West Virginia Pharmacist — Requirements & Free Practice
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Pharmacist
License to practice pharmacist care in West Virginia.
Licensing authority: West Virginia Board of Pharmacy · Application information
Licensure by examination for an accredited school graduate
All of the following:
- Applicant Education
- Graduate of an accredited school or college of pharmacy
Licensure by examination for a foreign school graduate
- Applicant Education
- Graduate of a foreign school of pharmacy outside the United States or its possessions
- Certification
- Foreign Pharmacy Graduate Examination Committee Certificate required by the current Board rule and application process
Licensure transfer from another U.S. state
All of the following:
- Prior Licensure
- Existing pharmacist registration in another U.S. state
- Residency
- Applicant is not moving to West Virginia
- Transfer Process
- Electronic Licensure Transfer Program application is submitted after passing the UMPJE
Universal Professional and Occupational Licensing Act recognition
All of the following:
- Prior Licensure
- Currently licensed in another state in the same discipline and at the same practice level and satisfies all criteria in W. Va. Code §30-1-27
- Residency Or Military Spouse
- Establishes West Virginia residence, or is the qualifying spouse of an active-duty service member accompanying a permanent change of station to a West Virginia military installation
Foreign Pharmacy Graduate Equivalency Examination
- Provider
- National Association of Boards of Pharmacy
- Format
- Computerized fixed form
- Exam questions
- 200 questions
- Time limit
- 4.5 hours examination time; 5.5 hours total seat time
- Passing score
- Scaled score of 75
Examination outline
Foundational Biomedical Sciences (12%)
- Anatomy and physiology
- Biochemistry
- Medical microbiology
- Immunology
- Pathophysiological bases of diseases
Pharmaceutical Sciences (31%)
- Pharmaceutical calculations (eg, dose adjustments, delivery, ionization, ionic strength, isotonicity, ratio/percentage strength, osmolarity)
- Medicinal chemistry
- Medicinal chemistry: Physicochemical properties of drugs in relation to drug absorption, distribution, metabolism, and excretion (ADME)
- Medicinal chemistry: Pathways of drug metabolism
- Medicinal chemistry: Chemical bases for drug action, including bioorganic chemistry, structure-activity relationships, and fundamental pharmacophores related to drug-receptor interactions
- Medicinal chemistry: Applicability to making drug therapy decisions
- Pharmacology and toxicology
- Pharmacology and toxicology: Pharmacodynamics, including drug-receptor interactions, agonists, antagonists, inverse agonists, and dose-response curves
- Pharmacology and toxicology: Mechanisms of action of drugs, including biologics
- Pharmacology and toxicology: Adverse effects and side effects of drugs
- Pharmacology and toxicology: Mechanisms of drug interactions, including drug-drug, drug-disease, drug-food, drug-allergy, and drug-laboratory interactions
- Pharmacology and toxicology: Mechanisms of acute and chronic toxic effects of xenobiotics, including drug and chemical overdose or exposure and antidotes
- Pharmaceutics and biopharmaceutics
- Pharmaceutics and biopharmaceutics: Dosage form development and drug delivery systems such as immediate release, sustained release, and controlled release
- Pharmaceutics and biopharmaceutics: Disintegration and dissolution of solid oral dosage forms
- Pharmaceutics and biopharmaceutics: Physicochemical properties of drugs, excipients, solutions, and dosage forms
- Pharmaceutics and biopharmaceutics: Physical stability, chemical stability, and shelf-lives, including zero-, first-, second-, and pseudo-order reactions
- Pharmaceutics and biopharmaceutics: Interactions between drug formulation and biological effects
- Pharmaceutics and biopharmaceutics: Drug product manufacturing, including methods, processing, and quality assurance
- Pharmacokinetics
- Pharmacokinetics: Determining rates of absorption, distribution, metabolism, and excretion (ADME) of drugs
- Pharmacokinetics: Factors affecting rates of ADME, including age, sex, genetics, diet, disease, and drug interactions
- Pharmacokinetics: Biological half-lives of drugs and related dosing
