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The North American Pharmacist Licensure Examination, commonly known as NAPLEX, is a standardized test developed by the National Association of Boards of Pharmacy (NABP). It is designed to assess the general competency of the recent pharmacy graduates after they receive their degrees. The exam is utilized by the boards of pharmacy as an integral part of the licensure process to decide whether a candidate is ready to work as a Pharmacist. The test also helps the state boards of pharmacy implement their commitment to safeguarding public health and welfare.
Prerequisites
The NAPLEX exam is intended for the pharmacy students seeking to earn the initial pharmacy licensure in the United States. It can also be taken by the foreign-educated pharmacists who hold the Foreign Pharmacy Graduate Examination Committee (FPGEC) certification. The prerequisites for this test can differ depending on the state where a candidate is seeking the licensure. The unique requirements for each state can be reviewed on the relevant board of pharmacy’s website. Starting January 18, 2021, all new graduates applying for the NAPLEX exam are required to have an official transcript from their pharmacy college.
Test Details
The NAPLEX exam is six hours long and consists of 225 questions. The test is delivered in a computerized, fixed form. Of the total number of questions, only 200 will be used to calculate the applicants’ exam results. The majority of questions follow the scenario-based format. The test takers will be required to study the information from a patient profile or medical record and answer the questions related to this information. There are also stand-alone questions scattered among the scenario-based items that can be responded to using the information provided in the question itself and that are not related to a scenario. The students must answer all the questions in the order that they are presented. They cannot skip any question, go back to the previous one, or change the confirmed answer.
To register for the test, the candidates first need to carefully study the state licensure requirements. Then they need to apply for the exam eligibility by creating an e-Profile on the NABP website and paying the application fee of $100. Once your eligibility for the test is confirmed, the link to purchasing NAPLEX will be available in your e-Profile. The exam costs $475. You can also purchase the score transfer service at a price of $75 or you can wait till the time you pass the test. After your registration for the exam is completed, you will receive an Authorization to Test (ATT) to your email address enabling you to schedule your session with Pearson VUE, which is the official administrator of this exam.
The exam results will be reported as pass or fail. The NABP will also send them to the board of pharmacy indicated in your NAPLEX application. All the jurisdictions that you designated for score transfer will also receive the exam score report. The candidates have a total of 5 attempts to take the NAPLEX test, no more than 3 attempts per a 12-month period. There is a 45-day waiting period after each attempt to sit for the exam. If one fails the test 3 times per year, he or she will have to wait at least 12 months from the date of the first attempt to initiate the application process again. Retaking the exam includes paying the application fee of $100.
Test Topics
The NAPLEX test covers a wide range of topics related to the practice of pharmacy. The candidates need to develop a solid understanding of the exam areas before attempting the test. The highlights of the topics included in the exam syllabus are provided below:
Topic 1. Obtaining, Interpreting, or Assessing Medical, Data, or Patient Information (18%)
This domain encompasses one’s knowledge of risk factors or maintenance of health and wellness, as well as an understanding of evidence-based literature or studies with the help of primary, secondary, and tertiary references. The applicants should also be aware of symptoms of medical conditions, etiology of diseases, healthy physiology, or pathophysiology. The topic also covers the following aspects: chief complaint, medication-taking behavior, medical history, medication history, lifestyle habits, social history, family history, socioeconomic background from perspectives of instruments, patients, practitioners, and medical records.
Topic 2. Identifying Drug Characteristics (14%)
To tackle the questions related to this knowledge area, the learners are required to have competency in pharmacology, therapeutic class, and mechanism of action. They should be conversant with commercial availability; generic, biosimilar, or brand names; prescription/non-prescription status; physical descriptions; boxed warnings or REMS; pregnancy or lactation aspects.
Topic 3. Developing or Managing Treatment Plans (35%)
This section of the exam covers such subtopics as medical or triage referral; therapeutic goals and clinical endpoints; indication or therapeutic uses, medication reconciliation, inappropriate indication, lack of indication, duplication of therapy, omissions; duration of therapy; drug dosing & dosing adjustments; dosage forms, drug route of administration, or delivery systems; drug contraindications, precautions, or allergies. The candidates will be required to demonstrate their understanding of adverse drug effects, overdose, or toxicology; drug interactions; drug pharmacokinetics or pharmacodynamics; therapeutic monitoring parameters, monitoring tools & techniques, as well as monitoring frequency. Additionally, the examinees will be tested based on their knowledge of non-drug therapy, including self-care, first-aid, lifestyle, complementary & alternative medicine aspects, and so on.
Topic 4. Performing Calculations (14%)
The competencies evaluated in the framework of this objective include laboratory measures or patient parameters; drug quantities to be administered or dispensed; rates of administration; dose conversions; ratio strengths, drug concentrations, osmolality, osmolarity, or extent of ionization; drug or ingredients quantities to be compounded; nutritional needs as well as the nutrient source content; epidemiological, biostatistics, or pharmacoeconomic measures; pharmacokinetic parameters.
Topic 5. Compounding, Dispensing, or Administering Drugs, or Managing Delivery Systems (11%)
This topic requires that the examinees have knowledge of physicochemical properties of drugs that impact stability, absorption, compatibility, onset, delivery, distribution, duration, metabolism, and so on. They should be familiar with procedures, techniques, or tools for hazardous/non-hazardous sterile products; equipment or delivery systems; techniques or instructions for drug administration; packaging, handling, storage, or disposal aspects.
Topic 6. Developing or Managing Practice or Medication-Use Systems to Ensure Safety & Quality (7%)
Here the candidates will require an understating of interdisciplinary practice and collaborative practice; care continuity or care transitions; screening programs or disease prevention. They will also need knowledge of special populations, vulnerable populations, risk prevention programs, and be conversant with pharmacy informatics.
Career Opportunities
As its name suggests, the North American Pharmacist Licensure Examination prepares the applicants for a career as a Pharmacist. The related job roles that these individuals can take up include a Pharmacy Question Author, a Pharmacy Question Reviewer, a Retail Staff Pharmacist, a Mail Order Pharmacist, a Pharmacy Manager, a Pharmacology Tutor or Teacher, and an Inpatient Pharmacist. According to Salary.com, the average salary for the certified pharmacists ranges between $95,384 and $105,719 per annum. However, the exact remuneration will depend on numerous factors, such as the location of a specialist, level of experience, and extra qualifications, among others.
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