NAPLEX® Scoring Guide : Understanding NAPLEX Scores and Results

Understanding how the NAPLEX® is scored is essential for success. This guide explains the exam’s pass/fail scoring system, performance report for those who don’t pass, and how to check your results, ensuring you’re informed throughout the process.
Pharmacy student reviewing NAPLEX score

The North American Pharmacist Licensure Examination (NAPLEX®) is a standardized, computer-based exam developed by the National Association of Boards of Pharmacy® (NABP®). It assists state boards of pharmacy in evaluating a candidate’s pharmacy skills and knowledge for licensure as an entry-level pharmacist in the United States. Passing the NAPLEX is 1 of the many challenging steps required to become a licensed pharmacist.

This article provides information on the NAPLEX scoring process, NAPLEX results, including performance reporting, and other commonly asked questions about how the exam is scored. 

How Is the NAPLEX® Scored? 

Exam results are reported as “Pass” or “Fail,” with no numerical score provided. The “pass” threshold is based on a scaled score cut point of 75, which indicates that the minimum competency to practice pharmacy independently has been met.

You have the option to allow NABP to share your exam results with your pharmacy school through an opt-in waiver before starting the exam. While sharing results is optional, it’s encouraged to help schools track class pass rates. It won’t affect your degree.

Why Did the NABP Stop Reporting Numerical Scores?

The NABP stopped reporting numerical scores because the test determines whether a candidate is “competent” or “not competent” for entry-level practice. Therefore, a “pass” (competent) or “fail” (not competent) result is valid, while a numerical score is not (numerical scores are not supported by the evidence when analyzing the purpose of the exam).

Why Do Some Candidates Receive a Numerical NAPLEX Score?

Currently, the NABP releases results, including a numerical score, to the board of pharmacy for the state designated on the candidate’s NAPLEX application. It is up to each state board whether or not to share numerical results with test-takers in their state; most states do not share their candidates’ numerical scores. Candidates from some areas will still receive a numerical score, but this is much less common than the “pass” or “fail” result.

Topics on the NAPLEX and How They Are Distributed

The NAPLEX Content Domains outline the general practice areas covered on the 225-item exam. They provide crucial information about the knowledge, judgment, and skills that an entry-level pharmacist is expected to demonstrate. A solid understanding of the content domains and their distribution on the exam will help you prepare. Keep in mind that only 200 questions count toward your score, while 25 are unscored pretest questions. The following table provides a broad overview of the 5 content domains tested and the expected proportion of questions in each area.

Content Domain % of Test # of Items
1. Foundational Knowledge for Pharmacy Practice 25% 50
2. Medication Use Process (Prescribing, Transcribing
and Documenting, Dispensing, Administering, and
Monitoring)
25% 50
3. Person-Centered Assessment and Treatment Planning 40% 80
4. Professional Practice 5% 10
5. Pharmacy Management and Leadership 5% 10

How Many People Pass the NAPLEX?

NABP publishes annual pass rates for the NAPLEX on its website. The following are the pass rates for graduates of programs accredited by the Accreditation Council for Pharmacy Education (ACPE®) between 2023 and 2025.

  • Graph View
  • Table View
NAPLEX Pass Rates for 2023–25
Graduates of ACPE-Accredited Programs
Year First-Time
Attempts
First-Time
Pass Rate
All Attempts All Attempts
Pass Rate
2023 12,305 76.4% 16,275 71.2%
2024 11,136 75.9% 14,316 72.2%
2025 9,869 86.8% 10,632 85.6%
Summary of School Pass Rates
Graduation Year 2023 2024 2025
School Count 143 142 142
Mean First-Time Pass Rate 75.5% 74.3% 85.7%
Standard Deviation First-Time Pass Rate 11.1% 13.8% 11.5%
2 Standard Deviation Below Mean First-Time Pass Rate 53.3% 46.8% 62.7%
Mean All-Time Pass Rate 71.5% 71.8% 84.9%
Standard Deviation All-Time Pass Rate 11.8% 13.2% 11.7%
2 Standard Deviation Below Mean All-Time Pass Rate 48% 45.5% 61.4%

How to Check Your NAPLEX Results

By submitting an application for the NAPLEX, you authorize NABP to release your exam results to your state’s pharmacy board. Unless NABP has withheld or invalidated your exam results, NABP will forward them to the board from which you are seeking licensure, as well as any jurisdiction to which you have requested NAPLEX score transfer.