- Pharmacokinetics: Compartment models (one-, two-, and non-)
- Pharmacokinetics: Linear and nonlinear pharmacokinetics
- Pharmacokinetics: Principles of bioavailability, bioequivalence, and biosimilars
- Pharmacogenomics (eg, population-based genetic influences on drug metabolism and efficacy, genetic testing, tumor genotyping, pharmacogenetic screening)
- Extemporaneous compounding (eg, United States Pharmacopeia (USP) standards including Chapters <795>, <797>, and <800>; dosage form preparation calculations; techniques used to prepare and dispense sterile and nonsterile preparations)
Social, Behavioral, and Administrative Sciences (20%)
- Pharmacy law and ethics
- Pharmacy law and ethics: Laws and regulations governing pharmacy
- Pharmacy law and ethics: Regulatory, oversight, and professional organizations
- Pharmacy law and ethics: Principles and application of biomedical ethics
- Health care systems
- Health care systems: Organization, regulation, and financing of health care delivery in the United States
- Health care systems: Factors that influence delivery and use of health care (eg, social, political, economic, and technological)
- Pharmacoeconomics (eg, analysis, interpretation, application, humanistic outcomes)
- Population-based care, pharmacoepidemiology, and public health
- Population-based care, pharmacoepidemiology, and public health: Data sources and analytic tools
- Population-based care, pharmacoepidemiology, and public health: Application of epidemiological study design
- Population-based care, pharmacoepidemiology, and public health: Health promotion, disease prevention, and infection control
- Population-based care, pharmacoepidemiology, and public health: Continuous quality improvement
- Population-based care, pharmacoepidemiology, and public health: Social determinants and drivers of health
- Practice management
- Practice management: Financial management and budgeting
- Practice management: Personnel management
- Practice management: Business and strategic planning
- Practice management: Risk management
- Practice management: Procurement and inventory control
- Professional communication
- Professional communication: Verbal, nonverbal, written, and technology-based communication with patients, caregivers, providers, and stakeholders
- Professional communication: Health literacy
- Biostatistics and research methods (eg, study design, statistical tests, data collection instruments, research ethics)
- Social and behavioral aspects of practice
- Social and behavioral aspects of practice: Patient behavior including health-, illness-, and sick-role
- Social and behavioral aspects of practice: Principles of behavior modification
- Social and behavioral aspects of practice: Patient adherence
- Social and behavioral aspects of practice: Cultural awareness
Pharmacy Practice and Clinical Sciences (37%)
- Clinical pathophysiology as it applies to treatment of disease processes
- Data collection (eg, patient history, physical assessments, laboratory values, point-of-care testing)
- Data assessment (eg, clinical calculations, interpretation of data, diagnosing)
- Patient-care decision making, therapy recommendations, and education (eg, plan, implement, monitor, follow-up)
- Patient safety (eg, drug interactions, toxicity, drug-induced disease, drug use disorders)
- Disease prevention (eg, screenings, immunization, non-pharmacological therapies, lifestyle modifications)
- Personalized medicine (eg, pharmacokinetics, pharmacogenetics)
- Evidence-based practice
- Evidence-based practice: Practice guidelines
- Evidence-based practice: Drug information and evaluation
- Evidence-based practice: Information source reliability
- Evidence-based practice: Clinical trial evaluation
- Self-care, including using natural products
Examination sources
- NABP FPGEE Content Outline
Detailed outline heading, page 5
- NABP FPGEE page
Prepare for the Exam, Resources
- NABP FPGEE page
Prepare for the Exam, opening paragraph
- NABP FPGEE page
Receive Results, first paragraph
- NABP FPGEE page
Register for the Exam, opening paragraph
North American Pharmacist Licensure Examination
- Provider
- National Association of Boards of Pharmacy
- Format
- Computerized fixed form
- Exam questions
- 225 questions
- Time limit
- 6 hours
