r/pharmacy • • 4d ago

What did you learn last week?

9 Upvotes

This is the weekly thread to highlight anything new you learned last week!

Links to studies and articles are great, but so are anecdotes and case reports. Anything you learned in the last week you want /r/pharmacy to know goes here!


r/pharmacy • • May 01 '26

Naplex/MPJE Megathread

5 Upvotes

At the request of the community, this thread is for all questions regarding the NAPLEX, MPJE, CPJE, and other board exams, including studying, timelines and deadlines, applications, and results, just to name a few.

As a reminder, requests or posts for/of copyrighted content or paid subscription content is not allowed. Also selling resources is not allowed.

Please also search the subreddit prior to posting questions, as many of these questions have been asked before.


r/pharmacy • • 7h ago

Pharmacy Practice Discussion I failed my pharmacy interview, and I feel completely lost. What should I do?

20 Upvotes

I graduated from pharmacy school this year with no work experience. I had never entered the job market before, and I had never even considered training in a community pharmacy.

However, I recently needed a job, so I decided to start training at a local pharmacy. I trained there for about 20 days, but honestly, I had no idea what I was supposed to do or how to do it. The pharmacists working there didn't really help me or guide me. They basically left me to figure things out on my own and teach myself.

Today was my job interview, and I didn't get accepted.

The pharmacist asked me, "What do you know about pharmacy?" It was such a broad question that I asked him to be more specific and ask me about particular topics. He said, "No, just talk."

So I started talking about antibiotics, mentioning their classes, active ingredients, brand names, and strengths. He told me that I could simply mention the brand names without having to explain the drug classes.

Then he asked me to talk about diabetes medications, and suddenly my mind went completely blank.

After that, he showed me some prescriptions and asked me to read them. I could only read one of them.

He told me that my pharmacology knowledge wasn't good, even though he hadn't actually asked me any pharmacology questions.

He also told me that I had been training the wrong way, that I needed to build up a good knowledge of medications commonly found in pharmacies, and that I needed to practice reading prescriptions much more.

He gave me another 20 days to train and told me to push myself harder.

Right now, I'm really sad and feel like a failure. I know I have a lot to learn, but I honestly don't know where to start or how to study effectively in such a short time.

What should I do? How can I make the most of these next 20 days of training? What exactly should I focus on learning, and how should I organize my studying?

I'm feeling really discouraged and have almost lost hope in myself. I'd genuinely appreciate any advice, especially from pharmacists who have been through something similar or who have experience training fresh graduates.


r/pharmacy • • 9h ago

Rant Request to become Union member was denied (CVS floater)

15 Upvotes

I was given some pathetic reasoning that even though my current homestretch is a strongly type B union store, there are only two CVS in.my region that will allow Rph to be union members and id have to first "transfer" to one of those stores! Do you think I'd feel the need to join a union if I had the ability to "transfer" out of this district you morons


r/pharmacy • • 5h ago

General Discussion EHRM Pharmacy Tips

4 Upvotes

So, of im looking for tips because we are starting to use this at our VA location soon. Anyone got good tips and tricks, or where to go for some so I am ready.


r/pharmacy • • 5h ago

Jobs, Saturation, and Salary KOP, Pennsylvania - Pharmacy Technician Jobs

3 Upvotes

Hey guys,

I’m a licensed pharmacist from Germany, currently going through the license recognition process in the US. It’s a long road: ~2 years, several exams, and a pharmacy internship. I can’t sit for the FPGEE until October next year, and until then there’s not much I can do except wait.

In the meantime, I am aiming to work as a pharmacy technician or a pharmacy technician trainee. I have begun submitting applications this week, but if you know of any openings, have advice, or can point me in the right direction, I’d be very grateful. Thank you!​


r/pharmacy • • 20m ago

General Discussion UMPJE study materials

• Upvotes

I’m looking to take the UMPJE for license transfer to another state. Any recommendations for study guides? I was debating buying Dr. C’s Ultimate Uniform MPJE Review but couldn’t find a lot of info about it. It’s been 14 years since I had to take a law exam so I feel pretty rusty.


