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The Foreign Pharmacy Graduate Equivalency Examination, or FPGEE, is one of the examinations required as part of the FPGEC Certification Program (You must also take and pass the TOEFL iBT, the English-language test administered by Educational Testing Service. Applications submitted after January 1, 2020 must complete the TOEFL iBT requirement prior to sitting for the FPGEE).

The FPGEE is offered once per year, and it is administered at Pearson VUE test sites throughout the continental United States. Only individuals made eligible during the FPGEC application process can take the FPGEE.

You will be notified via your e-Profile that you are eligible to sit for the FPGEE after successfully completing the FPGEC evaluation process. You must pass the FPGEE within two years of having your FPGEC application accepted or your application will expire, and you will need to submit a new FPGEC application.

An overview of FPGEC Certification
FPGEC and ECE application procedures
Documentation of pharmacist credentials
Registering for the FPGEE
FPGEE administration
FPGEE score results

The FPGEE Competency Statements provide a blueprint of the courses covered on the examination. A strong understanding of the Competency Statements will aid in your preparation to take the examination. The 200 questions on the FPGEE are divided among four content areas:

Basic biomedical sciences 10%
Pharmaceutical sciences 33%
Social, behavioral, administrative pharmacy sciences 22%
Clinical sciences 35%
The statements can be found in the FPGEC Candidate Application Bulletin.

Foreign Pharmacy Graduate Examination Committee (FPGEC) Certification is required for foreign-educated pharmacists seeking to apply for the pharmacy licensing exams (including the North American Pharmacist Licensing Examination (NAPLEX) and Multistate Pharmacy Jurisprudence Examination (MPJE)) in the United States and NABP member jurisdictions. To obtain FPGEC Certification, a candidate must have their required documentation and application accepted, including a passing score on the Test of English as a Foreign Language Internet-based Test (TOEFL iBT), and pass the Foreign Pharmacy Graduate Equivalency Examination (FPGEE). The information below is provided to guide you through the key steps in applying for FPGEC Certification, including instructions for registering to take the FPGEE. It answers the most frequently asked questions about the FPGEC application process. Please read this information carefully and refer to the appropriate sections of this Application Bulletin for detailed information.

NABP provides the FPGEC Certification Program to document the educational equivalency of a candidates foreign pharmacy education, as well as their license and/or registration to practice pharmacy. To achieve FPGEC Certification, candidates must:
Provide documents that verify their education background.
Provide documents that verify licensure and/or registration to practice pharmacy.
Pass the Test of English as a Foreign Language Internet-based Test (iBT).
Pass the FPGEE.
Candidates who receive an FPGEC Certificate may be qualified to take the pharmacy licensing examination in jurisdictions that accept this Certification. All 50 US states, the District of Columbia, Guam, and Puerto Rico require foreign-trained pharmacists to achieve FPGEC Certification before applying for a license from a state board of pharmacy

- Physiology
- Function of the major body systems and homeostatic impact at organ and system level
- Biochemistry
- Chemistry and utilization of biomacromolecules including proteins, lipids, carbohydrates, nucleic acid, intermediary metabolism of energy and nutritional molecules
- Enzymology and coenzymes and kinetics
- Cell chemistry, signal transduction pathways
- Transport and mobility
- Recombinant DNA and molecular biotechnology
- mRNA translation and protein synthesis
- Microbiology Related to Human Disease
- Structure, function, and characteristics of microorganisms: microbe classification, structure, metabolism, genetics
- Pathogenic microorganisms of humans
- Immunology
- Innate and adaptive immunity
- Principles of antibody actions
- Hypersensitivity and types of reactions

