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Kentucky Pharmacist — Requirements & Free Practice

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Pharmacist License

License to practice pharmacy in Kentucky issued by the Kentucky Board of Pharmacy under KRS Chapter 315.

Licensing authority: Kentucky Board of Pharmacy · Application information

Annual renewal of an active pharmacist license
No examination is required for this applicant pathway.
Application
Pharmacist License Renewal Application with the annual renewal fee (KRS 315.110(1); 201 KAR 2:020 Section 7).
Continuing Education
Board continuing education requirements (KRS 315.065; 201 KAR 2:015).
Timing
License expires on February 28 following issuance (KRS 315.110(1)).

Official no-examination sources

Effective from 2023-12-13.

Initial licensure by examination (graduate of an approved pharmacy degree program)
Age
Not less than eighteen (18) years of age (KRS 315.050(1)).
Application
Initial Application for Pharmacist Licensure via the Licensure Gateway with the Board application fee (201 KAR 2:020 Sections 6(3), 8; Board Initial Pharmacist Licensure page).
Background Check
Nation-wide fingerprint criminal background check by the Kentucky State Police and FBI, and a National Practitioner Data Bank query, prior to approval for examination (201 KAR 2:020 Section 6(1)-(2)).
Character
Good mental health and moral character; certificate of moral character/moral standing with the application (KRS 315.050(1); 201 KAR 2:020 Section 6(3)(k)).
Education
Graduate of an accredited pharmacy degree program approved by the Board, i.e. standards equivalent to ACPE or CCAPP accreditation standards (KRS 315.050(1); 201 KAR 2:010 Section 1); Certification of College Graduation submitted by the college of pharmacy (201 KAR 2:020 Section 6(4)).
Exam Attempts
Three attempts per examination without further Board approval and a lifetime limit of five attempts on each; after three failed attempts a NAPLEX refresher course, or for the MPJE five hours of ACPE or Board-approved pharmacy law continuing education or a refresher course, qualifies the applicant for two additional attempts (201 KAR 2:020 Sections 3-4).
Internship
Proof of completion of an approved internship; Certification of Intern Hours completed by the college of pharmacy or, for hours outside Kentucky, that state board of pharmacy (KRS 315.050(1); 201 KAR 2:020 Section 6(5)).
Renewal of a license expired for five or more consecutive years
Application
Pharmacist license reinstatement process via the Licensure Gateway (Board Pharmacist Reinstatement document).
Continuing Education
Satisfy the Board continuing education regulations (KRS 315.120(3); 201 KAR 2:015).
Examination Source
KRS 315.120(3) requires "a satisfactory examination before the board"; the Board Pharmacist Reinstatement document (revised 3-20-2026) names the NAPLEX and the MPJE.
Fees
Renewal and delinquent penalty fees for each year (KRS 315.120(3); Board Pharmacist Reinstatement document).
Lapse
License not timely renewed for five (5) or more consecutive years (KRS 315.120(3)).
Renewal of a license expired for a consecutive period up to five years
No examination is required for this applicant pathway.
Application
Pharmacist license reinstatement process via the Licensure Gateway (Board Pharmacist Reinstatement document).
Continuing Education
15 hours of CE per calendar year the license was lapsed (Board Pharmacist Reinstatement document; 201 KAR 2:015).
Fees
Cumulative renewal fee and delinquent penalty fee for each year (KRS 315.120(2); Board Pharmacist Reinstatement document).
Lapse
License not timely renewed for a consecutive period up to five (5) years (KRS 315.120(2)).

Official no-examination sources

Effective from 2026-03-20.

