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74.5% first-time (2025 graduates, NABP Feb 2026) Pass Rate

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2026 Statistics

Key Facts: MPJE Exam

120

Questions (100 scored)

NABP bulletin

2h 30m

Exam Time

NABP

Pass/Fail

Result Reporting

NABP (no scaled score)

33%

Pharmacist Practice

Largest competency area

$270

Total Fees ($100 + $170)

NABP 2026

2026

UMPJE Launch

NABP transition

The MPJE had a 74.5% first-time pass rate for 2025 US pharmacy graduates (NABP, Feb 2026). The exam delivers 120 questions (100 scored + 20 pretest) over 2.5 hours, computer-adaptive, and results are reported as Pass or Fail with no scaled score. Through February 28, 2027 the blueprint is the four NABP Competency Areas: Pharmacist Practice 33%, Dispensing Requirements 24%, Licensure and Personnel 22%, and Pharmacy Operations 21%; a new four-domain Content Outline (30/30/20/20) takes effect March 1, 2027. The separate Uniform MPJE (UMPJE), launched in 2026, has been adopted by 13 boards; other jurisdictions keep their state-specific MPJE.

Sample MPJE Practice Questions

Try these sample questions to test your MPJE exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 199+ question experience with AI tutoring.

1Which federal act requires pharmacists to offer medication therapy management (MTM) services to Medicare Part D beneficiaries?

A.Omnibus Budget Reconciliation Act of 1990

B.Medicare Prescription Drug, Improvement, and Modernization Act of 2003

C.Patient Protection and Affordable Care Act of 2010

D.Drug Addiction Treatment Act of 2000

Explanation: The Medicare Modernization Act of 2003 (MMA) established the Medicare Part D prescription drug benefit and required Part D sponsors to offer MTM services to eligible beneficiaries. MTM programs help patients manage chronic conditions and optimize medication use.

2Under the PREP Act declaration (as amended and extended through 2029), state-licensed pharmacists may administer ACIP-recommended vaccines to patients of what minimum age, notwithstanding contrary state law?

A.Birth (any age)

B.Ages 3 and older

C.Ages 7 and older

D.Ages 18 and older only

Explanation: The PREP Act declaration authorizes state-licensed pharmacists to administer ACIP-recommended vaccines to individuals ages 3 through 18 (and adults), notwithstanding state-law limits, provided they meet federal requirements such as completing a 20-hour ACPE-approved training program. The authority was extended through 2029.

3Which organization administers the NAPLEX and MPJE examinations for pharmacist licensure?

A.American Pharmacists Association (APhA)

B.National Association of Boards of Pharmacy (NABP)

C.Accreditation Council for Pharmacy Education (ACPE)

D.Board of Pharmacy Specialties (BPS)

Explanation: The National Association of Boards of Pharmacy (NABP) administers the North American Pharmacist Licensure Examination (NAPLEX) and the Multistate Pharmacy Jurisprudence Examination (MPJE). These standardized exams are required for pharmacist licensure in most U.S. jurisdictions.

4A pharmacist with a Doctor of Pharmacy degree may use which credential abbreviation after their name?

A.RPh

B.PharmD

C.BCPS

D.DPh

Explanation: PharmD (Doctor of Pharmacy) is the professional doctoral degree credential for pharmacists who have graduated from an ACPE-accredited pharmacy program. RPh (Registered Pharmacist) refers to licensure status, while BCPS indicates board certification in pharmacotherapy.

5Which federal act requires patient counseling for Medicaid patients receiving new prescriptions?

A.Omnibus Budget Reconciliation Act of 1990

B.Food, Drug, and Cosmetic Act of 1938

C.Durham-Humphrey Amendment of 1951

D.Poison Prevention Packaging Act of 1970

Explanation: OBRA '90 mandates that pharmacists offer to counsel Medicaid patients on new prescriptions, conduct drug regimen review for therapeutic problems, and maintain patient profiles. Many states have extended these requirements to all patients regardless of insurance.

6Under federal law, how long must a pharmacy maintain records of controlled substance dispensing?

A.2 years

B.3 years

C.5 years

D.7 years

Explanation: DEA regulations require pharmacies to maintain dispensing records for Schedule II-V controlled substances for at least 2 years from the date of dispensing. State laws may require longer retention periods, and pharmacies must comply with the more stringent requirement.

7A pharmacist discovers that a prescriber's DEA registration has expired. What is the pharmacist's legal obligation?

A.Continue dispensing for 30 days while prescriber renews

B.Contact the prescriber immediately and do not dispense controlled substances

C.Dispense non-controlled substances only

D.Report the prescriber to the state medical board

Explanation: An expired DEA registration is invalid, and prescriptions for controlled substances written by an unregistered prescriber are not legally valid. The pharmacist must contact the prescriber and cannot legally dispense controlled substances until the registration is renewed.

8Which statement correctly describes collaborative drug therapy management (CDTM)?

A.Pharmacists may initiate any prescription without prescriber involvement

B.Pharmacists may adjust drug therapy under a written agreement with a physician

C.Pharmacists may diagnose medical conditions independently

D.CDTM is prohibited under federal pharmacy law

Explanation: CDTM allows pharmacists to adjust drug therapy, initiate or discontinue medications, and order laboratory tests under a written collaborative practice agreement with a physician. The specific scope varies by state law and must be defined in the agreement.