Area 2.0 - Pharmaceutical Sciences (Approximately 33% of Test)
- Medicinal Chemistry
- Physicochemical properties of drugs in relation to drug absorption, distribution, metabolism, and excretion (ADME)
- Chemical basis for drug action
- Fundamental pharmacophores for drugs used to treat diseases
- Structure-activity relationships in relation to drug-target interactions
- Chemical pathways of drug metabolism
- Applicability to making drug therapy decisions
- Pharmacology and Toxicology
- Mechanisms of action of drugs of various categories including biologics
- Pharmacodynamics of drug binding and response
- Adverse effects and side effects of drugs
- Mechanisms of drug-drug interactions
- Drug discovery and development
- Acute and chronic toxic effect of xenobiotics, including drug and chemical overdose and antidotes
- Pharmacognosy and Dietary Supplements
- Concepts of crude drugs, semi-purified, and purified natural products
- Classes of pharmacologically active natural products
- Science and regulation of dietary supplements (vitamins, minerals, and herbals)
- Pharmaceutics/Biopharmaceutics
- Biopharmaceutical principles of drug delivery to the body via dosage forms: liquid, solid, semisolid, controlled release, patches, implants
- Materials and methods used in preparation of drug forms
- Physicochemical properties relating to drug entities and dosage forms
- Principles of drug and dosage form stability, including chemical degradation and physical instability
- Pharmacokinetics
- Basic principles of in-vivo drug kinetics (linear and nonlinear)
- Principles of bioavailability and bioequivalence
- Physiologic determinates of drug onset and duration, including disease and dietary influences on absorption, distribution, metabolism, and excretion
- Pharmacogenomics and Genetics
- Molecular genetics, genomic, proteomic, and metabolomic principles that serve as a foundation for pharmacogenomics and the genetic basis of disease
- Genetic variants affecting drug action and metabolism, adverse drug reactions, and disease risk that influence the practice of personalized medicine
- Sterile and Nonsterile Compounding
- United States Pharmacopeia guidelines on sterile and nonsterile compounding, hazardous drugs, and FDA regulation of compounding
- Techniques and principles used to prepare and dispense individual extemporaneous prescriptions, including dating of compounded dosage forms
- Dosage form preparation calculations
- Sterile admixture techniques, including stability, clean-room requirements, sterility testing, and dating

Area 3.0 Social/Behavioral/Administrative Sciences (Approximately 22% of Test)
- Health Care Delivery Systems and Public Health
- Organization of health care delivery systems at the national, state, and local levels: various settings where pharmacy is practiced and the structure of health care delivery systems such as managed care organizations, accountable care organizations, health departments
- Health care delivery financing in the United States
- Social, political, and economic factors that influence the delivery of health care in the United States
- Public Health and Wellness: chronic disease prevention, health promotion, infectious disease control, demographics, physical, social, and environmental factors leading to disease, comparing and contrasting public health with individual medical care
- The health care delivery system compared and contrasted with that of other industrialized nations
- Population-Based Care and Pharmacoepidemiology
- Data sources and analytic tools that provide an estimate of the probability of beneficial or adverse effects of medication use in large populations
- Application of epidemiological study designs to evaluate drug use and outcomes in large populations
- Methods for continually monitoring unwanted effects and other safety-related aspects of medication use in large populations
- Economic and Humanistic Outcomes of Health Care Delivery
- General microeconomic and general macroeconomic principles
- Pharmacoeconomic analysis and its application to Excellerate the allocation of limited health care resources
- Humanistic outcomes and their application to Excellerate the allocation of limited health care resources
- Pharmacy Practice Management
- Management principles (planning, organizing, directing, and controlling pharmacy resources) applied to various pharmacy practice setting and patient outcomes
- Personnel management
- Planning, including delineation between business and strategic planning
- Marketing of goods and services: product versus service pricing, distribution, promotion
- Accounting and financial management
- Budgeting
- Risk management
- Pharmacy Law and Regulatory Affairs
- Legal and regulatory principles applied to pharmacy practice: dispensing, professional services, drug use control
- Administrative, civil, and criminal liability
- Authority, responsibilities, and operation of agencies and entities that promulgate or administer laws, regulations, or guidances related to practice and prescription and nonprescription medications
- Biostatistics and Research Design
- Research study designs used in medical research
- Application and interpretation of statistical tests and data collection instruments
- Ethical Decision Making
- Principles of biomedical ethics
- Ethical dilemmas in the delivery of patient-centered care including, conflicts of interest, end-of-life decision making, use of codes of ethics, oaths of the pharmacist
- Research ethics
- Professional Communication
- Communication abilities (appropriate verbal, nonverbal, visual, and written) with patient and caregivers, including empathetic communication
- Communication abilities with other health care providers
- Assertiveness and problem-solving techniques in relation to difficult social and professional conflicts and situations
- Measurement and use of health literacy in pharmacy communications
- Development of cultural competency in pharmacy personnel such that services are respectful of and responsive to the health beliefs, practices, and cultural and linguistic needs of diverse patient populations
- Social and Behavioral Aspects of Pharmacy Practice
- Health-, illness-, and sick-role behaviors of patients
- Principles of behavior modification
- Patient adherence to therapies and recommendations
- Caregiving throughout the lifecycle
- Death and dying
- Medication Dispensing and Distribution Systems
- Systems for safe and effective preparation and dispensing of medications in all types of practice settings
- Role of automation and technology: pharmacy informatics, information management
- Continuous quality improvement programs or protocols in the medication-use process, including identification and prevention of medication errors, and establishment of error reduction programs