- Passing score
- Pass or Fail
Examination outline
Foundational Knowledge for Pharmacy Practice (25%)
- Pharmaceutical science principles and concepts
- Pharmaceutical science principles and concepts: Pharmacology
- Pharmaceutical science principles and concepts: Pharmacokinetics, pharmacodynamics, or pharmacogenomics
- Pharmaceutical science principles and concepts: Pharmaceutics
- Pharmaceutical compounding
- Pharmaceutical compounding: Nonsterile preparations
- Pharmaceutical compounding: Sterile preparations
- Pharmaceutical calculations
- Pharmaceutical calculations: Patient parameters or laboratory measures
- Pharmaceutical calculations: Quantities of drugs to be dispensed or administered
- Pharmaceutical calculations: Rates of administration
- Pharmaceutical calculations: Dose conversions
- Pharmaceutical calculations: Drug concentrations, ratio strengths, osmolarity, or osmolality
- Pharmaceutical calculations: Quantities of drugs or ingredients to be compounded
- Pharmaceutical calculations: Nutritional needs and the content of nutrient sources
- Pharmaceutical calculations: Biostatistical, epidemiological, or pharmacoeconomic measures
- Pharmaceutical calculations: Pharmacokinetic parameters
- Drug development processes (eg, clinical trial phases, emergency use authorizations)
- Research design principles and biostatistics (eg, blinding, randomization, biases, statistical tests and outcomes, ethics)
- Retrieval, assessment, and interpretation of primary, secondary, and tertiary resources
Medication Use Process (Prescribing, Transcribing and Documenting, Dispensing, Administering, and Monitoring) (25%)
- Prescriptions and medication order interpretation
- Prescriptions and medication order interpretation: Drug names and therapeutic classes
- Prescriptions and medication order interpretation: Indications, usage, and dosing regimens
- Prescriptions and medication order interpretation: Available dosage forms
- Prescriptions and medication order interpretation: Prescription regulations (eg, boxed warnings, risk evaluation and mitigation strategies)
- Prescriptions and medication order interpretation: Safety and effectiveness (eg, laboratory parameters, vital signs)
- Therapeutic substitutions (eg, formulary restrictions, therapeutic alternatives, shortages, biosimilars)
- Immunization services and documentation
- Immunization services and documentation: Indications and scheduling
- Immunization services and documentation: Contraindications and precautions
- Immunization services and documentation: Storage and handling
- Immunization services and documentation: Administration (eg, techniques, preparation, routes)
- Immunization services and documentation: Adverse reactions
- Medication handling, storage, stability, and disposal (eg, hazardous and nonhazardous drugs, controlled substances, parenteral medications, sharps handling, temperature control)
Person-Centered Assessment and Treatment Planning (40%)
- Medication history, allergy history, and reconciliation
- Health histories, screenings, and assessments
- Patient health conditions, including special populations and medication-related factors
- Patient health conditions, including special populations and medication-related factors: Signs, symptoms, and findings of medical conditions, etiology of diseases, or pathophysiology
- Patient health conditions, including special populations and medication-related factors: Appropriateness of therapy (eg, medications, immunizations, non-drug therapy, dosing, contraindications, warnings, evidence-based decision making)
- Patient health conditions, including special populations and medication-related factors: Interactions (eg, drug-drug, drug-condition, drug-food, drug-allergy, drug-laboratory)
- Patient health conditions, including special populations and medication-related factors: Errors and omissions (eg, dosing, duplication, additional therapy needed, unnecessary therapy)
- Patient health conditions, including special populations and medication-related factors: Adverse drug reactions
- Patient health conditions, including special populations and medication-related factors: Toxicologic exposures and overdoses
- Patient health conditions, including special populations and medication-related factors: Adherence
