Preparing for the NAPLEX: APPE Rotations



APPE rotations are for you to put your classroom learning to the test and learn how to apply information to patient care situations. Your APPE year will be very busy and at times overwhelming, but most students report learning as much, sometimes more, on rotations as they had in the classroom. The active learning you’ll take part in during APPE is great preparation for the NAPLEX. The hands on training really works.

Some schools urge students to take the Pre-NAPLEX prior to the start of rotations. The Pre-NAPLEX is a fifty question practice test designed to simulate the actual NAPLEX. The Pre-NAPLEX can be taken twice and costs $50 each time. It takes roughly 70 minutes and is structured to be similar to the computer based NAPLEX exam. It is not necessary or required for students to take the Pre-NAPLEX, but it is option for interested students and should be considered.

The NAPLEX uses brand and generic names interchangeably, so you should become comfortable with both. That knowledge will serve you well, not only for the exam, but when you’re out in practice; where it’s common to see drugs listed by brand names and by generic names. Be sure you review brand names for older drugs such as amitriptyline and nortriptyline. They are rarely dispensed under their brand name anymore, but they are still fair game for the exam.

There are other ways to maximize your learning while on rotations that will help you prepare for the NAPLEX. One way is to look up things you don’t know and educate yourself. You’ll encounter things you haven’t seen before on rotations. Take the opportunity to research these unfamiliar concepts and write down a few sentences or bullet points about them. If you do, you’ll be much more likely to remember the concept later.

Teaching others is a great way to educate yourself. Topic discussions are a great learning tool during rotations. By researching a topic and presenting it to others, you’ll reinforce your own knowledge base. Discussions with preceptors and other pharmacists are good insight and give real world context to classroom and book learned knowledge, plus you get insight into a pharmacy practice outside of a classroom. Be sure to keep notes and have them handy for NAPLEX.

NAPLEX Prep at Rotations Midway Point

Once you reach the midpoint of rotations, it is time to start looking into different NAPLEX Prep products and decide which one you’ll buy. Some options include books, in person lectures and classes, online material, question banks and smart phone apps. You have to decide when to begin studying and what product is right for you.

All student members of the American Pharmacists Association (APhA) can get a free copy of, “The Complete Review for Pharmacy.” APhA’s Pharmacy Library features searchable content from the book plus hundreds of practice exam questions covering a variety of NAPLEX topics. The book is very detailed, some students have even called it overwhelming, but the online practice tests are a very useful way to test your knowledge. You can customize the practice tests by subject area and use them to evaluate your strengths and weaknesses.

RxPrep is a NAPLEX preparation system favored by many students and employers; with some companies purchasing it for their newly graduated pharmacists. One new Walgreens pharmacist described the book as containing “everything you need, and nothing you don’t” for the NAPLEX. In addition to the book, students can purchase access to RXPrep Online, which includes access to 65 lectures, an online quiz bank and an iPhone application are also available for purchase.

Other options include the Kaplan NAPLEX review book  and the Lange Q & A for pharmacy. The Kaplan book provides a concise and easy to understand review of different content areas, plus short quizzes at the end of each chapter for self-evaluation. Kaplan includes a full length paper, practice exam and access to online practice tests and other resources. The Lange book provides numerous pharmacotherapy and practice based questions; and a CD with hundreds of questions for review.  Both are comprehensive and great choices while preparing for the NAPLEX.

Aside from books and online courses, there are other choices you may wish to consider. Those of you who have an iPhone or use Android can find NAPLEX apps in the marketplace. If you invest in a NAPLEX preparation app, you can use it during rotation slack moments; or while waiting for appointments or traveling. Smartphone apps are a quick and easy option to get in some review when time is limited.

It’s important to find a NAPLEX prep product that suits your learning style and, possibly more importantly, fits in your budget. With so many choices, it can be hard to decide. Before buying a product, read the reviews and ask your friends and colleagues for their opinion. The good news is, having so many products to choose from means you are likely to find a solution that fits your needs.

During APPE is also a good time to research how to become licensed in your area. Requirements vary by state, contact your state Board of Pharmacy for specifics. You’ll need to apply to take the NAPLEX and Multistate Pharmacy Jurisprudence Exam (MPJE or CPJE in California); pay all related fees; and you’ll have to submit an application and fee to your state Board of Pharmacy. Your college will most likely take care of filling out forms certifying your education and intern hours, but be sure you verify what they will be submitting so you can take care of any additional documentation that is required.

