This Is Why with Dr. Busti

Why NAPLEX Scores are Low & How to Reverse the Trend


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Over the past decade, NAPLEX pass rates have dropped — sparking concern across pharmacy education. But what’s really driving this decline?

In this episode of This Is Why, Dr. Busti breaks down the data behind NAPLEX performance trends, exploring factors such as the rapid growth of pharmacy schools, shifts in applicant pools, and the impact of the COVID-19 pandemic on learning and assessment.

Drawing from decades of experience as a pharmacist, physician, and nurse, Dr. Busti helps listeners understand how these changes have shaped the profession — and what students can do to overcome them. You’ll learn how to adapt your mindset, refine your study strategy, and focus on high-yield, testable material rather than memorizing everything in a textbook.

If you’re feeling discouraged by national pass rate trends, this episode offers both context and encouragement — showing you how to take control of your preparation, regain confidence, and move toward NAPLEX success.

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Disclaimer: This content is for educational purposes only and is not intended to provide medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have heard in this content.

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This Is Why with Dr. BustiBy Anthony Busti, MD, PharmD, MSc, FNLA, FAHA