Washington Multistate Pharmacy Jurisprudence MPJE Practice Exam

Under which circumstances may a pharmacist refuse to fill a lawful prescription?

1. Only if there is an obvious error in the prescription

2. If the patient fails to pay the usual charge, among others

3. Whenever the pharmacist decides based on personal judgment

4. Only during national emergencies

The correct answer is: If the patient fails to pay the usual charge, among others

A pharmacist has the responsibility to ensure the safe and appropriate dispensing of medications. While pharmacists have the discretion to refuse to fill a prescription, this decision is typically based on professional judgment and ethical obligations. The correct choice highlights that a pharmacist may refuse to fill a lawful prescription if the patient fails to pay the usual charge, which reflects the business and contractual aspect of the pharmacy-patient relationship. Pharmacists operate within a business framework, and fulfilling a prescription often involves a charge for the medication and the service provided. If a patient is unable or unwilling to pay the usual fee, this may constitute a valid reason for the pharmacist to refuse to fill the prescription, aligning with common practices in a retail environment. Other potential circumstances where a pharmacist might refuse to fill a prescription—such as concerns regarding the validity of the prescription or patient safety—do not directly relate to payment issues, indicating that while professional judgment is essential, it must also be balanced with business policies. Hence, the focus on payment indicates a practical consideration in the pharmacy practice that can justify refusal under specific conditions.