Preparing for the NAPLEX: Test Day


Exhausted Student Falling Asleep While Cramming

So, you’ve graduated pharmacy school.  Great job!  Celebrate.  Woot. Woot.  Don’t take too long sucking the celebratory, sweet rim of champagne bottles, though.  There’s more work to be done.

The State Board of Pharmacy now has to certify that you’re eligible and ready to take (and kill!) the NAPLEX.  How fast does this happen?  It really depends on the state and how well they have all of their stuff together.  Once certified, you’ll receive and Authorization to Tes (ATT) and you’ll be able to sign up for a test date and time.

Determining when you should test could prove to be a little bit of a pain in the butt, though.  Depending on how confident you are you may want a little more time to study for the NAPLEX and continue reviewing.  Waiting too long though may only increase the stress, result in over studying, and could end in you forgetting important information that you forget to review.  If you’re entering directly into the work force or a resident then you may have deadlines for licensure that they fully expect you to comply with.  “I’m not ready yet” just won’t cut it.  Do your planning.

Now that you’ve chosen your NAPLEX date and confirmed it, you can plan out what you final course of study will be.  If you’ve gone through Pharm school with the intent of preparing for the NAPLEX then you should be in pretty good condition for the exam already.  You’ll also have a good idea what further information and review you’ll need and how much time you’ll need to commit to the final prep.  Don’t leave anything to chance.  Map out your current situation when planning final NAPLEX preparation.  Things like work, travel and family obligations will get in the way and deplete your ability to properly prepare for the NAPLEX if you let them.  Inform EVERYONE that your NAPLEX prep is your sole focus at this time of your life.

Make sure that your study plan and review is realistic and achievable.  The better planning you do at this stage then the better prepared you’ll be and will have given yourself adequate time to review, study and prepare. It may be helpful to write out a calendar and assign different topics to specific days and set up self-evaluation checkpoints at periodic intervals. Above all, just keep moving forward. The end is in sight.

This is it!  It’s the night before the NAPLEX.  Ensure that you’re familiar or know how to get to the NAPLEX testing center that you’ll be utilizing.  Double check that you have the 2 forms of identification and pack them in your purse or wallet now.  Then eat well and sleep well.  If you get a little more confident by reviewing the night before then go ahead and do so.  Not too much, though.  Don’t cram the night before the NAPLEX or you’ll be garbage on test day.  However, if you’re having a hard time with a certain topic or area then a review could help at this time.

On test day, arrive early at the test center.  Sign in and present your two forms of ID, you’ll be photographed and have a palm scan done (Yes, it’s that serious!).  The test center should give you a writing pad and writing utensil.  If you feel more comfortable with a hand held calculator then you can request the use of one even though there is an on-screen calculator for your use within the NAPLEX itself.

Read each question carefully during the exam and read the entirety of the patient profiles before moving onto the next question.  This is good.  It will force you to slow down and keep the adrenaline and butterflies from over-taking your already hyper-active brain.

If you don’t know an answer then guess and move on.  You won’t fail the NAPLEX based on a question or two so don’t get obsessed with one question.  Keep going.  Keep moving.

In the end remember that you have been preparing for the NAPLEX for years.  You’re ready.  Be confident and become a NAPLEX master!  Good Luck!

Preparing for the NAPLEX: Pharmacy School


prepare-for-naplex-in-pharmacy-schoolAs a pharmacy student, everything that you do in school now will prepare you to be the best pharmacist that you can be.  When it comes time to actually take the NAPLEX, then it really should be just a formality at that point.  Simply put, the best thing that you can do at this time is to PAY ATTENTION IN SCHOOL.

Sure, it sounds like simple advice.  It’s the same advice that has been drilled into you since you started going to school many, many years ago.  And let’s let face it:  At this point you’ve been in school so damn long that by the time you do graduate from Pharmacy School then you could already be considered “old” in many circles.  And, maybe, consider yourself to be old.

