Related Experiment Video
Updated: May 21, 2025

Using Learning Outcome Measures to assess Doctoral Nursing Education
Published on: June 21, 2010
Supporting PharmD graduates after unsuccessful licensing examination attempts
Paul Fina1, Daniel Kerner2, Edward Ofori3
1Chicago State University, College of Health Sciences & Pharmacy, 9501 S. King Drive, DH 3095, Chicago, IL 60628, United States.
Many PharmD graduates struggle with the North American Pharmacy Licensure Examination (NAPLEX), with pass rates declining. This commentary explores reasons and solutions for graduates facing licensure challenges.
Area of Science:
- Pharmacy Education
- Professional Licensure
Background:
- The North American Pharmacy Licensure Examination (NAPLEX) pass rates have declined significantly since 2017.
- The Class of 2023 achieved an all-time low first-time pass rate of 76.6%.
Purpose of the Study:
- To examine the key drivers behind the declining NAPLEX pass rates.
- To propose pragmatic measures to support PharmD graduates who have not yet passed the NAPLEX.
Main Methods:
- This is a commentary, not an empirical study.
- Analysis of NAPLEX pass rate trends and potential contributing factors.
- Discussion of implications for unlicensed graduates.
Main Results:
- A significant number of PharmD graduates are not passing the NAPLEX on their first attempt.
- 3,228 PharmD graduates remained unlicensed from 2022-2024 due to exam failures.
- Anticipated further decline in pass rates due to upcoming NAPLEX structural changes in 2025.
Conclusions:
- Declining NAPLEX pass rates create a substantial barrier for PharmD graduates entering the workforce.
- Unlicensed graduates face financial hardship due to inability to practice and earn pharmacist salaries.
- Proactive strategies are needed to improve graduate licensure success and address the root causes of exam failure.
Related Concept Videos
Drug Administration and Therapy Phases: Overview
The pharmaceutical phase focuses on leveraging the physicochemical properties of the drug to design and manufacture an effective product. Variants include orally administered tablets or capsules, topical creams or ointments, and parenteral-delivery solutions or emulsions.
The pharmacokinetic phase...
Interdisciplinary Care: The Health Care Team-I
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Preclinical Development: Overview
Drug Elimination: Overview
Excretion refers to removing a drug from the body, either in its unchanged form or as its metabolites. Nonvolatile and polar drugs are primarily excreted through the kidneys, with other pathways including bile, sweat, saliva, and milk. Volatile drugs such as anesthetic gases are excreted via the...
Drug Discovery: Overview
Drug Excretion: Miscellaneous Routes