r/pharmacy • • 15h ago

Jobs, Saturation, and Salary Hope for my retail folks

8 Upvotes

Retail is a tough game. I worked in it for several years before pharmacy school. And the truth is I went into it with all the best intentions but got burned in the end. I never liked hospital so I never did a residency. After a month being licensed I knew my time was limited how and when I wasn't sure. I reached my breaking point with retail and took a slight pay cut for a WFH job. During this time I had been putting myself through school with my own money. And after a couple of years as a pharmacist this year I walked away fully. And yes I did replace my salary and with this new career I am on track to make more in a few years than I ever would have working retail. People will tell you to deal with it, people will tell you that you can't quit cause of your loans etc. Well you also can't pay them back if you're not living if you know what I mean and you also can't pay them back if your health gets so bad from stress. I went from 9/10 stress with work to 2/10. My hope with this post is to give retail and any other folks out there hope. If it truly isn't for you its ok to walk away but know that walking away can take some time. Being able to walk away from pharmacy was the best thing I did for myself but it was not overnight. It took time, money, and patience. If you are like me STAYING ON THE WRONG TRAIN DOES NOT MAKE IT THE RIGHT TRAIN. This advice isn't for everyone. Also if you are a parent, just know its possible for you too as I am one and still managed to pull it off. I won't go into details of what I do or anything because that's not the point. There's a million and one jobs out there and there's a large enough portion that can replace your salary if that's what you need. You just gotta go find it and put in the work. And if you wanna say well pharmacy school was a waste, I don't see it that way and unless you're gonna cut me a check your opinion is irrelevant. No one wakes up everyday and lives your life or deals with what you have to deal with but you do. Do what's best for you.


r/pharmacy • • 13h ago

Clinical Discussion ASHP/ACCP crit care material

3 Upvotes

Has anyone used their materials? Did you find it helpful in preparing for the BCCCP exam? TIA


r/pharmacy • • 21h ago

General Discussion vaccinating kids

12 Upvotes

How do u vaccinate children?

context - heard from an intern pharmacist the other day that a 10 year old child she vaccinated literally screamed and threatened to “kill her”. How do you mitigate that situation?


r/pharmacy • • 21h ago

Pharmacy Practice Discussion Are there any hands-on pharmacist positions?

9 Upvotes

I've been a pharmacy tech for a little over 5 years now, both in retail and in a hospital. I'm interested in pursuing a pharmacist degree, but I've noticed that they seem to only ever do med verification and quality checks? I love compounding, and I don't think I'd enjoy being stuck at a computer and only looking at drugs all day.

Are there any settings where a pharmacist gets to work directly with the meds?


r/pharmacy • • 17h ago

General Discussion Florida Prescription Errors CE requirement

3 Upvotes

I am currently working on my license renewal for Florida and need 2 credits on Medication/Prescription Errors. I have taken several accredited courses on Medication Errors on PharmCon and submitted them. CE Broker keeps crediting these on my general courses and not on the Medication Errors portion of my requirement. Any idea why??


r/pharmacy • • 20h ago

General Discussion Score transfer error

4 Upvotes

I purchased a score transfer along with my naplex in one transaction beginning of this year. Took my naplex few months ago,passed and applied for license. Now I get an email from bop that they haven’t received my score transfer despite it showing on my eprofile. I did chat with 3 nabp representatives, two confirmed that I do have a score transfer and one said they can’t find a separate receipt but do see that a score transfer label on my profile. Now I’m freaking out because purchasing a transfer closed few days ago and even if it was still available I did confirm multiple times that the receiving state is grayed out meaning purchased.
I did email exam services but waiting for their response.
Anyone had the same issue ? License transfer is not an option for me and I’m not gonna retake that damn test due a clear error on their part.


r/pharmacy • • 1d ago

Clinical Discussion Clinical question: Lorazepam IM and intranasal midazolam in a patient with catatonia

25 Upvotes

I am a pharmacist and I have received two questions from a mental health care team regarding a patient with catatonia.

The patient currently takes lorazepam 2.5 mg four times daily. However, if the patient experiences an acute episode, an additional 2 mg of intramuscular lorazepam is administered.

1. Rapid onset of action of intramuscular lorazepam

The care team reports that they often observe an almost immediate effect following IM administration, sometimes within just 1–2 minutes.

Is this onset of action pharmacologically plausible? Could lorazepam produce a noticeable clinical effect that quickly after IM administration (since it takes time for the drug to reach the circulation and the receptors), or might other factors contribute to the observed improvement?

2. Intranasal midazolam as an alternative to IM lorazepam

The patient finds injections distressing, so the care team is considering intranasal midazolam as an alternative for managing acute episodes.

I have been unable to find specific literature supporting this approach for catatonia. Consequently, this would be an off-label application.

I do not immediately see a pharmacological reason why it would be unsuitable, given that both drugs are benzodiazepines. However, I am aware that this alone does not establish clinical equivalence or efficacy.

Does anyone have experience with or evidence supporting the use of intranasal midazolam for acute episodes of catatonia? In particular, I would appreciate any information on its efficacy, appropriate dosing, onset of action, and safety compared with IM lorazepam.

Btw I used AI to enhance my text since English is not my first language :D


r/pharmacy • • 1d ago

General Discussion Has anyone emigrated to another country (out of US) and been able to use your degree? Has it helped in any way to get a Visa as a medical professional?

25 Upvotes

Basically the title. Just exploring (fantasizing) about making a life somewhere else…


r/pharmacy • • 1d ago

Clinical Discussion Alternatives to estradiol patches?