Good study habits and retaining all that you learned is the number one step to preparing for the NAPLEX when the time comes.  Particular focus should be made in pharmacology and pharmacotherapy, but don’t underestimate how important your understanding of the basic sciences will be throughout the rest of school, passing the NAPLEX and your future career as a pharmacist.  The basic sciences will put you in the best position to understanding and excelling at therapeutics during your Advanced Pharmacy Practice Experience (APPE) rotations.

Again, pharmacology and pharmacotherapy are of utmost importance.  Having a strong grasp of Pharmaceutical calculations will make sure that your NAPLEX experience is as stress-free as possible.  Bottom line:  Know the calculations and you’re in a great position to excel on the NAPLEX.  Not knowing the calculations and understanding of them will spell doom and anxiety.

During the didactic portion of your pharmacy education, you will be taught and learn all things drug related in exquisite detail. Drug mechanism of action, indications, contraindications, adverse effects, monitoring and drug interactions are all very important to understand, but it is impossible to memorize every detail about every single drug.

Your success at committing the basics to memory will be your prevailing battle-cry or your death march into the NAPLEX abyss. Don’t take school for granted.  We can’t stress that enough.  How to treat typical conditions like hypertension, diabetes, heart failure, spectrum of coverage, antibiotic mechanism of action, common drug interactions, major drug interactions, and how drugs react and are indicated in certain populations of pediatric, pregnant women, the elderly, etc.  It’s a lot and you’re expected to know it all to be a satisfactory pharmacist.

Just remember, paying attention now will prep you to pass the NAPLEX.  However, keep in mind that your charge is to be the best pharmacist that you can be for the good of all.  Preparing for the NAPLEX is important but the test only measures your ability to pass it.  What you do now in Pharmacy school and how well abreast and educated you remain for the rest of your career will determine your skill and professionalism as a pharmacist.

NAPLEX Test Preparation Strategies


You’re about to graduate pharmacy school and you know the key to your success lies in passing the NAPLEX exam. The NAPLEX exam contains 185 questions and lasts four hours. You’ve worked hard for years in pharmacy school and this is the culmination of all your work. Although it may seem overwhelming, there are some very good NAPLEX test strategies that will help you pass your test with flying colors.

When to Start Studying

There is some debate about the perfect time to start studying for your NAPLEX exam. Some students can pass the exam by studying a week in advance while others start studying six months before taking the exam. The general consensus points to a time period of two to three months before taking the exam. Students should study for two hours a day and focus primarily on studying math calculations and brand name and generic drugs. There is some concern among students about studying for the clinical portions of the exam, but most of that material is extensively covered in pharmacy school and should already be ingrained in your memory.

Study Partners/Groups

Studying with a partner or in groups is beneficial for many reasons. It eliminates procrastination, allows students to help each other by sharing their strengths where others have weaknesses and just makes the review process fun. You can find a partner or form a study group with people from your school or go online. The Facebook Naplex Study Guide is an excellent way to connect with prospective pharmacists all over the world. You can ask questions about the exam and network with other students. Skype is another great way to find partners to help you review for the exam. Finding study partners online is great for those students with limited time because they have access to Facebook or Skype at any time during the day or night.

NAPLEX Study Guides

The most recommended guide for NAPLEX test preparation is RxPrep. This book contains 73 chapters and includes charts, tables and pictures that will help you absorb important information. Each chapter ends with a series of questions and answers related to topics covered in the chapter. RxPrep costs $168. If you purchase a subscription, you can also have access to video lectures, previous test questions and get help with clinical questions from licensed pharmacists.

The APhA Complete Review for Pharmacy is another invaluable resource for test preparation. It includes over 900 practice tests with in-depth explanations, calculations, pharmacy topics and information about drugs. The book costs $73 but registered APhA members get the book for free.

PharmPrep: ASHP’s NAPLEX review is another book that is highly recommended. While not nearly as comprehensive as the other two books, this book gives sample cases of 78 patients. This book costs $53, but ASHP members get a huge discount. Textbooks aren’t the only way you can prepare for the exam.

There are many apps available to assist you with NAPLEX test preparation.

RxSkills is an app created by three University of Arizona graduates. The app can be set up as a game where you challenge your pharmacist friends through Facebook, email, or by username. You can even challenge yourself. The game involves answering questions about brand name and generic drugs, pharmacology, and therapeutics. You can also find apps through iTunes and Google Play.

