Washington Multistate Pharmacy Jurisprudence MPJE Practice Exam

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How can a prescriber indicate that a substitution is not permitted?

  1. By marking 'X' on the prescription

  2. By using a red ink

  3. By signing under 'DISPENSE AS WRITTEN'

  4. None of the above

The correct answer is: By signing under 'DISPENSE AS WRITTEN'

A prescriber indicates that a substitution is not permitted by signing under the phrase 'DISPENSE AS WRITTEN' on the prescription. This specific notation clearly communicates to the pharmacist that the prescriber does not want any substitutions to be made for the prescribed medication, ensuring that the patient receives the exact product prescribed. The other methods mentioned do not carry the same legal weight or clarity. Marking 'X' on the prescription or using red ink may not be standardized practices and could lead to misinterpretation. Therefore, the clear and accepted method recognized in pharmacy law is the prescriber's signature under 'DISPENSE AS WRITTEN,' solidifying their intent regarding medication substitution.

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