Initial licensure by examination for foreign pharmacy graduates (FPGEC certification)
Age And Character
Not less than eighteen (18) years of age, of good mental health and moral character (KRS 315.050(1)).
Application
Proceed with the Initial Pharmacist Application, background check and National Practitioner Data Bank query as for initial licensure (Board page step 5; 201 KAR 2:020 Section 6).
Education
Graduate of a foreign pharmacy degree program (other than a CCAPP-accredited program), deemed a graduate of a Board-approved program on obtaining the Foreign Pharmacy Graduate Examination Committee (FPGEC) Certificate administered by NABP (201 KAR 2:010 Section 2).
Exam Attempts
Attempt limits of 201 KAR 2:020 Sections 3-4 apply to the NAPLEX and MPJE.
Fpgec Certification
Complete the entire FPGEC certification program; the Board page lists a passing grade of the FPGEE, the TSE and the TOFEL (Board Foreign Pharmacist Graduate Information page, step 1). The English-language tests (TOEFL/TSE) are conditions of the FPGEC certificate, not leaves.
Intern Registration
Application for Pharmacist Intern Initial via the Licensure Gateway with a copy of the FPGEC certificate and the $25 payment (Board Foreign Pharmacist Graduate Information page, step 2).
Internship
Complete 1500 internship hours (Board Foreign Pharmacist Graduate Information page, step 3; KRS 315.050(1)).
Return from inactive to active status after more than five consecutive years inactive
Examination Source
201 KAR 2:160 Section 3(2)(b) requires "any satisfactory examinations"; the Board Pharmacist Reinstatement document names the NAPLEX and the MPJE.
Fees
All cumulative annual renewal fees required of active licensees (201 KAR 2:160 Section 3(2)(c)).
Inactive Period
Inactive for more than five (5) consecutive years (201 KAR 2:160 Section 3(2)).
Request
Written notice to the Board requesting active status; the Board acts within sixty (60) days (201 KAR 2:160 Section 3(2)(a)).
Return from inactive to active status after no more than five consecutive years inactive
Multistate Pharmacy Jurisprudence Examination
Continuing Education
Board continuing education requirements for each year of inactive status; the Board document states 15 hours of CE per calendar year inactive (201 KAR 2:160 Section 3(1)(b); Board Pharmacist Reinstatement document).
Examination Source
201 KAR 2:160 Section 3(1)(c) requires "a jurisprudence examination given by the board"; the Board Pharmacist Reinstatement document names the MPJE.
Fees
All cumulative annual renewal fees required for active licensees (201 KAR 2:160 Section 3(1)(d)).
Inactive Period
Inactive for no more than five (5) consecutive years (201 KAR 2:160 Section 3(1)).
Request
Written notice to the Board requesting active status; the Board acts within sixty (60) days (201 KAR 2:160 Section 3(1)(a)).
Licensure by license transfer (reciprocity) for pharmacists licensed in another jurisdiction
Multistate Pharmacy Jurisprudence Examination
Background Check
Nation-wide fingerprint criminal background check and National Practitioner Data Bank query (201 KAR 2:030 Section 2(6)-(7)).
Equivalent Original Requirements
The licensure requirements of the jurisdiction that granted the license met or exceeded Kentucky requirements when that license was granted (201 KAR 2:030 Section 2(1)); any examination passed for that original licence is prior evidence, not a leaf of this route.
Exam Attempts
MPJE attempt limits and the pharmacy-law continuing education or refresher course condition for additional attempts (201 KAR 2:020 Sections 3-4; Board Reciprocal Licensure page).
Fee
Application and initial license transfer fee and NPDB query fee (201 KAR 2:030 Section 5(2)).
Nabp Transfer Application
Complete and certify the NABP Preliminary Application for Transfer of Pharmacist License and receive the NABP Official Application for Transfer of Pharmacist License; the Board page directs completing the NABP License Transfer application upon passing the MPJE (201 KAR 2:030 Section 2(3); Board Reciprocal Licensure page, step 3).
Other Jurisdiction License
Holds in good standing an active license to practice pharmacy in another jurisdiction and is currently in good standing in the jurisdiction from which he or she applies (201 KAR 2:030 Section 2(2), (4)).
Source Jurisdiction
The Board accepts license transfer applications from jurisdictions that are active NABP members and grant license transfers on equivalent conditions (201 KAR 2:030 Section 4).
Servicemembers Civil Relief Act license portability for servicemembers and spouses relocated to Kentucky on military orders
No examination is required for this applicant pathway.
Application
Application for initial pharmacist licensure without the Certificate of College Graduation or Certification of Intern Hours; any application fee is waived (Board SCRA guidance).
Board Jurisdiction
Submits to the Kentucky Board of Pharmacy for standards of practice, discipline and continuing education (Board SCRA guidance criterion 5).
Covered License
Holds a covered pharmacist license from another jurisdiction, actively used during the two years immediately preceding the move, and remains in good standing with the issuing authority and every other authority that issued a license for a similar scope of practice (50 U.S.C. 4025a(a), (f)(1); Board SCRA guidance criteria 3-4).
Military Orders
Moved because of orders for military service and provides a copy of the military orders; a spouse provides a copy of the marriage license (Board SCRA guidance criteria 1-2 and application documents).