Area 4.0 Clinical Sciences (Approximately 35% of Test)
- Evidence-based Practice
- Interpret and evaluate drug information
- Apply drug-information skills for the delivery of medication therapy management
- Evaluate the reliability of various sources of information
- Interpret guidelines as they apply in a clinical setting
- Utilize core scientific and systems-based knowledge in the patient care decision-making process
- Utilize basic science principles in the development and/or implementation of drug treatment protocols and clinical practice guidelines
- Evaluate clinical trials that validate clinical appropriateness
- Clinical Pathophysiology
- Apply concepts of pathophysiology to clinical decision making
- Clinical Pharmacokinetics
- Utilize pharmacokinetics to calculate, evaluate, and individualize drug therapy
- Interpret clinical pharmacokinetics of commonly used and low-therapeutic-index drug
s - Clinical Pharmacogenomics
- Utilize pharmacogenomics to calculate, evaluate, and individualize drug therapy
- Disease Prevention and Population Health
- Recognize the proper use of nonpharmacologic therapies, including complementary and alternative medicines
- Describe measures to promote wellness and disease prevention
- Identify the role of immunizations in disease prevention and health promotion
- Patient Assessment
- Describe techniques for obtaining a comprehensive patient history
- Describe how to perform patient physical assessments: inspection, palpation, percussion, auscultation
- Differentiate between normal physical assessment findings and modifications caused by common disease states and drug therapy
- Interpret common clinical laboratory values and diagnostic tests
- Perform calculations related to patient assessment: BMI, CrCl, lab adjustments
- Describe the use of OTC point-of-care testing devices: glucometers, pregnancy tests, home testing for HbA1c, drug screening
- Clinical Pharmacology and Therapeutic Decision Making
- Make therapy recommendations based on dosage calculations, specific uses and indications of drugs and nutritional and support therapy
- Interpret therapeutic drug concentrations
- Assess pharmacotherapy considering contraindications, therapeutic duplications, dietary interactions, adverse drug reactions and interactions, and allergies
- Triage and identify when to refer patients to other health professionals
- Design patient-centered, culturally-relevant treatment plans
- Apply evidence-based decision making to patient care
- Recommend nonprescription and natural product therapies
- Identify and manage drug toxicity, drug-induced diseases, and misuse or abuse
- Monitor drug therapy for misuse, abuse, and non-adherence

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Medical Pharmacy Latest Questions

solutions to questions about COVID booster photographs, mixing and matching | FPGEE Cheatsheet and Study Guide

health certified clarify here is simply regulators responding to new data because it becomes available and this shouldn’t make us much less assured within the pictures’ merits or safety.

“I’ve gotten the feedback, ‘You guys maintain changing your minds and it’s confusing,’” noted Dr. Roberto Colón, chief scientific officer at Premier fitness’s Miami Valley hospital. “nonetheless it’s reacting to new information. it's editing their strategies based on what they are seeing. If they get new information that enables us to be mindful whatever thing superior, and make a product or recommendation greater constructive and safer, they now have a responsibility to reply to that and make the exchange.”