By utilizing these NAPLEX test strategies, you can prepare for your exam the right way. Give yourself adequate time to study for the test. Find a study partner or join a study group and get a good study guide. If you follow this advice, you’ll increase your chances of passing the exam and you’ll also have some fun along the way.

What is the NAPLEX Pass Rate


The NAPLEX pass rate(North American Pharmacist Licensure Examination) indicates a potential pharmacists ability to respond to an array of medical situations e.g

  • Identify and provide coherent practice regulation for safe and reliable pharmacy conditions.
  • Enhance therapeutic outcomes and results in patients
  • Evaluate and prescribe safe and effective solutions to prepare and dispense medications

it was engendered by a man known as Chance Amour in co-operation with the National Association of Boards of Pharmacy(NABP) .

How it works.

It is just one level of the licensing process and is used by the National Association of Boards of Pharmacy to provide coherent frameworks that can be used to asses a prospective pharmacist. Hence, the NAPLEX pass rate can be regarded as a measure of the efficiency and success of a college program to prepare students to become practicing medical pharmacists.

This exam is only offered on computers and costs an approximate fee of $505.Applicants must register with a Credible testing facility after receiving an authorization letter from the NABP. The exam entails 185 questions and is timed with a limit of four hours and 15 minutes. Only 150 of the answers are used to calculate the designated applicants’ score. The rest are trial questions aimed at further improving the accuracy of the pass rate scores.

Candidates can view their results on the NABP website and a minimum score of 75 is required to be considered a pass. Those who don’t achieve the pass mark are informed of their areas of weakness and what they can do to improve. Moreover they are forced to wait for ninety one days before accessing the exam again. The results are usually available a week after sitting for the exam.

The registration bulletin provides adequate information on registration and test appointment and instructions. Those who miss the exam or require a re-sit will have to pay additional fees. Candidates may access their pass rate scores through the website.


The NAPLEX Pass rate is definitely an innovative way to improve and enhance overall medical services that are offered to patients.

NAPLEX Example Question Sources


naplex-sample-practice-questionsYou can look up NAPLEX exam questions online all day.  The problem is, you don’t know who the heck is supplying those questions.  Another major point is that you should never really know who is posting sample NAPLEX questions online because it is a secure test and it’s pretty much unethical to do so.  If the names of pharmacists, or those who took the test, were ever to be found out then you can bet that it wouldn’t be good for those people.

The best place to get good examples of NAPLEX questions is from some of the paid study guides and preparation courses that you can find online at sites like Amazon.  Sure, you may have to pay for these types of materials but some of those guides have been around for years and they are your best, legit, and most reliable source for NAPLEX preparation and example questions.

Sites like High Yield Med Reviews do a pretty good job of giving NAPLEX sample questions that they claim “were taken directly from the NAPLEX Q-Bank and Flashcard database”.   However, in order to get full access to the site, you have to subscribe and pay for it.  If that’s the case, then you may as well just by a top of the line NAPLEX study guide and prep course of your own that you can invest in and then either sell it back to another student or keep it for reference throughout your career.

For a comprehensive look at all of our recommended NAPLEX study guides and prep books, please visit this page.

Ansel’s Pharmacy Calculations Book Review



Ansel’s Pharmaceutical Calculations is Widely recognized as the leading calculations textbook.

It is the most trusted resource for calculations support by pharmacists and pharmacy students. Ansel’s Pharmaceutical Calculations is 13-editions into their history and still going strong as the BEST pharmacy calculations book around.

  • Step-by-step approach to calculations-making it easy for students to work through the problems and gain greater understanding of the underlying concepts.
  • Focus is on the fundamental principles and basic techniques involved in the application of the calculations needed for successful pharmacy practice.

Effective Calculations with Effective Chapter Structure Teaching Technique

Didactic narrative provides critical chapter content
Illustrations introduced where necessary
Sample problems with solutions are provided
Calculations Capsule –  Review and summary of critical formulas or math
Case in point – Clinical reference or case
Practice problems
Answers to practice problems

Get this Pharmacy Calculations Book on Amazon!

How Many Times Can I Take the NAPLEX? Pop Quiz Hot Shot!