Official no-examination sources

Effective from 2024-12-23.

Inactive Pharmacist License

Inactive license under KRS 315.120(4): the holder may use the term "pharmacist" but may not engage in the practice of pharmacy.

Licensing authority: Kentucky Board of Pharmacy · Application information

Inactive license on application by a Kentucky pharmacist
No examination is required for this applicant pathway.
Application
Annual renewal application and the annual inactive-status fee (201 KAR 2:160 Section 1).
Eligibility
A pharmacist not holding an active pharmacist license in another state or jurisdiction (KRS 315.120(4); 201 KAR 2:160 Section 2).
Scope
The inactive license entitles the holder to use the term "pharmacist" but not to engage in the practice of pharmacy (KRS 315.120(4)).

Official no-examination sources

Effective from 2026-06-16.

Foreign Pharmacy Graduate Equivalency Examination

Provider
National Association of Boards of Pharmacy
Format
Computerized fixed form
Exam questions
200 questions
Time limit
4.5 hours examination time; 5.5 hours total seat time
Passing score
Scaled score of 75
Examination outline
  • Foundational Biomedical Sciences (12%)
    • Anatomy and physiology
    • Biochemistry
    • Medical microbiology
    • Immunology
    • Pathophysiological bases of diseases
  • Pharmaceutical Sciences (31%)
    • Pharmaceutical calculations (eg, dose adjustments, delivery, ionization, ionic strength, isotonicity, ratio/percentage strength, osmolarity)
    • Medicinal chemistry
    • Medicinal chemistry: Physicochemical properties of drugs in relation to drug absorption, distribution, metabolism, and excretion (ADME)
    • Medicinal chemistry: Pathways of drug metabolism
    • Medicinal chemistry: Chemical bases for drug action, including bioorganic chemistry, structure-activity relationships, and fundamental pharmacophores related to drug-receptor interactions
    • Medicinal chemistry: Applicability to making drug therapy decisions
    • Pharmacology and toxicology
    • Pharmacology and toxicology: Pharmacodynamics, including drug-receptor interactions, agonists, antagonists, inverse agonists, and dose-response curves
    • Pharmacology and toxicology: Mechanisms of action of drugs, including biologics
    • Pharmacology and toxicology: Adverse effects and side effects of drugs
    • Pharmacology and toxicology: Mechanisms of drug interactions, including drug-drug, drug-disease, drug-food, drug-allergy, and drug-laboratory interactions
    • Pharmacology and toxicology: Mechanisms of acute and chronic toxic effects of xenobiotics, including drug and chemical overdose or exposure and antidotes
    • Pharmaceutics and biopharmaceutics
    • Pharmaceutics and biopharmaceutics: Dosage form development and drug delivery systems such as immediate release, sustained release, and controlled release
    • Pharmaceutics and biopharmaceutics: Disintegration and dissolution of solid oral dosage forms
    • Pharmaceutics and biopharmaceutics: Physicochemical properties of drugs, excipients, solutions, and dosage forms
    • Pharmaceutics and biopharmaceutics: Physical stability, chemical stability, and shelf-lives, including zero-, first-, second-, and pseudo-order reactions
    • Pharmaceutics and biopharmaceutics: Interactions between drug formulation and biological effects
    • Pharmaceutics and biopharmaceutics: Drug product manufacturing, including methods, processing, and quality assurance
    • Pharmacokinetics
    • Pharmacokinetics: Determining rates of absorption, distribution, metabolism, and excretion (ADME) of drugs
    • Pharmacokinetics: Factors affecting rates of ADME, including age, sex, genetics, diet, disease, and drug interactions
    • Pharmacokinetics: Biological half-lives of drugs and related dosing
    • Pharmacokinetics: Compartment models (one-, two-, and non-)
    • Pharmacokinetics: Linear and nonlinear pharmacokinetics