Dr. Roberto Colón, chief scientific officer at Miami Valley clinic

Readers continue to ask concerning the coronavirus pandemic, together with many questions in exact weeks about vaccine boosters. So the Dayton day by day information assembled a panel of relied on local specialists, together with docs and pharmacists, to deliver answers on a daily basis.

here's a guide on all issues booster shots-linked, a way to decide which one to get and where to locate them. when you have particular questions about your own condition, fitness consultants suggest speakme together with your medical professional or different basic care issuer.

Q: What do boosters do for us?

A: Over time, coronavirus vaccines’ ability to avoid transmission has fallen, defined Zachary Jenkins, a scientific pharmacist with Premier fitness and a professor of pharmacy apply at Cedarville college. but their capability to keep away from extreme disease and dying has remained mighty, he noted. In 2021, unvaccinated Ohioans have made up ninety eight% of statewide COVID-19 deaths, in response to the Ohio branch of health.

Zach Jenkins, a medical pharmacist with Premier health and a professor of pharmacy practice at Cedarville institution.

“So probably probably the most advantage you’ll see from boosters at the start is the reduce in average rates of an infection, and there'll doubtless be a reduce in transmission,” Jenkins spoke of. “so that’s, I consider, form of the preliminary target that they’re shooting for. And there’s a huge debate we’re having in public policy and health care if that’s the purpose they may still shoot for, or it will be simply shooting for fighting extreme disease and infection.”

ExploreTell us: Will you get your young child the COVID vaccine?

Q: who's eligible for a coronavirus vaccine booster and why?

A: Adults who obtained an mRNA vaccine (Moderna or Pfizer) are eligible for a booster if they bought both photographs as a minimum six months ago and fall into certainly one of here classes set with the aid of the facilities for ailment manage and Prevention:

  • anyone 65 and older.
  • anyone 18 or older who lives or works in an extended-time period care facility, homeless look after, jail or other congregate setting.
  • front-line personnel 18 or older who are at a higher chance of COVID-19 publicity as a result of their job, together with first responders, lecturers, grocery store personnel and mass transit employees.
  • All adults 18 to 64 who have a ailment or circumstance that raises their probability of coronavirus complications, including: melanoma, chronic kidney disease, persistent liver sickness, chronic lung sickness, dementia or different neurological situations, diabetes, Down syndrome, heart situations, HIV, mental health circumstances, sickle cellphone ailment or thalassemia; are immunocompromised, obese or overweight, a current or former smoker, an excellent organ or blood stem cellphone transplant recipient.
  • Colón defined that the records turned into now not overwhelmingly strong that people with high occupational publicity need a booster, but that neighborhood become delivered as a result of they're critical to holding their society working.

    All grownup Johnson & Johnson recipients are now eligible for a booster dose in the event that they obtained their first dose at the least two months ago. stories exhibit insurance plan from J&J vaccines, whereas respectable, has no longer been as robust as the two-dose mRNA vaccine collection made by Moderna and Pfizer.

    Q: Are booster doses the same as coronavirus vaccines given in the initial sequence?

    A: Federal regulators approved Pfizer and J&J boosters that are the equal as the shots given within the initial collection. Moderna boosters are the identical formula as their original counterpart but given at half the dose.

    ExploreArea docs reply reader questions: Why do the vaccinated care if others are unvaccinated?

    Q: Am I allowed to combine and in shape pictures from distinct producers? And which is the highest quality aggregate?

    A: The meals and Drug Administration lately good enough’d getting a booster shot of any of the three COVID-19 vaccines, even though it’s diverse from the one you at first bought. This sort of mixing and matching has been used in Europe and different locations, peculiarly when supply changed into low. exact experiences display this approach is secure, valuable and may even provide enhanced insurance plan.

    Federal public fitness officers have declined to suggest one mixture of vaccines over yet another.