9A pharmacist receives a telephoned prescription for a Schedule II controlled substance for a hospice patient. What is required?

A.The prescriber must follow up with a written prescription within 7 days

B.A faxed prescription is sufficient for all Schedule II medications

C.The prescription cannot be accepted by telephone for any reason

D.The pharmacist may dispense a 30-day supply immediately

Explanation: For hospice patients or residents of long-term care facilities, prescribers may verbally communicate Schedule II prescriptions, but must provide a written prescription within 7 days. The pharmacist must document the emergency and notify the DEA if the written prescription is not received.

10Under the PREP Act declaration for COVID-19, which healthcare professionals are covered persons authorized to administer vaccines?

A.Only physicians and nurses

B.Pharmacists, pharmacy interns, and qualified pharmacy technicians

C.Only immunization-certified pharmacists

D.Any healthcare worker with first aid training

Explanation: The PREP Act declaration authorizes pharmacists, pharmacy interns, and qualified pharmacy technicians to administer FDA-authorized COVID-19 vaccines and childhood vaccines. Qualified pharmacy technicians must meet specific training and supervision requirements.

About the MPJE Exam

The MPJE tests pharmacy law across the four NABP Competency Areas in effect through February 28, 2027: Pharmacist Practice (33%), Dispensing Requirements (24%), Licensure, Registration, Certification, and Operational Requirements (22%), and Pharmacy Operations (21%). A new four-domain Content Outline (30/30/20/20) takes effect March 1, 2027.

Questions

120 scored questions

Time Limit

2 hours 30 minutes

Passing Score

Pass/Fail (no scaled score reported)

Exam Fee

$100 application + $170 exam (NABP) (NABP (National Association of Boards of Pharmacy))

MPJE Exam Content Outline

22%

Licensure, Registration, Certification, and Operational Requirements

Qualifications, licensure and renewal requirements, registration of facilities and personnel, and operational requirements for pharmacies and pharmacy personnel

33%

Pharmacist Practice

Scope of practice, prescriptive authority, patient counseling, drug utilization review, collaborative practice, immunizations, and professional judgment requirements

24%

Dispensing Requirements

Prescription requirements and validity, controlled-substance dispensing rules, refills, transfers, partial fills, labeling, and product selection

21%

Pharmacy Operations

Recordkeeping, inventory, storage, security, compounding, distribution, DEA registrations and forms, and handling of recalled or outdated drugs

How to Pass the MPJE Exam

What You Need to Know

Passing score: Pass/Fail (no scaled score reported)
Exam length: 120 questions
Time limit: 2 hours 30 minutes
Exam fee: $100 application + $170 exam (NABP)

Keys to Passing

Work through all 199 available questions
Review every answer and explanation
Track weak areas and revisit them
Use our AI tutor for tough concepts

MPJE Study Tips from Top Performers

1Master the Controlled Substances Act - know DEA schedules, security requirements, inventory procedures, and DEA Form 222 requirements

2Study your state's pharmacy practice act thoroughly - licensure requirements, scope of practice, technician ratios, and supervision rules

3Understand federal vs state law conflicts - which takes precedence and when state law can be more stringent

4Review OBRA '90 requirements - prospective drug utilization review (DUR) and mandatory patient counseling

5Practice applying laws to scenarios - the MPJE tests legal reasoning, not just memorization of statutes

Frequently Asked Questions

What is the MPJE pass rate?

NABP reported a 74.5% first-time pass rate for 2025 US pharmacy graduates (ten-year pass-rate report prepared February 2, 2026). Rates vary by jurisdiction and cohort.

How many questions are on the MPJE?

The MPJE delivers 120 questions, of which 100 are scored and 20 are unscored pretest items. You have 2 hours and 30 minutes to complete the exam. The exam is computer-based and administered at Pearson VUE testing centers. Questions cover federal pharmacy law and the specific state's pharmacy regulations.

What is the MPJE passing score?

NABP reports MPJE results as Pass or Fail only - you will not receive a scaled score. The old "scaled 75" figure is legacy and no longer reported. Only failing candidates receive a performance breakdown across the four competency areas.

Is the MPJE the same in every state?

No, each state has its own MPJE version that tests both federal pharmacy law and that state's specific pharmacy regulations. You must take the MPJE for each state where you seek licensure. However, starting January 2026, NABP is introducing the Uniform MPJE (UMPJE) which will eventually replace individual state MPJEs.

How should I prepare for the MPJE?

Focus on three areas: (1) Federal pharmacy law (Controlled Substances Act, DEA regulations, OBRA '90, HIPAA, Medicare/Medicaid), (2) Your specific state's pharmacy laws (practice act, regulations, board rules), and (3) Legal reasoning - many questions present scenarios requiring application of law. Review your state's pharmacy practice act and regulations thoroughly.

What is the difference between MPJE and UMPJE?

The current MPJE is state-specific, requiring separate exams for each state. The Uniform MPJE (UMPJE), launching in 2026, will be a single exam testing core pharmacy law knowledge applicable across all participating states. The UMPJE aims to reduce redundancy and facilitate licensure portability through NABP's Passport program.

199+ Free MPJE Practice Questions

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