As of March 1, 2013, the NABP has implemented a 5 attempts to pass limit on all North American Pharmacist Licensure Examinations (NAPLEX) and Multistate Pharmacy Jurisprudence Examinations (MPJE).  This limit was implemented to enhance the integrity and security of the exam as well as bringing NAPLEX and MPJE examinations more inline with “best testing practices”.

Remember, failure to finish an exam constitutes as an attempt and will be counted towards the five.  Keep in mind, though, that the five attempts to pass the MPJE refers to “5 attempts to pass the MPJE in a single jurisdiction or state”.  That means that if you fail the MPJE for a certain state or jurisdiction then you still have five attempts to pass it in another.

How Many Times Can I Take the NAPLEX, Really?

According to the NABP, this is a not a hard and fast rule as they still reserve the right to name the amount of attempts a particular candidate can make at the NAPLEX or MPJE.

Of course, the same waiting periods apply for re-registration and re-testing:

There is a 5 day waiting period before you can re-register or another exam after cancellation.  However, those who fail or do not complete the NAPLEX must wait 91 days between exams and those that fail the or do not complete the MPJE must wait 30 days between exams.

But Remember the ATT!  The Authorization To Test is only good for one year.  You may request an extension to your ATT (subject to Board of Pharmacy Approval) but it will not necessarily be approved.  Also, each state determines what the “acceptable time period” to be licensed is so it is best to check with the State Board for which you’re applying to practice in for specific limitations, restrictions, and time periods.

Best States To Be A Pharmacist


best-states-to-be-a-pharmacistIn the US, the median salary for a pharmacist is $118,219 per year. This can range from one city to city and state to state. Here is a look at the best states to be a Pharmacist in America;

1. Alabama
The city of Gadsden in Alabama was ranked the best for pharmacists. The city has a median salary of $134,530. Here is where there is the second lowest living costs, the pharmacists’ community is also quite solid in the area. Other than the working environment, the place has an elegant environment for relaxing. There is the Noccalula Falls Park, where the nature trails are present and also, there are some fishing tournaments, held at the Coosa Landing. Basically, the place is quite friendly for the pharmacists.

2. Minnesota
Another state that is good for the pharmacists is Minnesota, especially in the Rochester City. The city has a population of 107,000 people and among them, 330 are pharmacists. Another thing about Rochester is that it is the home of the popular Mayo Clinic. So basically, the pharmacists are in a good place to have a professional back up. There is a trail of 85 miles, which can be used for biking or hiking. This trail can work best for the pharmacists that need a recreation. The city itself is super elegant and acts as a good place for the sake of recreation. The city of Rochester is a place that has a high living cost, but it is a modest place and the median salary for the pharmacists if $132,920.

3. North Carolina
In the City of Greenville in North Carolina, there are several facilities such as strawberry picking, golfing, agritourism, fishing and go-kart racing. Basically, it is a place with lots and lots of amenities that will help for the sake of recreation. The pharmacists have a median salary of about $133,000 and they also enjoy a low living cost that is among the best in the country. Another thing that is known about the place is the most delicious and among the highest rated barbecue in the country.

4. South Carolina
This is another state that is quite friendly to the pharmacists. For instance, the city of Anderson, has a large number of pharmacists, even in America. There are about 260 pharmacist clinics in the area, so there is a good backup for them. The median salary of the pharmacists of about $125,200. You can enjoy some time outdoors, after long working hours and among them are some cultural and historical activities.

5. Missouri
This is another state that is highly rated, in terms of friendliness to the pharmacist. There are two cities in this state that have been considered among the best for pharmacists. They include Jackson and Cape Girardeau. In this state, the pharmacists enjoy a median salary of $128,500 and they also have a low living cost. The City of Jackson has a lot of parks that can act as a good place for recreation. There is more for the pharmacists, other than just good working conditions. They can enjoy the several amenities available.

These are the best states for pharmacists around and they pay the pharmacists well, which is a good motivator for them. Another aspect is that there is a good pharmacist’s community that form associations that support and protect them. There are also several clinics that play a role in offering job opportunities for the pharmacists. The living standards of the states are also quite friendly and they rank among the best in the country. Some of the cities in these states have also been ranked as the best places for the pharmacist in America. Generally, the working conditions are reliable and they will enjoy the living standards, which plays a huge role in uniting the pharmacists.