    “there is obviously some abilities additional benefit from the mixing and matching, which is why it truly is being allowed,” Colón pointed out. “We need to make clear there’s no proof that there is additional chance from that crossover.” however he stated the research doesn’t overwhelmingly point toward one vaccine combination being much more suitable.

    in case you got Pfizer, preliminary research would suggest you get the Moderna vaccine to maximise your antibodies, however a different Pfizer dose is probably going in a similar fashion beneficial.

    in case you received Moderna, you got what looks to be the desirable-performing vaccine and switching manufacturers on your booster can also now not carry a good deal benefit.

    if you obtained J&J, you may also need your second shot to be an mRNA vaccine (Moderna or Pfizer). The different forms of pictures stimulate distinctive materials of the immune device, and a few early research suggests it can be better for J&J recipients to get an mRNA booster.

    “if you had J&J, get an mRNA vaccine,” Jenkins mentioned. “I feel the information is leaning pretty closely in that route. I couldn’t inform you which of these two is greater. It appears like Moderna is better on paper, however they also used twice the dose in that study than what we’re basically using presently.”

    ExploreHealth care people exhausted: ‘We’re combating this fight, and it just continues coming and coming.”

    Moderna boosters are only accessible in half doses, but an entire dose become used as a booster in the existing look at of blending and matching boosters. It’s also value noting that the original dose of Moderna promises more than thrice as lots energetic ingredient in comparison with Pfizer.

    When picking a booster, Jenkins and Colón recommends speaking to your medical professional or different fundamental care company about your very own fitness conditions. You may additionally wish to consider how your physique reacted to the initial sequence.

    or you can also be troubled about distinctive feasible aspect outcomes (youngsters all facet results are infrequent) from distinctive vaccines. males between 16 and 29 might also have an extended chance of establishing gentle coronary heart complications after receiving a Pfizer or Moderna vaccine. And the J&J vaccine has been linked to a small variety of situations of blood clots in ladies between 18 and 50.

    Q: If I had J&J, am i able to have a full Moderna dose?

    “Nope,” Colón spoke of. “The recommendation is a booster dose, which is a half dose of Moderna.”

    if you’re going with the aid of the publication, then no, which you could’t get a full Moderna dose as a booster, Jenkins mentioned.

    “With that noted, there have been some members of the FDA’s advisory panel that puzzled even if the half dose became in reality going to be greater difficult within the long run, as in, will it convert as an awful lot long-term insurance plan,” Jenkins noted. “It hasn’t been permitted that method, but it’s now not going to cease americans from going and asking to get it like they’ve under no circumstances got a vaccine earlier than.”

    ExploreLISTEN: The human toll of COVID-19. ‘we now have misplaced lots of young people.’

    Q: I had my initial sequence of coronavirus vaccines, then I received COVID-19. Do I still want a booster?

    whereas a typical query, here's a unique case that’s now not addressed in any public fitness ideas, Colón noted.

    “What they do recognize is americans who are in that class of getting been prior to now infected then vaccinated appear to have a stronger diploma of immunity of coverage,” he observed. “There isn't a carve out for americans that have been previously infected to assert be sure to or shouldn’t. So within the absence of that, it will nonetheless be anything that might be advised for individuals who've had leap forward an infection after completing the collection that they go ahead and get a booster. The value of that may additionally not be as fantastic as for different americans.”

    Jenkins referred to here's the place clinical nuance and public coverage butt heads.

    “If someone has been in reality infected, the statistics would indicate that probably one shot or two photographs is ample,” he pointed out. “actually, i'm of the opinion that a single shot in somebody that’s been naturally infected, primarily if it’s been recent, that’s likely all that they need.”

    ExploreMore Ohioans than ever below 50 are loss of life from COVID-19

    Q: Will they should get a booster each year?

    Colón observed it’s too early to predict how regularly they could need boosters.

    “i might love to say no, and that we’re going to be done with COVID, but they just don’t comprehend,” he referred to. “We don’t understand if this is going to be an ongoing requirement and whether it is, for the way lengthy? Or if this will simply become an epidemic class of virus that doesn’t require any further immunization.”