    • Pharmacokinetics: Principles of bioavailability, bioequivalence, and biosimilars
    • Pharmacogenomics (eg, population-based genetic influences on drug metabolism and efficacy, genetic testing, tumor genotyping, pharmacogenetic screening)
    • Extemporaneous compounding (eg, United States Pharmacopeia (USP) standards including Chapters <795>, <797>, and <800>; dosage form preparation calculations; techniques used to prepare and dispense sterile and nonsterile preparations)
  • Social, Behavioral, and Administrative Sciences (20%)
    • Pharmacy law and ethics
    • Pharmacy law and ethics: Laws and regulations governing pharmacy
    • Pharmacy law and ethics: Regulatory, oversight, and professional organizations
    • Pharmacy law and ethics: Principles and application of biomedical ethics
    • Health care systems
    • Health care systems: Organization, regulation, and financing of health care delivery in the United States
    • Health care systems: Factors that influence delivery and use of health care (eg, social, political, economic, and technological)
    • Pharmacoeconomics (eg, analysis, interpretation, application, humanistic outcomes)
    • Population-based care, pharmacoepidemiology, and public health
    • Population-based care, pharmacoepidemiology, and public health: Data sources and analytic tools
    • Population-based care, pharmacoepidemiology, and public health: Application of epidemiological study design
    • Population-based care, pharmacoepidemiology, and public health: Health promotion, disease prevention, and infection control
    • Population-based care, pharmacoepidemiology, and public health: Continuous quality improvement
    • Population-based care, pharmacoepidemiology, and public health: Social determinants and drivers of health
    • Practice management
    • Practice management: Financial management and budgeting
    • Practice management: Personnel management
    • Practice management: Business and strategic planning
    • Practice management: Risk management
    • Practice management: Procurement and inventory control
    • Professional communication
    • Professional communication: Verbal, nonverbal, written, and technology-based communication with patients, caregivers, providers, and stakeholders
    • Professional communication: Health literacy
    • Biostatistics and research methods (eg, study design, statistical tests, data collection instruments, research ethics)
    • Social and behavioral aspects of practice
    • Social and behavioral aspects of practice: Patient behavior including health-, illness-, and sick-role
    • Social and behavioral aspects of practice: Principles of behavior modification
    • Social and behavioral aspects of practice: Patient adherence
    • Social and behavioral aspects of practice: Cultural awareness
  • Pharmacy Practice and Clinical Sciences (37%)
    • Clinical pathophysiology as it applies to treatment of disease processes
    • Data collection (eg, patient history, physical assessments, laboratory values, point-of-care testing)
    • Data assessment (eg, clinical calculations, interpretation of data, diagnosing)
    • Patient-care decision making, therapy recommendations, and education (eg, plan, implement, monitor, follow-up)
    • Patient safety (eg, drug interactions, toxicity, drug-induced disease, drug use disorders)
    • Disease prevention (eg, screenings, immunization, non-pharmacological therapies, lifestyle modifications)
    • Personalized medicine (eg, pharmacokinetics, pharmacogenetics)
    • Evidence-based practice
    • Evidence-based practice: Practice guidelines
    • Evidence-based practice: Drug information and evaluation
    • Evidence-based practice: Information source reliability
    • Evidence-based practice: Clinical trial evaluation
    • Self-care, including using natural products
Examination sources