What Exactly is the NAPLEX?


NAPLEX testing

The North American Pharmacist Licensure Examination or NAPLEX, measures a candidate’s knowledge of the practice of pharmacy. It is one component of the licensure process and is used by the National Association of the Boards of Pharmacy (NABP) to be part of their assessment of a candidate’s competence to practice as a pharmacist.

The NAPLEX assesses whether a potential pharmacist can do the following:

  • Identify practice standards for safe and effective pharmacotherapy and finds curative outcomes for patients.
  • Identify and determine the safe and exact procedures to prepare and dispense the medications.
  • Provide and relate the health care information hence promoting most favorable health care

The NAPLEX is more of an adaptive examination which tailors itself to the skill level of the applicant. The linear nature of the exam (applicants must answer a question to continue, and there is no backtracking) permits the computer to zero-in on incorrect responses and therefore is able to select similar questions for presentation later on in the exam. This can allow for analysis of applicants’ skill levels across a number of performance categories.

The exam format consists mainly of multiple choice questions; there are no essay questions. The questions are divided between two subtypes: a question with five individual answers, or the K-Type, which consist of a question and three options numbered 1, 2 and 3, then five combinations of these options.

The NABP’s NAPLEX Scoring Program allows one to transfer their NAPLEX score to another jurisdictions in which the pharmacist wishes to get a license to start pharmacy practices . If you are able to accomplish the rest of other required scores in the Transfer Program for licensure in the jurisdiction to which you transferred your scores, an award will be presented to you by the examination board as a license.

The Transfer score Program differs a lot from the NABP’s Licensure Transfer Program, which is a service provider for licensed pharmacists .Licensure transfer does not allow you to get a license by examination in another jurisdiction compared to score transfer. But instead, the license in the jurisdiction is only considered a license by the licensure transfer.

This distinction is significant, particularly if one would ever need to transfer their license to a different jurisdiction again, since the Transfer Licensure Program requires that you use a license only by examination to transfer your license to a new jurisdiction. You cannot return your license by using an already obtained by licensure transfer. For this reason, one is advised by NABP to license by examination current and valid.

Kindly note that the period validity of scores being transferred do vary from one state to another. One is strongly encouraged to get in touch with the board where the score were transferred for added information.

NAPLEX Score Fee for Transfers

The NAPLEX score fee transfer that is charged by NAPB is $75.00 for each jurisdiction. The payments and the concluded NAPLEX Score Form transfers must be received and postmarked together not later than the examination date. No late payments are accepted, due to this scores will not be transferred.

The score fee should be submitted in form of a money order, certified check or bank draft, made payable to the National Association of Boards of Pharmacy. One should not send cash, personal check, or any form of fee payment except the once listed above.

The Score fee transfer refunds cannot be issued to candidates. These include those who do not pass the examination nor become licensed in the jurisdiction considering that NAPLEX score were transferred as well.

Sample CPJE Questions and Answers (Familiarization)



Provided below are a number of sample questions that are similar to those that will be on the CPJE. Each question has four possible answers; only one answer is correct. These examples are provided to familiarize you with the structure of some of the questions. Please review the CPJE’s content outline, which describes the content areas and number of questions that will be used for each section on the CPJE. The content outline is one document in the NAPLEX/CPJE area of the board’s Web site.

1.  A patient tells the pharmacist that his physician recommended emedastine to treat his allergic conjunctivitis. Which of the following statements should the pharmacist make?

a) “Emedastine is only recommended for ear problems.”

b) “Emedastine requires a prescription.”

c) “Emedastine is not commercially available in the United States.”

d) “Emedastine is more expensive than dipivefrin, which is also used for allergic conjunctivitis.”

2.  A pharmacist is presenting monitoring information to a physician while participating on intensive care rounds. Which of the following information should the pharmacist include when the physician inquires how well her patient is tolerating an amphotericin IV regimen?

1.) serum potassium level

2.) serum magnesium level

3.) INR

4.) tinnitus

a) 1 and 2 only

b) 2 and 3 only

c) 3 and 4 only

d) 1 and 4 only 3.

