Medication and prescriptions are often an essential link to a patient’s recovery and well-being. A record breaking 5.8 billion prescriptions were dispensed in 2018, at a rate of over 17 prescriptions per person per year in the United States. However, according to the World Health Organization (“Adherence to Long-term Therapies: Evidence for Action”), over 50 percent of patients who suffer from chronic disease do not take their medications as prescribed. Pharmacists are often the last person a patient interacts with before taking a medication and they can improve patient outcomes by building relationships and being an accessible piece of the healthcare system.

Pharmacists have extensive knowledge about medicines, how medications interact within the body, and state and federal regulations. They also must be skilled communicators who can assess a patient’s knowledge of a medication and convey enthusiasm and trust for a prescribed course of treatment. In addition to direct work with medication and patients, pharmacists often help file insurance forms, manage staff within pharmacies, and administer vaccines.

Education requirements for pharmacy licensure include completing a PharmD degree. These programs generally take four years to complete and don’t require an undergraduate degree for admission. A career in pharmacy can be quite lucrative as the median wage is $126,120 per year. However, reliance on pharmacy techs in pharmacies is increasing, as are mail order prescriptions, so the job growth for pharmacist jobs is projected to remain stagnant between 2018 and 2028 (Bureau of Labor Statistics 2019).

The following guide gives an overview of the pharmacist profession. Included are steps to become a pharmacist, profiles of top pharmacy schools, typical job duties, and licensure requirements.

Pharmacist Specializations & Degree Types

Pharmacists are required to complete a doctor of pharmacy (PharmD) degree. This is usually done in a four-year program at a pharmacy school.

There are numerous specializations that can be pursued either through studies or after completing a PharmD degree, including critical care, compounding, nuclear, oncology, pediatrics, infectious disease, and academic pharmacy. Many schools also offer dual degrees so students can complete a PharmD degree alongside an MBA, MPH, or even a PhD.

Admissions Requirements for Pharmacist Programs

Most PharmD programs require that students have completed extensive prerequisite coursework prior to applying for admission. These courses include biology, microbiology, physics, math, statistics, and chemistry. While it is not necessary to have completed an undergraduate degree, most pharmacy schools are looking for at least two or three years of completed undergraduate coursework. Many pharmacy schools also require prospective students to take the Pharmacy College Admission Test (PCAT) and submit their test scores.

Pharmacist Program Accreditation

The Accreditation Council for Pharmacy Education (ACPE) is the leading body for accrediting pharmacy schools. They have accredited over 120 programs across the US and guarantee those schools meet the highest standards in pharmacy education.

On-Campus Pharmacist Degree Programs

University of North Carolina at Chapel Hill – Eshelman School of Pharmacy

The Eshelman School of Pharmacy has been ranked the number one pharmacy schools in the nation by US News & World Report (2019). This highly competitive and outstanding program features a rigorous curriculum that emphasizes hands-on experiences instead of long lectures. Early on in their education students are part of a multidisciplinary healthcare team that works directly in patient care.

Students in this program also receive a well-rounded education that not only trains them with discipline specific knowledge but also cultivates critical thinking, strong communication skills and and team players. Admissions requirements include at least 72 undergraduate credits, extensive prerequisite courses mostly in science and math, PCAT score submission, and proof of immunizations. Interviews are also a required part of the admissions process and must be attended in person.

  • Location: Chapel Hill, NC
  • Duration: Four years
  • Accreditation: Accreditation Council for Pharmacy Education (ACPE)
  • Tuition: $22,474 per semester

University of Michigan – College of Pharmacy

With competitive tuition prices, high student satisfaction, and excellent graduation rates the University of Michigan College of Pharmacy is an excellent program. Ranked third among the pharmacy programs in the US by US News & World Report, this program trains well-rounded pharmacists. Experiential learning is at the core of this program and students complete over 1,900 hours of hands on learning during their four years of study.

Prospective students are required to submit their application materials including transcripts, PCAT scores, and references through the Pharmacy College Application Service (PharmCAS). A supplemental questionnaire is also required and is available through PharmsCAS. All students applying to the program are also required to attend an on site interview.

  • Location: Ann Arbor, MI
  • Duration: Four years
  • Accreditation: Accreditation Council for Pharmacy Education (ACPE)
  • Tuition: $37,528 per year

Online or Hybrid Pharmacist Degree Programs

Lake Erie College of Osteopathic Medicine – School of Pharmacy

One of the few online PharmD degree programs in the country is offered at Lake Erie College of Osteopathic Medicine. As a pharmacy school that is part of osteopathic program there is an increased emphasis on holistic patient care. This program combines classroom learning with hands-on experience to train students to provide patient centered care for the best outcome possible. Students participate in six Advanced Pharmacy Practice Experiences (APPE), which are six-week rotations in communities and clinics.

The four-year distance learning program affords students the ability to pursue their PharmD degree without having to move to near a campus. The program is full-time and students are expected to dedicate a significant amount of time to their studies. Each summer, students are required travel to the Bradenton, FL campus to complete lab work, casework, and presentations. While this program does not require the PCAT there are extensive course prerequisite requirements and the completion of at least 54 credits from a regionally accredited US college or university.

  • Location: Bradenton, FL
  • Duration: Four years
  • Accreditation: Accreditation Council for Pharmacy Education (ACPE)
  • Tuition: $26,695 per year

Creighton University – School of Pharmacy and Health Professions

Graduates of Creighton University’s School of Pharmacy and Health Professions PharmD online degree program are well poised for employment in a variety of healthcare settings, including government agencies, hospitals, and clinics. With up to date curriculum in pharmacy practices, this program trains students in not only pharmaceutical care but also disease prevention, patient wellness, and disease management.

