Wyoming MPJE (Pharmacy Jurisprudence) Practice Exam

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Which form does the reverse distributor fill out to destroy controlled substances?

  1. Form 106

  2. Form 222

  3. Form 41

  4. Form 91

The correct answer is: Form 106

The correct answer is A. Form 106. Reverse distributors use Form 106 to document the destruction of controlled substances. This form ensures that there is a proper record of the destruction process, including details such as the drug name, strength, quantity destroyed, the date of destruction, and the method of destruction. Option B, Form 222, is used for ordering Schedule II controlled substances. Option C, Form 41, is used for reporting thefts or significant losses of controlled substances. Option D, Form 91, is not a standard form related to controlled substances destruction in the context of pharmacy practice.