- Therapeutic monitoring, plan development, evaluation, and modifications
- Therapeutic monitoring, plan development, evaluation, and modifications: Therapeutic goals, clinical endpoints, and follow-up
- Therapeutic monitoring, plan development, evaluation, and modifications: Safety
- Therapeutic monitoring, plan development, evaluation, and modifications: Effectiveness
- Patient education
- Patient education: Lifestyle modifications and health maintenance
- Patient education: Medication use, storage, and disposal
- Patient education: Disease state management
- Over-the-counter medications and dietary supplements
- Devices to administer medications and self-monitoring tests
Professional Practice (5%)
- Adverse drug event reporting and medication error reporting (eg, MedWatch, VAERS)
- Public health initiatives and risk-prevention programs (eg, tobacco and nicotine cessation, antimicrobial stewardship, health screenings, opioid stewardship)
- Social determinants and drivers of health
- Ethical considerations (eg, informed consent, ethical principles, professional conduct and responsibility, patient confidentiality)
Pharmacy Management and Leadership (5%)
- Pharmacy operations (eg, operational planning, risk management, regulations and regulatory bodies, technology applications and informatics, error-prevention strategies, medication safety)
- Inventory and supply management (eg, drug recalls, drug shortages)
- Quality improvement activities (eg, medication use evaluation, root-cause analysis, continuous quality improvement)
- Mentorship and preceptorship (eg, providing and receiving feedback, delegation of work activities, preceptor roles)
Examination sources
- NABP NAPLEX Content Outline
Title page, effective-date subtitle
- NABP NAPLEX Content Outline
Content Domain Weights, page 3
- NABP NAPLEX test day information
Test Day Information, exam overview
- NABP NAPLEX exam results
Exam Results, opening paragraph
- NABP NAPLEX application page
Steps to Apply for the NAPLEX, step 3, Purchase the Exam
- NABP NAPLEX application page
Steps to Apply for the NAPLEX, step 4, Schedule the Exam With Pearson
Uniform MPJE
- Provider
- National Association of Boards of Pharmacy
- Format
- Computer-based adaptive selected-response examination
- Exam questions
- 120 questions
- Time limit
- 2.5 hours
- Passing score
- Pass or Fail
Examination outline
Pharmacy and Pharmacist Practice (30%)
- Practice of pharmacy definition (eg, scope of authority, scope of practice, collaborative practice agreements and other delegative authorities, limitations or restrictions on practice)
- Non-pharmacist personnel (eg, supervision, scope, licensure, counseling)
- Adulterated or misbranded medications (eg, medication recalls, expiration dates, counterfeit medications, emergency use authorizations, importation, Drug Supply Chain Security Act (DSCSA))
- Federal regulatory standards (eg, National Institute for Occupational Safety and Health (NIOSH), Occupational Safety and Health Administration (OSHA), essential copies of commercial products, patient-specific prescription requirements, anticipatory compounding)
- United States Pharmacopeia (USP) standards on compounding and hazardous materials (eg, beyond-use dating, competency training, environmental testing, record keeping)
- Security of patient health information
Medication Use Process (Prescribing, Transcribing and Documenting, Dispensing, Administering, and Monitoring) (30%)
- Requirements for issuing prescriptions and medication orders, including controlled substances
- Requirements for issuing prescriptions and medication orders, including controlled substances: Validity of a prescription (eg, authority, content, corresponding responsibility)
- Requirements for issuing prescriptions and medication orders, including controlled substances: Changes to a prescription
- Requirements for issuing prescriptions and medication orders, including controlled substances: Emergency prescriptions and emergency refills
- Dispensing medications, including controlled substances
- Dispensing medications, including controlled substances: Pharmacy and manufacturer labeling, including over-the-counter medications and patient education
- Dispensing medications, including controlled substances: Drug utilization review