Creighton also offers its PharmD students the option to pursue a dual degree in either an MBA or a master’s of science in pharmaceutical sciences. This program is completely online allowing students the flexibility to pursue their education wherever they may live. Students are required to complete at least 63 semester-credits (or 95 quarter-credits) prior to applying for admission. Many of those courses must fulfill the prerequisite course requirements. The PCAT test is not required for admission.

  • Location: Omaha, NE
  • Duration: Four years
  • Accreditation: Accreditation Council for Pharmacy Education (ACPE)
  • Tuition: $39,378 per year

How Long Does it Take to Become a Pharmacist?

Students who know they want to pursue a career in pharmacy can complete their degree and obtain licensure in as little as six years after graduating from high school. Some states require internship hours prior to licensure which can extend this timeline.

How To Become a Pharmacist – Step-by-Step Guide

Step 1: Graduate from High School or Complete a Ged (Four Years)

The first step to pursuing a career in pharmacy is completing high school. Students with aspirations to become pharmacists should take courses in chemistry, anatomy, physics, and math in preparation for undergraduate studies. Many undergraduate institutions and pharmacy school accept IB or AP test scores for credit, so taking advanced classes and sitting for the tests can save students both money and time in the long run.

Step 2: Complete Some Undergraduate Coursework (Two to Three Years)

Graduating from an undergraduate institution is not a requirement for most pharmacy programs, but they all require between two to three years of prerequisite courses. Students should carefully study the requirements for the program they wish to attend in order to be sure they take the correct courses, but most schools require courses in chemistry, anatomy, biology, math, statistics, and microbiology. Students should ensure they are attending a regionally accredited institution as most pharmacy schools will not accept credits from unaccredited schools.

Step 3: Take the PCAT Test (Based on State, Timeline Varies)

Many pharmacy schools require students to take the PCAT test in order to be considered for admission. Students should take the test at least six months before they plan on starting pharmacy school.

Step 4: Travel to a Campus For an Interview (Based on College, Timeline Varies)

Interviews are a common component to the admissions process for pharmacy schools. Most schools require an in-person interview prior to admission. Students typically attend interviews while still completing their prerequisite courses.

Step 5: Attend Pharmacy School (Three to Four Years)

Pharmacy school takes four academic years to complete, but there are accelerated tracks that condense it to three calendar years by scheduling summer courses. Students learn about patient care, how drugs work and interact in the body, and how medicine is made.

Step 6: Apply for Eligibility to Take the North American Pharmacist Licensure Examination (NAPLEX) and the Multistate Pharmacy Jurisprudence Examination (MPJE) (Timeline varies)

Prior to taking the NAPLEX and the MPJE students must prove to their state board that they have met the eligibility requirements. This is either done through the National Association of Boards of Pharmacy (NABP) for some states or directly through the local board. Requirements vary by state and students should contact their state’s board to ensure they meet the requirements.

Step 7: Take the NAPLEX Exam (Timeline Varies)

Once a student’s eligibility has been verified they are able to schedule and take the NAPLEX test. This exam measures a students knowledge of pharmacy.

Step 8: Take the MPJE (Based on Jurisdiction, Timeline Varies)

All but five jurisdictions require students to also take the MPJE test. This test evaluates a student’s knowledge of federal and state specific laws regarding pharmacy.

Step 9: Complete State Internship Hours (Based on State, Timeline Varies)

Step 10: Apply for State Licensure (Timeline Varies)

Once a student has met all of the state licensing requirements and passed the required tests with high enough scores, they can apply for a pharmacy license from their state licensing board.

What Do Pharmacists Do?

While most pharmacists work in pharmacies many work in other healthcare settings such as hospitals and long-term care facilities. Some pharmacists even work for corporations or public or government agencies. Typical duties for pharmacists include:

  • Dispensing medication according to a physician’s instructions
  • Verifying that the medication being dispensed won’t interact with other medications the patient is already taking
  • Counseling patients on how to take their medications and ensure they understand the physician’s instructions
  • Warning patients about side effects and adverse reactions
  • Administering vaccinations
  • Advising patients on general health issues such as stress or diet
  • Recommending over-the-counter medications for basic health issues such as a cold, headache, or allergies
  • Maintaining patient health records
  • Filing insurance claims
  • Overseeing other pharmacy staff such as pharmacy technicians and interns

Pharmacist Certifications & Licensure

All pharmacists in the United States are required to have a PharmD degree. Licensure is done individually by state pharmacy boards and requirements vary. The Board of Pharmacy Specialties offers 13 additional certifications that board licensed pharmacists can pursue. Specializations range from ambulatory care to geriatric to transplant pharmacy and more.

How Much Do Pharmacists Make?

According to the Bureau of Labor and Statistics (2019), Pharmacists earn $126,120 per year on average. The top 90 percent of earners make $159,410 or more per year, while the bottom ten percent earns $87,420 per year or less.

Kimmy Gustafson

Kimmy Gustafson


Kimmy is a freelance writer with extensive experience writing about healthcare careers and education. She has worked in public health, at health-focused nonprofits, and as a Spanish interpreter for doctor’s offices and hospitals. She has a passion for learning and that drives her to stay up to date on the latest trends in healthcare. When not writing or researching, she can be found pursuing her passions of nutrition and an active outdoors lifestyle.

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