The majority of states upload NAPLEX results to the candidate’s NABP e-Profile. Candidates can access their results by logging into their profile and selecting the “Exam Services” and “Exam Results” tabs. Candidates with a failed exam result can access their Candidate Performance Report in their e-Profile by clicking “View Report” under the “Exam Results” tab. This report will include additional information about the candidate’s performance.

Candidates seeking a license in California, Guam, Illinois, Minnesota, Puerto Rico, or the U.S. Virgin Islands will receive their results directly from the board of pharmacy or the governing body of that state or territory (typically by mail). 

How Long Does It Take to Get Your NAPLEX Results?

The majority of candidates will receive their NAPLEX results within 14 business days of taking the exam. Exam results are available in your NABP e-Profile for the majority of states. Waiting times may differ for candidates from states that do not participate in the NABP’s online exam results interface.

What Happens If I Fail the NAPLEX?

Candidates who receive a “fail” result on the NAPLEX can access their Candidate Performance Report in their e-Profile to see details about their performance. This report was developed to assist test-takers by providing a breakdown of achievement levels within each competency area. Candidates can use the report to improve their preparation (and thus their chances of success) for future NAPLEX attempts. 

What Details Are Provided in the NAPLEX Candidate Performance Report?

The NABP Candidate Performance Report provides feedback on how the candidate performed across the 5 tested content domains. Performance in each area is rated using 1 of the following descriptors:

  • Level 1: Far below the minimum performance
  • Level 2: Does not meet the minimum performance
  • Level 3: Meets the minimum performance
  • Level 4: Exceeds the minimum performance

How Often Can the NAPLEX Be Taken?

Individuals who fail the NAPLEX may retake the exam up to 5 times, contingent upon eligibility determination by the state board of pharmacy. That is, some states may allow fewer attempts, but no state allows more than 5. Candidates are allowed a maximum of 3 attempts per 12-month period, which will require reapplying and paying the appropriate application fees again.

Eligibility must be confirmed by the state board of pharmacy to which the candidate is applying. The candidate must wait 45 days before reapplying, the mandatory waiting period set by NABP. If a candidate fails all 3 attempts, they must wait at least 12 months from the first attempt before trying again.

Can a NAPLEX Score Be Transferred?

The NAPLEX score transfer program expedites the transfer of exam results to multiple states where candidates wish to obtain a pharmacy license. If you participate in the score transfer program, your exam result will be applicable to the licensure requirements of the selected states. The state boards of pharmacy have sole discretion over licensing decisions. 

NAPLEX Score Transfer Process

The NAPLEX score transfer program allows quick score transfers to multiple boards of pharmacy in states where candidates wish to obtain pharmacy licensure. Candidates can purchase NAPLEX score transfers when purchasing the exam or up to 89 days after taking the exam. Each score transfer request requires a fee.

Transfers of scores will be processed whether or not you pass the NAPLEX exam. You must purchase a new transfer request if you retake the exam and wish to transfer your score again. 

How Long Is a Score Transfer Valid?

The duration of score transfer validity varies by location. All 50 states, the District of Columbia, Guam, Puerto Rico, and the U.S. Virgin Islands allow NAPLEX score transfers. However, it is advisable to contact individual state boards of pharmacy for additional information (e.g., current board fees and updated participation information).

Frequently Asked Questions (FAQs)

NABP moved to a “pass” or “fail” scoring system in 2021 and no longer discloses numerical scores to applicants. Instead, applicants are notified that their result is either “pass” or “fail.”

The exam has 225 questions, but only 200 are used to calculate the exam result. The other 25 questions are experimental and”do not affect your exam result. You will not know which questions these are as they are interspersed throughout the exam, so treat every question as if it counts. The final result is based on a scaled score, not the “total correct answers.”

Because the NAPLEX is a pass/fail exam, there is no reported average score. Instead, the NABP reports annual pass rates. In 2025, 86.8% of first-time test takers from ACPE-accredited programs passed.

Read More About the NAPLEX

About the NAPLEX Exam

Want to find out more about NAPLEX? This page contains all the information you need about the NAPLEX, including the exam format.

NAPLEX Registration, Cost, and Eligibility

Are you prepping for the NAPLEX? Here is all the information you need regarding NAPLEX registration, eligibility, cost, and exam day checklist.

NAPLEX Study Guide

Want expert advice to help you prepare to pass the NAPLEX? Learn about NAPLEX preparation with our comprehensive NAPLEX Study Guide and study planners.

NAPLEX Content Outline

Are you interested in the NAPLEX Content Outline? This article contains the NAPLEX content domains (content areas) and outlines the core areas tested on the exam, guiding you through the knowledge and skills required for licensure.

View More...
Scroll to Top