🥝GuideKiwi
Free Guide

Free Guide to Pharmacy Test Options

Understanding Pharmacy Licensing Exams in the United States Pharmacy licensing exams are standardized tests that measure whether someone has the knowledge an...

GuideKiwi Editorial Team·

Understanding Pharmacy Licensing Exams in the United States

Pharmacy licensing exams are standardized tests that measure whether someone has the knowledge and skills to work as a licensed pharmacist or pharmacy technician in the United States. These exams exist to protect public health by ensuring that pharmacy professionals meet minimum standards before they can practice.

There are two main paths in pharmacy careers, and each has its own exam requirements. Pharmacists must pass the North American Pharmacist Licensure Examination (NAPLEX) and the Pharmacy Law Examination (MPJE). Pharmacy technicians must pass the Pharmacy Technician Certification Examination (PTCE) or the Exam for Certification of Pharmacy Technicians (ExCPT). The specific exam depends on the state where someone plans to work and the credential they are pursuing.

The cost of these exams varies. NAPLEX costs approximately $650 to $750 per attempt. The MPJE typically costs $100 to $150. The PTCE costs around $129 for the first attempt and $199 for retakes. These fees can add up, especially for people who need to retake exams. Some states charge additional registration or licensing fees beyond the exam cost itself.

Exam difficulty differs based on the credential level. Pharmacist exams are more complex and require four years of pharmacy school preparation. Pharmacy technician exams are less involved but still require significant study. According to the Pharmacy Technician Certification Board, approximately 58% of first-time test takers pass the PTCE. For NAPLEX, first-time pass rates hover around 90% for test takers from accredited pharmacy programs.

Takeaway: Understanding which exam you need and its basic requirements helps you plan your study timeline and budget.

The NAPLEX Exam: What Pharmacists Must Know

The North American Pharmacist Licensure Examination (NAPLEX) is the primary exam that pharmacists must pass to be licensed in all U.S. states and territories. The Accreditation Council for Pharmacy Education (ACPE) oversees this exam. It is a computer-based test that takes approximately 4.25 hours to complete.

NAPLEX measures a pharmacist's knowledge across several key areas. These include pharmacotherapy and disease management, pharmacokinetics and pharmacodynamics, pharmaceutical care and patient counseling, and pharmacy practice management. The exam contains 185 questions, though only 150 are scored—the other 35 are experimental questions used to develop future exams. Each question is scenario-based, meaning test takers must apply their knowledge to realistic pharmacy situations rather than simply recall facts.

Pharmacy students typically prepare for NAPLEX during their final year of pharmacy school. Most pharmacy programs include NAPLEX preparation as part of their curriculum. Students use various study materials including practice exams, review courses, and textbooks. The average student spends 100 to 200 hours studying outside of class preparation. Many students take full-length practice exams to simulate the actual test experience and identify weak areas.

NAPLEX is offered year-round at testing centers across the United States. Test takers can schedule their exam date through Pearson VUE, the testing company that administers the exam. Registration requires proof of graduation from an accredited pharmacy program and payment of the exam fee. Students can typically schedule their exam within two to three weeks of registration, though availability varies by location.

The passing score for NAPLEX is set to maintain a consistent standard of competency. Currently, the scaled score needed to pass is approximately 75 out of 120 points. This means a test taker does not need to answer every question correctly to pass. Exam results are reported as either pass or fail, with no partial credit given.

Takeaway: NAPLEX is a lengthy, scenario-based exam that requires months of preparation and practical understanding of pharmacy practice, not just memorization of facts.

The MPJE: Pharmacy Law and Regulation Testing

The Multistate Pharmacy Jurisprudence Examination (MPJE) tests knowledge of pharmacy law and regulations. Unlike NAPLEX, which is the same nationwide, the MPJE is state-specific. Each state has its own version of the exam that covers that state's pharmacy laws, regulations, and practice requirements. This means a pharmacist licensed in one state must pass that state's MPJE if they want to practice in a different state.

The MPJE contains 90 multiple-choice questions and takes two hours to complete. It is administered by the National Association of Boards of Pharmacy (NABP). Approximately 50 of the questions cover federal pharmacy law that applies across all states, including DEA regulations for controlled substances, FDA regulations, and HIPAA requirements. The remaining 40 questions cover state-specific laws. This split means that some content is consistent across all states, while other content requires state-specific study.

Common topics on the MPJE include pharmacy technician regulations, controlled substance laws, patient confidentiality requirements, prescription transfer rules, and pharmacy compounding regulations. The exam also covers pharmacy ownership rules, which vary significantly by state. For example, some states allow non-pharmacists to own pharmacies, while others require pharmacist ownership. Additionally, pharmacists must understand their state's rules about providing vaccines, managing medication therapy, and collaborating with physicians.

Preparation for the MPJE typically involves studying the state board of pharmacy's pharmacy practice act and administrative rules. Most states publish these documents online at no cost. Many pharmacists also purchase study guides and take practice exams specifically designed for their state's MPJE. The NABP provides official MPJE study materials and practice exams. Preparation time is usually shorter than NAPLEX—typically 20 to 40 hours of study—since the MPJE focuses on regulations rather than clinical knowledge.

A significant difference between states is the passing score requirement. Each state sets its own passing score for its MPJE. Some states use a scaled score of 75, while others use different standards. Pharmacists should check their specific state board of pharmacy website for the exact passing score requirement in their state.

Takeaway: The MPJE requires state-specific knowledge that differs from NAPLEX preparation, and pharmacists must pass a different MPJE for each state where they plan to practice.

Pharmacy Technician Certification Exams: PTCE and ExCPT

Pharmacy technicians have two major national certification exams to choose from: the Pharmacy Technician Certification Examination (PTCE) administered by the Pharmacy Technician Certification Board (PTCB), and the Exam for Certification of Pharmacy Technicians (ExCPT) administered by the National Healthcareer Association (NHA). Both exams measure the knowledge and skills that pharmacy technicians need to perform their duties safely and effectively.

The PTCE is the more widely recognized certification nationwide. It contains 110 questions delivered in a multiple-choice format, with 100 questions being scored and 10 being experimental. The exam takes two hours to complete. The PTCE covers five main areas: medication safety, regulations and technician duties (about 13% of the exam), the pharmacy practice environment (about 26%), pharmacotherapy and mechanisms of action (about 30%), and dispensing and inventory management (about 31%). Questions require technicians to apply their knowledge to practical situations they encounter in pharmacy work.

The ExCPT is an alternative certification exam that covers similar content but uses a different format and testing company. The ExCPT also includes 110 questions and takes approximately two hours. Both exams measure comparable competencies, though some states may prefer or recognize one certification over the other.

Pharmacy technician candidates typically have different preparation backgrounds than pharmacists. Some candidates complete formal pharmacy technician programs at community colleges, which typically last one to two years. Others train on the job while working in pharmacies. PTCB requires candidates to have at least two years of pharmacy technician work experience or completion of an accredited pharmacy technician program to be eligible to sit for the PTCE. The ExCPT has similar requirements.

Study materials for pharmacy technician exams include textbooks focused on pharmacy technician practice, practice exams, and online review courses. The PTCB provides official study guides and practice resources. Many pharmacy schools and training programs incorporate exam preparation into their curriculum. Technicians typically study 40 to 80 hours before taking their exam, depending on their background and how recently they completed their training

🥝

More guides on the way

Browse our full collection of free guides on topics that matter.

Browse All Guides →