    Q: If I’m immunocompromised, how many doses can i get?

    in case you have a weakened immune device and also you obtained the Moderna or Pfizer vaccines, U.S. fitness authorities advocate you get a third dose as a part of the preliminary sequence four weeks after your 2d dose. That capacity you additionally qualify for a booster shot six months after your third dose.

    Q: I’m probably the most americans now not eligible for a booster at this time. may still I be concerned I’m now not correctly blanketed?

    “i might now not be very concerned about that,” Jenkins stated. “If that adult is truly in my view drawn to pursuing a booster shot, that’s a dialog i might have with my health care professional … i might say more than possible, they’re going to be included in opposition t the most severe ingredients of ailment. I wouldn’t actually proceed with too an awful lot problem.”

    Colón defined that younger, match adults are still well protected.

    “So right now in case you take place to be a type of individuals who doesn't meet the indication for the booster, sit down tight,” he stated. “Take the additional precautions and ensure to put on a mask. however recognise you’re now not dropping your insurance policy. The vaccine booster right now may also simply not be as vital for you as it could be for some of these larger chance individuals.”

    ExploreLocal medical doctors reply readers’ questions: COVID vaccine protected for pregnant ladies

    Q: the place am i able to get a booster shot?

    notice that coronavirus vaccines are free for all U.S. residents no matter if or no longer you've got insurance.

    here are one of the crucial native providers administering booster photographs. now not all locations have all three vaccine brands. All of these suppliers additionally offer first and 2nd doses, and third doses for immunocompromised individuals. extra suppliers can even be discovered at

    Premier fitness is providing Pfizer booster shots at clinics across the Dayton enviornment. To make an appointment, go to or name 937-276-4141 seven days every week.

    Kettering fitness is offering the Pfizer booster photographs at a medical institution in Kettering. Make an appointment online at or call 844-576-3627.

    5 Rivers fitness facilities is providing Pfizer and Moderna booster shots. call 937-503-5664 to make an appointment or stroll in in from eight a.m. to 4 p.m. at considered one of two places:

  • family unit health core, 2261 Philadelphia Dr., Dayton
  • clinical Surgical fitness center, 725 S. Ludlow St., Dayton
  • CVS Pharmacy: consult with or name your native pharmacy.

    Kroger Pharmacy: consult with or call 866-211-5320.

    Meijer Pharmacy: talk over with medical, text COVID to 75049 or call your local pharmacy.

    ceremony assist Pharmacy: discuss with

    Walgreens Pharmacy: talk over with

    Walmart Pharmacy: visit

    Butler County everyday fitness District is offering all three manufacturers of boosters at its clinics held from 9 a.m. to midday on the Butler County educational carrier core, four hundred N. Erie Blvd., Suite A, Hamilton. discover health center dates and register for an appointment at Pre-registration is favorite, however walk-ins are welcome.

    The Clark County combined fitness District COVID-19 Vaccination core at one hundred ten W. Leffel Lane in Springfield is open from 9 a.m. to 5 p.m. Monday, Wednesday and Friday; and from 1 to 7 p.m. on Tuesday and Thursday. call 937-717-2439 to schedule an appointment.

    Champaign health District is offering the COVID-19 vaccines on opt for days at 1512 S. U.S. Route sixty eight, Suite Q-100, Urbana. Register online at or call the branch at 937-484-1605.

    Public health-Dayton & Bernard Law Montgomery County is offering Pfizer, Moderna and J&J booster doses at its clinics. discover extra assistance and schedule an appointment on-line at or name 937-225-6217.

    Greene County Public health is offering Pfizer, Moderna and J&J booster doses Tuesday, Thursday and Friday 8:30 to eleven:30 a.m. and 1:30 to 3:30 p.m. on the main office at 360 Wilson pressure, Xenia. you can agenda an appointment at

    Miami County Public health is offering booster pictures via appointment at the fitness department at 510 W Water St., #130, Troy. To make an appointment name 937-573-3500.

    Warren County health District is providing Pfizer and Moderna booster shots on the health branch at 416 S. East St., Lebanon. call 513-695-1229 for an appointment.

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