South Carolina MPJE Complete Practice Exam Guide 2026

The correct answer is that a compounding pharmacy can distribute a maximum of 5% of its total prescriptions interstate. This regulation exists to ensure that compounding pharmacies primarily focus on patient-specific prescriptions rather than diverting into wholesale distribution, which is not their main purpose.

The 5% threshold is a safeguard designed to maintain the integrity and intent of compounding as a service tailored to individual patient needs, rather than functioning as a large-scale manufacturer. This is essential because while compounding pharmacies do play a role in creating customized medications, the main priority should always be the individual care of patients, keeping patient safety, quality, and compliance with state and federal regulations at the forefront of their operations.

The other percentages are lower limits, which would restrict the interstate distribution even further, potentially hindering the pharmacy's ability to serve its patients effectively while complying with legal requirements. Thus, the 5% rule strikes a balance between allowing some level of interstate prescription distribution while ensuring compliance with the intended regulations governing compounding pharmacies.