3.  A pharmacy that is preparing to open a parenteral solution preparation service installs a laminar flow biological safety cabinet in order to prepare cytotoxic chemotherapeutic solutions. Certification records for this cabinet must be retained by the pharmacy for:

a) 1 year

b) 3 years

c) 5 years

d) 7 years

(deleted Sample question #4)

5.  A medication error occurs in a hospital when a nurse mistakenly gives a patient the wrong medication. Which of the following should be done?

a) The California State Board of Pharmacy should be notified.

b) The patient’s physician should be notified.

c) The incident should be recorded as an adverse drug reaction.

d) The incident should be self-reported to the Med-Watch program

6.  Which of the following would be the MOST APPROPRIATE auxiliary label for a prescription for orphenadrine?

a) “Avoid sun exposure.”

b) “Take with food or milk.”

c) “Shake well before use.”

d) “May cause drowsiness.”

7.  A hospital pharmacist has received a new medication order that reads: Etoposide 750 mg (base) per m2 of body surface area IV per day on days 1, 3, and 5 The pharmacist should:

a) Fill the medication order as written.

b) Call the prescriber and question the dose.

c) Call the prescriber and question the route of administration.

d) Call the prescriber and question the frequency of administration.

8.  A patient has just been counseled on the appropriate use of his new prescription for levothyroxine. Which of the following statements would verify that the patient has a good understanding of the consultation information that the pharmacist has provided?

1.) “This medication will help with my Parkinson’s symptoms.”

2.) “This medication will help with my thyroid problem.”

3.) “I need to tell my doctor if I get fevers or a sore throat.”

4.) “I need to take one tablet every day.”

a) 1 and 3 only

b) 2 and 3 only

c) 2 and 4 only

d) 1 and 4 only

9.  A community pharmacy is preparing a new prescription for a patient who is well known to the pharmacy and its staff. Which of the following is legal?

a) The intern pharmacist may counsel the patient on the use of the new prescription while the pharmacist is on his lunch break.

b) The patient can be given the prescription without consultation since she is well known to the pharmacy staff.

c) Printed information on use of the medication can be given to the patient in place of a verbal consultation.

d) The patient may refuse verbal consultation on the new prescription.

10.  A patient who has prescription insurance presents a new prescription for rabeprazole for treatment of a duodenal ulcer. The patient’s insurance plan will reimburse proton pump inhibitor prescriptions for up to 4 weeks of duodenal ulcer therapy. Which of the following pharmacist actions is CORRECT with respect to reimbursement eligibility?

a) Advise the patient that this prescription is eligible for reimbursement.

b) Call the insurance company and request authorization for the 8-week course of therapy recommended for duodenal ulcer treatment with rabeprazole.

c) Call the physician and request changing the medication to pantoprazole since it is a proton pump inhibitor, whereas rabeprazole is not.

d) Advise the patient that he will have to pay for this prescription since rabeprazole is not currently approved for the treatment of duodenal ulcers.

11.  A woman presents a new prescription for pemoline on September 27. The prescription is dated March 3. The pharmacist should:

a) fill the prescription.

b) not fill the prescription since pemoline is a Schedule II medication.

c) not fill the prescription since it has expired.

d) Advise the patent that she can purchase terbinafine without a prescription, and that she could use that instead.

12.  A new prescription for allopurinol reads Allopurinol 100 mg PO T.I.D. #60 The label on the filled prescription vial reads: Take one tablet by mouth two times a day #60 Allopurinol 100 mg tablets Which of the following is an error on the label?

a) Dosage strength

b) Dosage frequency

c) Amount dispensed

d) Route of administration

13.  Which of the following would indicate that a patient understands why he is taking amoxapine?

a) “This medication will help to treat my infection.”

b) “This medication will help to treat my obsessive-compulsive disorder.”

c) “This medication will help my heart arrhythmia.”

d) “This medication will help my depression.”

14.  A patient with psoriasis asks the pharmacist if she can use a skin lotion that contains comfrey. The pharmacist should counsel the patient that:

a) comfrey-containing products are not recommended for use in any form due to possible toxicity.

b) comfrey-containing lotions should help to moisturize the psoriasis lesions.

c) she should use evening primrose oil for her psoriasis instead of comfreycontaining products.

d) she will have better results with comfrey-containing products if she increases her daily intake of omega-3 fatty acids.

