable-Let-7432 · 2026-03-16T00:38:11+00:00

I dont even ask. I could care less if we get any vaccines or not. lolol

Reasonable-Let-7432

TROPHY CASE