- Dispensing medications, including controlled substances: Fills, refills, and partial fills
- Dispensing medications, including controlled substances: Packaging and repackaging
- Dispensing medications, including controlled substances: Counseling
- Dispensing medications, including controlled substances: Transfers
- Dispensing medications, including controlled substances: Prescription drug monitoring program (PDMP) requirements
- Dispensing medications, including controlled substances: Recalls, returns, and reuse
- Dispensing medications, including controlled substances: Drug product selection (eg, substitutions, interchangeability)
- Administration of medications, including adverse event reporting
Regulatory Authority and Legal Obligations (20%)
- Role of regulatory authorities, including authority, inspections, and discipline
- Role of regulatory authorities, including authority, inspections, and discipline: Federal (eg, Food and Drug Administration (FDA), Drug Enforcement Administration (DEA), US Department of Health and Human Services (HHS))
- Role of regulatory authorities, including authority, inspections, and discipline: State (eg, board of pharmacy, department of health)
- Controlled substances
- Controlled substances: Inventory
- Controlled substances: Record keeping
- Controlled substances: Order forms and ordering
- Controlled substances: DEA registration and power of attorney
- Controlled substances: Theft and loss
- Controlled substances: Disposal
- Liability and malpractice
Pharmacy Operations (20%)
- Licensures, registrations, and certifications
- Pharmacy technology, including record keeping and automation (eg, e-prescribing, faxing, shared services)
- Access, storage, handling, and security
Examination sources
- NABP Uniform MPJE Content Outline
Detailed outline heading, page 4
- NABP Uniform MPJE page
Timeline, third bullet
- NABP MPJE/UMPJE test day information
Test Day Information, exam overview
- NABP MPJE/UMPJE exam results
Exam Results, opening paragraphs
- NABP MPJE/UMPJE application page
Steps to Apply, step 3, Purchase the Exam
- NABP MPJE/UMPJE application page
Steps to Apply, step 4, Schedule the Exam With Pearson
WV-Plus Module
Examination outline
Pharmacies
- Licensure
- Responsibilities of the Pharmacist-in-Charge (PIC)
- Renewal Deadlines and Late Penalties
- Required Notification of Changes about the Pharmacy Permit
- Security
- Equipment and Facilities
- Pharmacy Closures
- Temporary and Emergency Closures
- Permanent Closures: Pre-Closing Requirements
- Permanent Closures: Immediate and Post-Closing Duties
- Compounding Requirements in WV
- Inspections §15-19
- Inspector Qualifications and Regional Structure
- Scheduling and Frequency of Inspections
- Protocols for Conducting and Processing Inspections
- Enforcement and Non-Compliance
Pharmacists
- Scope, Duties, Unprofessional Conduct
- Duties of a Pharmacist
- Emergency Dispensing Rules
- Unprofessional Conduct
- Continuing Education for Pharmacists
- Pharmacist-in-charge
- Pharmacy personnel work environment
- Consultant Pharmacists
- WV Pharmacist Recovery Network
Pharmacy Support Personnel (Cashiers, Pharmacy Technician Trainees, and Pharmacy Technicians)
- Pharmacy Technician Trainees, Pharmacy Technicians, and Nuclear Pharmacy Technicians
- Pharmacy Technician Trainee Qualifications
- Pharmacy Technician Trainee Program Process
- Licensure for Pharmacy Technicians
- Renewal of Pharmacy Technician Permit
- Scope of practice for Pharmacy Technicians
- Nuclear Pharmacy Technician
Controlled Substances
- Prescribing Authority for Various Prescriber Types
- Controlled-substance security, dispensing, inventory, and records
- Controlled Substance Monitoring Program
Special Services
- Immunizations Provided in Pharmacies
- Collaborative Pharmacy Practice
- Hormonal Contraceptive Prescribing
- Tobacco Cessation
- Test and Treat Authority
Examination sources
- West Virginia Board of Pharmacy
UMPJE implementation notice, WV-Plus scope statement
- West Virginia Board of Pharmacy
West Virginia Plus Jurisprudence Module, title, scope statement, and published section headings, pp. 1-28
- West Virginia Board of Pharmacy
UMPJE implementation notice, WV-Plus assessment and scoring paragraph
- West Virginia Board of Pharmacy
UMPJE implementation notice, WV-Plus access and retake boundaries