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NAPLEX Board Review Topics Covered:

  • Musculoskeletal
  • Infectious Disease
  • Nutrition
  • Oncology
  • Pain
  • Pregnancy
  • Cardiovascular
  • Dermatology
  • Pediatric
  • Toxicology
  • Allergy and Immunology
  • Hematology
  • Psychiatry
  • Endocrinology
  • Pulmonary
  • HIV/AIDS
  • Over the Counter
  • Travel Medicine
  • Renal Disorders
  • Nervous System
  • Biostatistics
  • Immunizations
  • Genitourinary / Female Genitourinary
  • Gastrointestinal and Digestive
  • Pharmacokinetics and Dynamics
  • Drugs of Abuse
  • Compounding and Calculations
  • FDA, Theory, and Other
  • Otics and Ophthalmics
  • Safe and Effective Pharmacotherapy and Health Outcomes

About the NAPLEX

The NAPLEX tests the candidate's knowledge, judgment, and skills they are expected to know as an entry-level pharmacist.

What topics are covered on the NAPLEX?

According to the NABP NAPLEX Blueprint, the following topics will be on the exam:

  • Area 1: Pharmacy Practice (83%)
    • Legal responsibilities of the pharmacist and other pharmacy personnel
    • Requirements for the acquisition and distribution of pharmaceutical products, including samples
    • Legal requirements that must be observed in the issuance of a prescription/drug order
    • Procedures necessary to properly dispense a pharmaceutical product, including controlled substances, pursuant to a prescription/drug order
    • Conditions for making an offer to counsel or counseling appropriate patients, including the requirements for documentation
    • Requirements for the distribution and/or dispensing of non-prescription pharmaceutical products, including controlled substances
    • Procedures for keeping records of information related to pharmacy practice, pharmaceutical products and patients, including requirements for protecting patient confidentiality
    • Requirements for handling hazardous materials such as described in USP <800>
  • Area 2: Licensure, Registration, Certification, and Operational Requirements (15%)
    • Qualifications, application procedure, necessary examinations, and internship for licensure, registration, or certification of individuals engaged in the storage, distribution, and/or dispensing of pharmaceutical products (prescription and non-prescription)
    • Requirements and application procedure for the registration, licensure, certification, or permitting of a practice setting or business entity
    • Operational requirements for a registered, licensed, certified, or permitted practice setting
  • Area 3: General Regulatory Processes (2%)
    • Application of regulations

How long is the NAPLEX?

In November 2016, the NAPLEX increased in length to accommodate more content covering the diversity of clinical cases and medication preparation strategies encountered in pharmacy practice. Therefore, the number of examination items increased from 185 to 250 and the test time increased from 4 hours and 15 minutes to 6 hours.

There are now 250 questions on the exam and a total test time of 6 hours. Of the 250 questions, 50 are pretest questions and will not count toward your final score.

What is the NAPLEX passing score?

The minimum passing scaled score for the NAPLEX is 75, while the maximum score possible is 150. This score is NOT a percentage value and should not be interpreted as the percentage of correct answers. The candidate's score is determined by a mathematically based weighted scoring model that is used to calculate an ability measure for each examinee, which is then translated to a scale ranging from 0 to 150.

Tips and Advice for the NAPLEX:

The exams focus heavily on standards for safe pharmacotherapy, optimizing therapeutic outcomes, accurate methodology to dispense medications and apply information to promote optimal care.

Be prepared, the calculation questions are DIFFICULT. Feedback is that this is typically the hardest portion, even for those that have done well in the more mathematically heavy portions of Pharmacy School. The questions are tricky, and more in line with aptitude testing than with large amounts of information testing. Based on exit interviews, the calculations are ~33% of the exam.

Our NAPLEX question bank covers all of the question formats that you need to know, while covering the difficult calculation types you’ll see on the real exam. The content has been updated to reflect the Updated NABP NAPLEX Competency Statements covering Area 1: Ensuring Safe and Effective Pharmacotherapy and Health Outcomes (67% of exam) and Area 2: Safe and Accurate Preparation, Compounding, Dispensing, and Administration of Medications and Provision of Health Care Products (33% of exam).