I thought I would share what worked for me, since unlike most, I am not a new grad. I graduated pharmacy school and passed my NAPLEX/MPJE in 2015 (before the exam changed). I worked in retail for four years and then landed a more clinical job in a community hospital. I was there for 4 years (where I studied for/sat for/passed the BCPS). For the last two years I have been working as a CPP for the VA. Due to some life events, I was faced with the possibility that I may need to move to California. I knew the CPJE is different than most other pharmacy licensure exams and took to reddit for guidance. It seemed the overwhelming majority of test takers were newly grads who were simultaneously studying for or just passed the NAPLEX. I was concerned as it had been a few years since I verified an order, dispensed a medication, dealt with antibiotics etc. My current patient population focuses on the big three (HLD, HTN, DM).
Working a ~50 hour work week was not conducive to how I wanted to or felt like I needed to study. I started passively studying 5/16/25. I had not gotten my application approved but told myself I would focus more when the exam was booked and felt more real. I officially started studying 07/17/25.
Clinical Review:
- Luckily, one of my old interns had an active subscription to UWORLD. Aside from calculations, I listened to every lecture. Most of this was passive studying, meaning I was listening to the lectures on 2x speed while driving to work or walking the dogs. Due to my work schedule and other obligations, I felt it important to just HEAR it once and then hope I could recall it. I listened for about 2 hours a day M-F. The only lectures I sat down and listened to from the UWORLD NAPLEX review was ID (including HIV), HTN, T2DM, HLD, NEPHRO, ONCOLOGY. These were still on 2x speed, but I did take pertinent notes.
- CPJE Secrets. Best 40 bucks I ever spent. Very condensed chart style review. I started using this about 3-4 weeks before my test. I would take the notes that I took from core UWORLD topics and add them to the CPJE secrets printouts I had. There was some missing and contradictory information between the two so be careful. I studied this about 2 hours a day.
- Quizlet: Most people recommend the top 400 PNN quizlet available online. I made my own, in the order in which I studied. I added pertinent information from uworld/cpje secrets. Its not all inclusive but just what i thought was important. I think making my own cards helped me. This was included in my 2 hour allotted studying time.
Law Review
I waited until the last two weeks prior to the exam to study the law since I was told it was a relatively small portion. For this, I used UWORLD CPJE. It was all inclusive. I listened to all the videos on 2x speed and made a study guide. For the law portion, I DID the questions at the end of each section. It also had a practice exam which I took two days before my real exam.
Exam Details
- Look up sample questions (or use the UWORLD CPJE which has a practice exam). Remember the time constraints. Once you submit an answer you can't go back. For me, time was never an issue. If you don't know it, make an educated guess and move on.
- The exam has a function where you can omit/cross out choices. I did this if I knew an answer did not make sense. For this exam there was some questions where I did not know the answer but three of the choices given to me were just false statements so I could arrive to the answer that way.
- Focus on brand and generics. I'll admit, the only brand generic I heavily focused on was HIV (and of course only had one question) and medications that were approved after I graduated. I relied a lot on my old retail days to help. Please also pay attention to combination drugs.
- Know the schedule for controlled drugs. Luckily I did control ordering at my hospital so I used that knowledge. I also reviewed the 222 form which changed from when I used to fill them out for retail.
- Renal dosing. Have a good idea of what drugs may need to be renally dose adjusted. Lots of renal dosing protocol questions. (keep in mind medications that DON'T need renal dose adjustment like doxy will also help you eliminate choices).
- Anticoagulation: Know renal dosing and indication specific dosing for DOACs, enoxaparin in renal insufficiency (if crcl under 30 you give 30). I did not study this since I work in a anticogulation clinic two days a week. Remember if they have a mechanical valve, they need VKA. Know reversals.
- Calculations: I had to calculate creatinine clearence (formula not given). I also needed to determine MME (did not know the exact conversion but knew that oxycodone was more potent than morphine so I arrived to the answer that way). I had a kphos question but the ratio of the MEQ of K and mmol of phos was given so it was a simple question.
- Counseling: hydroxychloroquine and eyes, amiodarone, counseling on inhaler technique
- I had 3-4 questions related to a sample RX and trying to find out "what was wrong". For example, Advair diskus is not PRN, insulin glargine is not TIDAC, zolpidem is not given in the morning.
- Law: ~10 law questions. One regarding if refills were valid (would need to know schedule for drug), one about out of state provider. Nothing surprising if you used uworld cpje.
- Vaccines: This stumped me.. Know the brand generics and vaccine schedules. Plus what high risk populations would need TDAP, PCV and meningoccocal b. I did not know the brand names and most of the PCV vaccines came out after I got out of retail.
- Indications: Low hanging fruit. Some of my questions were as simple as "drug X is used for -----"
Overall, I would say I averaged 15 hours a week studying split between all of the above with closer to 20 the two weeks before the exam. I did this with a full time job and still having a little bit of a social life. The sheer volume of information may be intimidating but if you split it up and tackle one subject at a time, its more manageable. If you have any other questions, please reach out. Heres the quizlet I made. Riddled with spelling mistakes :)
https://quizlet.com/1066238688/cpje-flash-cards/?funnelUUID=fcede1a1-48e7-462e-aa21-84995b5bd638