Ace the West Virginia MPJE 2025 – Pharmacist Pro Power-Up!

The requirement for an exact count during a controlled substance inventory stems from federal regulations aimed at maintaining the integrity and security of controlled substances. An exact count is mandated for all Schedule I and II (CI and CII) substances because these drugs are considered to have a high potential for abuse and can pose significant risks if mismanaged. Specific counting protocols help ensure that the quantities reported reflect accurate and secure handling of these substances, allowing for better monitoring and control.

In contrast, for Schedule III (CIII) to V (CV) substances, while they still require accountability, regulations allow for a less stringent approach. If a substance has less than 1,000 dosage units, it is acceptable to have a proximate count rather than an exact count, as the potential for abuse is considered lower compared to CI and CII substances. If there are more than 1,000 units of a CIII-V substance on hand, then an exact count must be utilized. This tiered approach reflects a balance between regulatory oversight and practical pharmacy inventory management.