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Evaluating NAPLEX Preparation and Outcomes: A Multi-Institutional Study of Recent Pharmacy Graduates
Jaime Maerten-Rivera1, Patti Black2, David Caldwell3
1University at Buffalo School of Pharmacy and Pharmaceutical Sciences, Buffalo, NY, USA.
American Journal of Pharmaceutical Education
|March 11, 2026
Summary
Exam timing after graduation and pharmacy GPA significantly impact North American Pharmacist Licensure Examination (NAPLEX) pass rates. Understanding these factors helps optimize student preparation strategies for the NAPLEX.
Area of Science:
- Pharmacy Education
- Licensure Examinations
- Student Preparedness
Background:
- The North American Pharmacist Licensure Examination (NAPLEX) is crucial for pharmacy licensure.
- Assessing student preparation and its correlation with exam success is vital for educational improvement.
Purpose of the Study:
- To evaluate program-required and self-directed preparation for the NAPLEX.
- To determine associations between NAPLEX pass rates and factors like exam timing, GPA, and study habits.
Main Methods:
- A survey was distributed to 2024 pharmacy graduates from nine institutions.
- Data collected included self-reported NAPLEX attempt, preparation methods, and perceived readiness.
Main Results:
- A 45.9% response rate (329/717) was achieved.
- Most graduates took the NAPLEX within 60 days of graduation and prepared for up to three months.
- Significant differences in pass rates were linked to exam timing and pharmacy GPA.
Conclusions:
- Exam timing relative to graduation and cumulative GPA are key predictors of NAPLEX success.
- Findings highlight preparation patterns, academic achievement, and perceived readiness gaps for educators and students.
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