Multistate Pharmacy Jurisprudence Examination

Provider
National Association of Boards of Pharmacy (NABP); scheduled with Pearson
Format
Computer-based adaptive examination of selected-response questions
Exam questions
120
Time limit
2.5 hours
Passing score
Pass/fail
Examination outline
  • Licensure/Personnel (22%)
    • Responsibilities of the pharmacist and non-pharmacist personnel
    • Qualifications, scope of duties, limitations, and restrictions of duties, or conditions to practice for pharmacists-in-charge (or equivalent) and pharmacists
    • Qualifications, scope of duties, limitations, and restrictions of duties, or conditions to practice for non-pharmacist personnel
    • Licensures, registrations, and certifications for pharmacists or non-pharmacist personnel
    • Qualifications, examinations, internships, maintaining pharmacist competency, and renewals of licensures, registrations, or certifications
    • Classifications and processes of disciplinary actions
    • Reporting to and participating in programs addressing the inability to practice with reasonable skill and safety
  • Pharmacist Practice (33%)
    • Requirements for issuing prescriptions/drug orders
    • Requirements for drug uses, limitations, or restrictions
    • Scope of authority, scope of practice, limitations or restrictions of practice, and valid registration of practitioners who are authorized to prescribe, dispense, or administer drugs
    • Requirements for issuing non-controlled prescriptions/drug orders
    • Requirements for issuing controlled prescriptions/drug orders
    • Authority limitations of practitioners’ ability to authorize refills
    • Conditions under which the pharmacist or non-pharmacist personnel participates in the administration of drugs in the management of patients’ therapy
    • Requirements regarding counseling
    • Counseling or offering to counsel
    • Documenting counseling or documenting offering to counsel
    • Returning or reusing drugs
    • Regulations and agencies regarding pharmacy practice
    • Requirements for promoting quality and safety of public health
    • Protecting patient and health record confidentiality
  • Dispensing Requirements (24%)
    • Responsibilities for determining whether prescriptions/drug orders are issued for a legitimate medical purpose, and within all applicable restrictions
    • Transferring prescription/drug order information between pharmacies by authorized personnel
    • Prospective drug utilization reviews
    • Requirements for reporting to PMP and accessing PMP data
    • Exceptions to dispensing or refilling prescriptions/drug orders
    • Labeling of dispensed drugs
    • Packaging of dispensed drugs
    • Drug product conditions prohibiting dispensing
    • Requirements for the distribution and/or dispensing of non-prescription pharmaceutical products, including controlled substances and hazardous drugs
    • Dispensing or administration
    • Labeling of non-prescription drugs and devices
    • Packaging and repackaging of non-prescription drugs and behind-the-counter products
    • Dispensing-restricted, non-prescription drugs
  • Pharmacy Operations (21%)
    • Ordering, acquisition, and distribution of drugs, including maintenance and content of such records
    • Ordering and acquisition, including the maintenance and content of such records
    • Distribution, including the maintenance and content of such records
    • Recordkeeping in compliance with legal requirements, including content, inventory, maintenance, storage, handling, and reporting
    • Non-dispensing requirements for operations of pharmacies or practice settings
    • Possession, storage, and handling of non-hazardous drugs
    • Training, possession, handling, storage, and disposal of hazardous drugs
    • Allowing non-pharmacist personnel access to drugs
    • Requirements for conducting controlled substance inventories
    • Delivery of drugs
    • Conditions for permitted or mandated product selection
    • Compounding sterile, nonsterile, hazardous, and non-hazardous preparations
    • Centralized prescription processing or central-fill pharmacy dispensing
    • Requirements for the registration, licensure, certification, or permitting of a practice setting or business entity
    • Requirements for registration, license, certification, or permitting of a practice setting
    • Requirements for the renewal or reinstatement of a license, registration, certificate, or permit of a practice setting
    • Requirements for an inspection of a licensed, registered, certified, or permitted practice setting
    • Classifications and processes of disciplinary actions that may be taken against a registered, licensed, certified, or permitted practice setting
Examination sources