13 Upvotes

For the community pharmacies that can’t seem to get or keep estradiol patches for patients, what alternatives are you suggesting for your patients?


r/pharmacy • • 1d ago

General Discussion Just for learning purposes…

15 Upvotes

Useful facts for pharmacy technicians!?

I’ll start…Aspirin can also be used as a blood thinner (I just learned this…)


r/pharmacy • • 1d ago

Pharmacy Practice Discussion ExactaMix 2400

5 Upvotes

Has anyone attempted to put one of the 2400 Baxter compounders in a 4’ hood?


r/pharmacy • • 1d ago

Rant Tonight, our pharmacist was called racist

38 Upvotes

For context: the pt (30s-40sM) was Hispanic, and the pharmacist (30sF) is Caucasian. I (37F, also Caucasian) heard about this secondhand, after the fact.

Evidently, racism was the alleged reason we couldn't have the pt's prescription or prescriptions ready--with correct insurance coverage--when the pt arrived 6 minutes before closing. During this time, we were also trying to close and assist the other handful of last-minute pts, in addition to him.

It's baffling and upsetting to me how anyone could think that is the reason we can't or "won't" give them what they want. No, it's not the ludicrous time constraint; it's not the fact that we might not have the Rx from his doctor yet; it's not the fact that his insurance information isn't processing correctly (so unless he wants to be slapped with a hefty bill, we have to take time to fix it, OR he has to).

Not to mention, this pharmacist and I were the only white-passing employees in the pharmacy at this time. My supervisor and two other coworkers on the closing shift consisted of Hispanic, Filipino, and Middle Eastern heritage. And had this rude, entitled moron come in earlier, he could've voiced his complaints to our other pharmacist of Vietnamese heritage, our pharmacist-in-training of Hispanic heritage, or the 4 other ethnically diverse coworkers or pharmacists we work with.

If it seems like I'm harping on their backgrounds a bit here, I am, because the accusation really hurt our pharmacist tonight. And this is a woman who gives her all to this job, and from what I've seen, has such long-lasting, genuine connections with most of our returning pts.

I try to be as sympathetic and understanding as I can be in this job, and be mindful that a single bad interaction rarely encapsulates the whole person. Sometimes, we see people at the end of their worst day, or at their most stressed, and that's not all of who they are, but this was so beyond the pale that I couldn't stand it.

My supervisor said she's hoping they come back so she can, more or less, k!ll him with kindness (this was said with her intentionally notable accent). I appreciate her wanting to clap back at this fool, especially as she is forced to remind some pts once in a while if they try to disparage the newer techs in Spanish, and she will graciously correct them.

Most of the pts we deal with are perfectly normal, and some are especially kind and friendly. This was the first time at this job that I've come up against this kind of accusation, so it definitely threw me. From a previous pharm tech position, I'm well accustomed to d**th threats, cursing, or threats of being reported for this, that, and the other thing, so none of that really fazes me anymore.

I'm reminded of a quote most attributed to Mike Tyson, which states that "Social media made y'all way too comfortable with disrespecting people and not getting punched in the face for it."

Sometimes, this feels like a real-world equivalent. Some folks have gotten it into their heads that they can spew every type of vitriol at service workers and not face any consequences.


r/pharmacy • • 2d ago

General Discussion Pharmacy Week!

13 Upvotes

Next week is National Pharmacy Week for those of us in the US. Remember to appreciate your techs on Tuesday and spread some love this week to your fellow pharmacy people. We all need some joy 💜


r/pharmacy • • 1d ago

Jobs, Saturation, and Salary Work

9 Upvotes

This might be a no-brainer for some but would need some insight.

Recently got licensed. I have an offer from Wags mainly as an immunizer MLP,no guaranteed hours, and also got offered at an independent pharmacy for guaranteed 40hr/week (no weekend), no benefits. Started training at indy, work is bearable, Monday is chaotic due to the store being closed on Saturday/ Sunday.

If you were to choose, which one would you accept?


r/pharmacy • • 2d ago

Jobs, Saturation, and Salary Looking for a new job in NJ

5 Upvotes

Hi everyone! I am looking to get out of retail ASAP and am on the search for a new job. Does anyone have any advice on where to look? Specifically interested in specialty but would consider mostly anything.


r/pharmacy • • 2d ago

Jobs, Saturation, and Salary Which would you rather do? MTM or prior authorizations as a pharmacist?

25 Upvotes

Just wanted some insight


r/pharmacy • • 2d ago

Jobs, Saturation, and Salary FRM at Mckesson

4 Upvotes

Hello, I was invited for an interview for FRM position at Mckesson, and wonder how to prepare for it. Could anyone share some insights or tips? Like how many rounds of interviews or interview characteristic? Thanks in advance!


r/pharmacy • • 3d ago

General Discussion Arine

8 Upvotes

Anyone know about this company?