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Exam Number : FPGEE
Exam Name : Foreign Pharmacy Graduate Equivalency
Vendor Name : Medical
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FPGEE Exam Format | FPGEE Course Contents | FPGEE Course Outline | FPGEE Exam Syllabus | FPGEE Exam Objectives

The Foreign Pharmacy Graduate Equivalency Exam®, 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 exam 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 topics 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 Exam Committee™ (FPGEC®) Certification is required for
foreign-educated pharmacists seeking to apply for the pharmacy licensing exams (including the North
American Pharmacist Licensing Exam® (NAPLEX®) and Multistate Pharmacy Jurisprudence
Exam® (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 Exam® (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 improve the allocation of limited health care resources

- Humanistic outcomes and their application to improve 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
- 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 exams: inspection, palpation, percussion, auscultation

- Differentiate between normal physical exam findings and modifications caused by common disease states and drug therapy

- Interpret common clinical laboratory values and diagnostic tests

- Perform calculations related to patient exam: 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 Graduate PDF Download


Intensive Medical Sciences

Applications for the 2024/25 academic year will open in October 2023.

The Intensive Medical Sciences (IMS) program has been helping students matriculate and succeed in medical school since 1981. The oldest post-bac program of its kind, IMS is a ‘Special Master’s’ program, where students take medical school equivalent coursework to demonstrate their readiness for the rigor of a medical school program. The IMS program has helped hundreds of students matriculate and succeed in medical schools across the country.

Located in the new, state-of-the-art Health Science Building on Drexel’s main campus in the heart of University City, this accelerated master’s program begins in August and ends in late May. This allows students who are ready to apply to medical schools while in the program to matriculate into medical school following its completion. Some students apply after graduation. Once onboarded into the program, our advisors work with each student to put together their strongest application.

Applicants to the Intensive Medical Sciences program include students who are:

  • Interested in improving their academic record before applying or reapplying to medical school
  • Interested in applying to dental, or other health professional schools
  • Interested in immersing themselves in rigorous coursework during their growth year
  • Focus on Academics

    Students take courses equivalent to the first year of medical school, including: Medical Biochemistry, Physiology, Microanatomy, Immunology, Neuroanatomy and Nutrition. Medical school lectures are digitally recorded and accessible online via streaming video.

    Additionally, students engage in course conferences and laboratory components conducted at the Center City Campus by the medical school faculty. Historically, the IMS program has proven successful in helping students gain entry into highly selective medical schools throughout the United States, including Drexel University College of Medicine.

    Learn more about the curriculum

    Focus on Success

    We have established affiliation agreements with several medical schools that offer our Intensive Medical Sciences students interviews upon successful completion of the IMS program provided that students meet specific GPA and MCAT benchmarks. For the MD program at Drexel University College of Medicine, a student must be currently enrolled in the IMS program to be eligible for the guaranteed interview.

    Our advisors support student throughout the entire program, including the application process.

    Focus on Options

    Intensive Medical Sciences students are well prepared and supported while applying to either medical school, dental or other health professional schools.

    Some students require two consecutive years of strong academic performance in a rigorous graduate post-bac program before applying to medical schools. IMS students may opt to spend a second year doing research through the Master of Science in Medical Sciences program or choose to pursue alternative pathways within the Biomedical Science program, offered through Drexel’s School of Biomedical Engineering, Science and Health Systems.

    Meet Our Students & Alumni Wenxin Zhu, Intensive Medical Sciences Program Wenxin Zhu

    "I felt the Intensive Medical Sciences program was the perfect fit for me because it was a one-year program that allowed me to take the same classes as first-year medical students, giving me a better idea of what I can expect and show my growth as a student since my undergraduate studies." Read more.

    Patrice Clemenza, Intensive Medical Sciences Patrice Clemenza

    "Throughout high school and college I shadowed different physicians and volunteered at hospitals further solidifying my decision to go into medicine. My volunteer experiences were instrumental in my decision because I enjoyed working together with patients helping solve their problems." Read more.

    Dedicated Faculty Letter Writers

    Students in the Intensive Medical Sciences program receive additional support by an assigned faculty letter writer who will provide a letter of evaluation for application to health professional schools. See a list of faculty letter writers to the Intensive Medical Sciences program.

    Graduate Medical Education

    15 medical schools tied to the most graduate debt

    In 2022, medical students graduated with an average debt of $184,000, though students at some medical schools incur much more debt for their education, according to U.S. News. 

    The publication collected average debt data from 2022 graduates from 122 medical schools ranked for both research and primary care last year. Among the 15 medical schools where graduates leave with the most debt, the average amount was $254,000. Nine of the 15 schools tied to the most debt are private. 

    Here is a list of 15 medical schools where students graduate with the highest average debt: 

    Nova Southeastern University Patel College of Osteopathic Medicine (Fort Lauderdale, Fla.)  — $322,067

    Western University of Health Sciences (Pomona, Calif.)  — $281,104

    West Virginia School of Osteopathic Medicine (Lewisburg):  — $268,416

    New York Medical College (Vahalla)  — $262,173

    Eastern Virginia Medical School (Norfolk)  — $262,064

    Michigan State University College of Osteopathic Medicine (East Lansing) — $261,527

    Geisinger Commonwealth School of Medicine (Scranton, Pa.) — $252,666

    Michigan State University College of Human Medicine (East Lansing) — $247,627

    Drexel University (Philadelphia) — $244,642

    Ohio University (Athens) — $239,810

    University of Southern California (Los Angeles) — $239,037

    Tufts University (Medford, Mass.) — $238,181

    University of Miami (Coral Gables, Fla.) — $233,810

    Vanderbilt University (Nashville, Tenn.) — $233,131

    Rutgers New Jersey Medical School (Newark) — $231,072

    Note: Two schools — West Virginia School of Osteopathic Medicine and Michigan State University College of Osteopathic Medicine — declined to submit a survey and the data is from the data collection period used for the 2022 version of the list. . 


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