North American Pharmacist Licensure Examination

Provider
National Association of Boards of Pharmacy
Format
Computerized fixed form
Exam questions
225 questions
Time limit
6 hours
Passing score
Pass or Fail
Examination outline
  • Foundational Knowledge for Pharmacy Practice (25%)
    • Pharmaceutical science principles and concepts
    • Pharmaceutical science principles and concepts: Pharmacology
    • Pharmaceutical science principles and concepts: Pharmacokinetics, pharmacodynamics, or pharmacogenomics
    • Pharmaceutical science principles and concepts: Pharmaceutics
    • Pharmaceutical compounding
    • Pharmaceutical compounding: Nonsterile preparations
    • Pharmaceutical compounding: Sterile preparations
    • Pharmaceutical calculations
    • Pharmaceutical calculations: Patient parameters or laboratory measures
    • Pharmaceutical calculations: Quantities of drugs to be dispensed or administered
    • Pharmaceutical calculations: Rates of administration
    • Pharmaceutical calculations: Dose conversions
    • Pharmaceutical calculations: Drug concentrations, ratio strengths, osmolarity, or osmolality
    • Pharmaceutical calculations: Quantities of drugs or ingredients to be compounded
    • Pharmaceutical calculations: Nutritional needs and the content of nutrient sources
    • Pharmaceutical calculations: Biostatistical, epidemiological, or pharmacoeconomic measures
    • Pharmaceutical calculations: Pharmacokinetic parameters
    • Drug development processes (eg, clinical trial phases, emergency use authorizations)
    • Research design principles and biostatistics (eg, blinding, randomization, biases, statistical tests and outcomes, ethics)
    • Retrieval, assessment, and interpretation of primary, secondary, and tertiary resources
  • Medication Use Process (Prescribing, Transcribing and Documenting, Dispensing, Administering, and Monitoring) (25%)
    • Prescriptions and medication order interpretation
    • Prescriptions and medication order interpretation: Drug names and therapeutic classes
    • Prescriptions and medication order interpretation: Indications, usage, and dosing regimens
    • Prescriptions and medication order interpretation: Available dosage forms
    • Prescriptions and medication order interpretation: Prescription regulations (eg, boxed warnings, risk evaluation and mitigation strategies)
    • Prescriptions and medication order interpretation: Safety and effectiveness (eg, laboratory parameters, vital signs)
    • Therapeutic substitutions (eg, formulary restrictions, therapeutic alternatives, shortages, biosimilars)
    • Immunization services and documentation
    • Immunization services and documentation: Indications and scheduling
    • Immunization services and documentation: Contraindications and precautions
    • Immunization services and documentation: Storage and handling
    • Immunization services and documentation: Administration (eg, techniques, preparation, routes)
    • Immunization services and documentation: Adverse reactions
    • Medication handling, storage, stability, and disposal (eg, hazardous and nonhazardous drugs, controlled substances, parenteral medications, sharps handling, temperature control)
  • Person-Centered Assessment and Treatment Planning (40%)
    • Medication history, allergy history, and reconciliation
    • Health histories, screenings, and assessments
    • Patient health conditions, including special populations and medication-related factors
    • Patient health conditions, including special populations and medication-related factors: Signs, symptoms, and findings of medical conditions, etiology of diseases, or pathophysiology
    • Patient health conditions, including special populations and medication-related factors: Appropriateness of therapy (eg, medications, immunizations, non-drug therapy, dosing, contraindications, warnings, evidence-based decision making)
    • Patient health conditions, including special populations and medication-related factors: Interactions (eg, drug-drug, drug-condition, drug-food, drug-allergy, drug-laboratory)
    • Patient health conditions, including special populations and medication-related factors: Errors and omissions (eg, dosing, duplication, additional therapy needed, unnecessary therapy)
    • Patient health conditions, including special populations and medication-related factors: Adverse drug reactions
    • Patient health conditions, including special populations and medication-related factors: Toxicologic exposures and overdoses
    • Patient health conditions, including special populations and medication-related factors: Adherence
    • Therapeutic monitoring, plan development, evaluation, and modifications
    • Therapeutic monitoring, plan development, evaluation, and modifications: Therapeutic goals, clinical endpoints, and follow-up
    • Therapeutic monitoring, plan development, evaluation, and modifications: Safety
    • Therapeutic monitoring, plan development, evaluation, and modifications: Effectiveness
    • Patient education
    • Patient education: Lifestyle modifications and health maintenance
    • Patient education: Medication use, storage, and disposal
    • Patient education: Disease state management
    • Over-the-counter medications and dietary supplements
    • Devices to administer medications and self-monitoring tests
  • Professional Practice (5%)
    • Adverse drug event reporting and medication error reporting (eg, MedWatch, VAERS)
    • Public health initiatives and risk-prevention programs (eg, tobacco and nicotine cessation, antimicrobial stewardship, health screenings, opioid stewardship)
    • Social determinants and drivers of health
    • Ethical considerations (eg, informed consent, ethical principles, professional conduct and responsibility, patient confidentiality)
  • Pharmacy Management and Leadership (5%)
    • Pharmacy operations (eg, operational planning, risk management, regulations and regulatory bodies, technology applications and informatics, error-prevention strategies, medication safety)
    • Inventory and supply management (eg, drug recalls, drug shortages)
    • Quality improvement activities (eg, medication use evaluation, root-cause analysis, continuous quality improvement)
    • Mentorship and preceptorship (eg, providing and receiving feedback, delegation of work activities, preceptor roles)
Examination sources