Rhode Island Multistate Pharmacy Jurisprudence (MPJE) Practice Exam

Can multi-drug single dose systems include controlled substances?

1. No, they cannot

2. Yes, all controlled substances

3. Yes, but only Schedule I

4. Yes, but only CIV-V

The correct answer is: Yes, but only CIV-V

Multi-drug single dose systems are designed to facilitate the dispensing of medications, and certain regulatory frameworks allow the inclusion of controlled substances under specific conditions. The correct answer recognizes that controlled substances classified as Schedule IV (CIV) to Schedule V (CV) can indeed be included in these systems. This allows pharmacies to dispense smaller quantities of medications that might be needed for immediate administration in a single dose format, thus optimizing patient care and medication management. In contrast, Schedule I substances are not legally permitted for any use in the practice of pharmacy due to their high potential for abuse and lack of accepted medical use in the United States. Schedule II substances have limitations on dispensing and tracking, usually requiring stricter controls that prevent their inclusion in multi-drug single dose systems. Schedule III drugs can be included, but under more regulated circumstances than those applicable to CIV and CV substances. Therefore, the regulatory allowance specifically for Schedule IV and V controlled substances in multi-drug single dose systems enables pharmacies to better serve patients while complying with legal restrictions in the state of Rhode Island.