The New Naplex and MJPE (last OTC lecture)

Go to website for knowing key details on NAPLEX and MJPE

NABP

*both tests were developed by the NABP

What’s new with these exams?

• New digital format

• Non disclosure agreement must be accepted before starting exam

• ID reqs: One primary current photo ID and signature

• Palm vein scan is no longer a requirement

Section 5

How to apply

• read bulletin and determine licensure Requirements

• Apply for eligibility

• Purchase exam

• Schedule your exam (can take 45 days to have availability)

Section 8

Name matching reqs: updating e-profile with a name change

Section 9

Take your exams

Arrive early (this is expected. At least 30 min)

Bring ID

Security procedures

Inclement weather

Section 10

Exam results and other outcomes

• review sample candidate performance report

• Details about NAPLEX and mjpe results

• Encourage students to allow results to be shared with MUSOP (provides more timely feedback of student performance.)

Complex application process Costs

Application for eligibility:

$100 for NAPLEX and $100 for each MJPE possible $85 for NABP eligibility state service

Purchase the exams:

NAPLEX— $520

MJPE— $170, per jurisdiction

NAPLEX format

• computer based

• 6 hour exam time

• On screen calculator and whiteboard

• 225 items (200 scored and 25 pre-test)

• Two optional 10 min breaks

• Exam can be scheduled with Pearson VUE six days per week.

What are the majority of questions formatted as?

Case questions

Types of questions you may see

MC

Constructed response questions

Multiple response questions

MJPE exam format

• Computer based

• 2 ½ hrs

• No calculator but whiteboard is available

• 120 items (100 scored and 20 pretest)

• No breaks

• Exam can be scheduled with Pearson VUE six days per week

MJPE readiness

What to study

• old versions of the law books

• pharmacist DEA Manual

• Dr. C’s ultimate 2025 federal pharmacy law review

Waiting periods

NAPLEX: must wait 45days after fail to attempt to retake

MJPE: 30 days

Attempt limit

NAPLEX: 5

MJPE: 5 PER JURISDICTION

Limits per year

NAPLEX: candidates who have taken the exam 3 times in one year must wait 1 year from first attempt to retake the exam

Exam results

Pass/fail

Candidate performance reports

Only for failed NAPLEX and MJPE

How content outline is made

Phase 1: practicing pharmacists determine knowledge, skills, and abilities needed

Phase 2: survey administered to a large cohort of practicing pharmacists on key domain content

Phase 3: NABP content outline released

Phase 4: shared NAPLEX domain crosswalk

Phase 5: the NAPLEX content takes effect for NAPLEX exams.

NAPLEX competency areas until 5/1/25

Area 1 ~ 18%: obtain, interpret, or assess data, medical or patient info

Area 2 ~ 14%: identify drug characteristics

Area 3 ~ 35%: develop or manage treatment plans

Area 4 ~ 14%: calculations

Area 5 ~ 11%: compound, dispense, or administer drugs, or manage delivery systems

Area 6 ~ 7%: develop or manage practice or medication use systems to ensure safety and quality

The new domains

Foundational knowledge for pharmacy practice = 25%

Medication use process = 25%

Person centered assessment and treatment planning = 40%

Professional practice = 5%

Pharmacy management and leadership = 5%

Major changes for domain 1

All previous calculations are now in section 1C or domain 1 (knowledge for pharmacy practice.

Be familiar with what is new on this chart

Domain 2 ( med use process)

This domain is application focused

Immunizations are a big part

Dosage forms are a major component of practice exams

KNOW ALL FORMULATIONS AND APPROPRIATE BRAND NAMES.

Rybelsus

Oral semiglutide

Wegovy

SQ injection semaglutide

Zyprexa

Not the same as zyprexa relprevv

(Relprevv is a long acting injectable with a rems program)

Domain 3 (person centered assessment and treatment planning)

Mostly came questions

Some med use and storage questions

Some dosing, contraindications, warnings, evidence based decision making questions

Domain 4

What’s new is more ethical consideration questions

Key tools

Opioid stewardship

Antimicrobial stewardship

Social determinants and drivers of health

Opioid stewardship

CAGE-AID is a careening tool

Helps identify potential substance use disorders in adults and adolescents.

Antimicrobial stewardship

Reduce unnecessary use of Antimicrobials

Promote use of agents that are less likely to select for resistant microorganisms

Consider local susceptibility patterns

Social determinants of health

Economic stability

Education access

Housing stability

Food security

Transportation access

Social and community context

Language barriers

Discrimination and racism

Domain 5 (pharmacy management and leadership)

New items:

Inventory and supply management

Mentorship and preceptorship

NAPLEX domain achievement levels

Level 1– far below requirements

Level 2 — just below requirements to pass

Level 3 — passing

Level 4 — exceeds minimum requirements

How dumb was this lecture and class?

Excruciatingly dumb