Your Foreign Pharmacist Coach

7 Practical Tips on How to Become a Pharmacist in the US for an International Grad Pharmacist

April Oliveros

9/24/20242 min read

women's red button-up collared long-sleeved shirt
women's red button-up collared long-sleeved shirt

If you're already a permanent resident or US citizen, you can skip this step. For those of you wondering about sponsorship opportunities, it's important to note that it's quite rare due to the high cost of hiring pharmacists. However, it's always worth researching to see if any companies offer work visa sponsorship.

Practical Tips

Step 1: Educational Requirements

If you have a BS degree and graduated on or after January 2003, consider getting a PharmD instead of a BS in Clinical Pharmacy. PharmD is preferred in the job market, and a BS degree is often less valued in my opinion.

- PharmD vs. BS Clinical Pharmacy: PharmD programs provide comprehensive clinical training and are preferred by employers. Check out the [American Association of Colleges of Pharmacy (https://www.aacp.org/resource/pharmacy-school-admission-requirements) for more details if you want to pursue education in the United States.

Step 2: Choose Your State

Decide where you want to practice. Factors like cost of living, taxes, and state income tax can significantly impact your decision.

- Cost of Living: Research the cost of living in different states to find one that fits your budget. Tools like [NerdWallet's Cost of Living Calculator](https://www.nerdwallet.com/cost-of-living-calculator) can be very helpful.

- State Taxes: Check if the state has state income tax. States like Florida and Texas do not have state income tax, which might be beneficial.

Step 3: FPGEE Preparation

For the Foreign Pharmacy Graduate Equivalency Examination (FPGEE), follow the NABP blueprint. Remember, you must take the TOEFL before the FPGEE.

- NABP Blueprint: Detailed information and study guides can be found on the [NABP website](https://nabp.pharmacy).

Step 4: Pick Your Area of Practice

There are many areas in pharmacy, such as retail, hospital, clinic work, remote roles (like prior authorization), pharmaceutical industry, and others. Choose an area that aligns with your interests and strengths. For example:

- Retail Pharmacy: Suitable if you enjoy a fast-paced environment and direct customer interaction.

- Hospital Pharmacy: Focuses on patient care in a hospital setting.

- Ambulatory Care: Provides outpatient services and often involves long-term patient care.

- Remote Roles: Includes jobs like prior authorization and medication therapy management.

Step 5: Licensing Process

The usual steps include:

- TOEFL: Test of English as a Foreign Language.

- FPGEE: Foreign Pharmacy Graduate Equivalency Examination.

- Internship: Required hours vary by state.

- NAPLEX: North American Pharmacist Licensure Examination.

- MPJE: Multistate Pharmacy Jurisprudence Examination.

Check your state's Board of Pharmacy for specific requirements.

Step 6: Networking and Mentorship

Networking and finding a mentor are crucial during your training. Show a strong work ethic and dedication to earn respect in the field.

- Networking Tips: Join professional organizations like the [American Pharmacists Association (APhA)](https://www.pharmacist.com) and attend conferences.

Step 7: Continuous Learning

Getting your license is just the beginning. Pursue additional specialties to grow professionally and personally. Stay updated by reading journals, attending conferences, and considering board certification in a specialty through the Board of Pharmacy Specialties (BPS).

- Board Certification: Information on certification can be found on the [BPS website](https://www.bpsweb.org).

Following these steps will help you successfully navigate the path to becoming a pharmacist in the US. For more detailed and updated information, visit the [National Association of Boards of Pharmacy (NABP)](https://nabp.pharmacy) and the [American Association of Colleges of Pharmacy (AACP)](https://www.aacp.org).

Thank you for reading, and I hope these tips help you on your journey to becoming a pharmacist in the US. Feel free to reach out if you have any questions or need further guidance. Keep learning and growing!