Washington Multistate Pharmacy Jurisprudence MPJE Practice Exam

Under what conditions can therapeutic substitution be done in WA?

1. With prior authorization from the prescriber on a per-prescription basis

2. At the pharmacist's discretion without consultation

3. Only for non-prescription medications

4. Without informing the patient

The correct answer is: With prior authorization from the prescriber on a per-prescription basis

Under Washington state law, therapeutic substitution may only be done with prior authorization from the prescriber on a per-prescription basis. This is to ensure that the substitute medication is appropriate and safe for the patient's specific condition. Option B is incorrect because therapeutic substitution should not be done without consulting the prescriber first. Option C is incorrect because therapeutic substitution applies to both prescription and non-prescription medications. Option D is incorrect because the patient has the right to be informed about any changes to their medication.