15.  A pharmacist is asked to design a monitoring protocol for nesiritide use in a congestive heart failure clinic. The pharmacist should recommend that nesiritide therapy NOT be initiated IF:

a) the patient has ever been given streptokinase in the past.

b) an angiotension converting enzyme inhibitor will also be given.

c) there is a history of allergy to iodine or shellfish.

d) the systolic blood pressure is less than 90 mmHg.

Answers: 1. B 2. A 3. B 4. B 5. D 6. B 7. C 8. D 9. A 10. C 11. B 12. D 13. A 14. D


What is the CPJE?


CPJE baby meme

The CPJE (California Practice Standards and Jurisprudence Examination for Pharmacists) is an additional examination that the state of California requires for Pharmacist licensure.  The other test is, obviously the NAPLEX.

The California State Board of Pharmacy take their role very seriously.  The CPJE is use by the board to ensure the licensing of Pharmacists within the state have a strong understanding and knowledge of pharmaceutical law.  The main purpose is consumer protection.

Once deemed eligible by the California State Board of Pharmacy they will notify the licensure certification agency.  Those records are logged.

However, once approved by the board and the PSI has been informed then it is your job (the would be Californian Pharmacist) to contact the PSI in order to register, pay and set a time to take the CPJE.  IF you fail to take the exam within 1 year of the California Board of Pharmacy eligibility determination then your application is deemed abandoned and expired.

Pre-requisites for CPJE

  1. Be at least 18 years of age
  2. Be a graduate of a domestic school of pharmacy or be a graduate of a foreign school of pharmacy and have been certified by the Foreign Pharmacy Graduate Examination Committee (FPGEC)
  3. Have completed at least 150 semester hours of collegiate credit, 90 of which must be from a school of pharmacy
  4. Have earned at least a baccalaureate degree in a course of study devoted to pharmacy
  5. Updated 1/5/20105. Have 1,500 hours of approved pharmaceutical experience as a registered intern or one year of experience as a licensed pharmacist in another state. (see below for more detail)

The board is required to expedite the licensure process for an applicant whose spouse or partner is an active duty member of the U.S. Armed Forces and meets other criteria pursuant to Business and Professions Code section 115.5. Please refer to the Pharmacist Examination and Licensure Application Instructions for further information on this requirement.

Intern Hours
An applicant for the pharmacist examination and licensure must complete and provide documentation of 1,500 hours of pharmacy practice experience as an intern pharmacist OR submit verification of licensure as a pharmacist for at least one year in another state.   The board will NOT accept transcripts in lieu of the Pharmacy Intern Hours Affidavit(s).  A total of 1,500 intern hours is required but does not have to be obtained in one pharmacy location. Intern hours must be earned in the United States.

Documentation of 1,500 Intern Hours

  • Intern hours earned in California must be completed on the Pharmacy Intern Hours Affidavit form (17A-29) documenting 1,500 intern hours of pharmacy practice experience as an intern pharmacist.
  • Intern hours obtained in anotherstate may be submitted to the board on one of the following forms:
    • Verification of License in Another State form (17A-16). If you hold an intern license in another state this form must be submitted verifying the status of your intern license. If the licensing agency in the state where the intern hours were obtained will transfer your intern hours to California, you may request that licensing agency to certify the number of intern hours on this form. Not all state licensing agencies will transfer intern hours to another state. Please contact the state licensing agency directly to verify if they will transfer your intern hours to California along with verifying your license status in that state.


  • If the state licensing agency will not transfer your intern hours to California, you are still required to submit proof of your intern hours on the Pharmacy Intern Hours Affidavit form (17A-29) documenting 1,500 hours of pharmacy practice experience as an intern pharmacist. However, you are still required to have the state licensing agency verify the status of your intern license on the Verification of License in Another State form (17A-16).

Licensed as a pharmacist in another state for at least one year.

  • Applicants licensed as a pharmacist in any state for at least one year, as certified by the licensing agency of that state, may submit this certification (Verification of License in another State form 17A-16) to satisfy the required 1,500 hours of intern experience, provided that the applicant has obtained a minimum of 900 hours of pharmacy practice experience in a pharmacy as an intern pharmacist or pharmacist.