victoria.cook@dia.iowa.gov
6200 Park Ave., Ste. 100 Des Moines, IA 50321
515.281.5944
Instructions
Complete the following to request approval to retake either the NAPLEX or MPJE, Iowa Edition examination. Only one examination may be requested per application. If you would like to request approval to retake both exams, a separate application, fee, and NABP registration is required. To request approval to retake the NAPLEX or MPJE, Iowa Edition:
Submit this application, including uploading of your study plan if this is your third or greater attempt of the same examination.
Submit a nonrefundable fee of $36 (payable to the Iowa Board of Pharmacy) to the Iowa Board of Pharmacy, 6200 Park Ave., Ste. 100 Des Moines, IA 50321.
Complete the Internet-based NAPLEX / MPJE registration form and credit card payment fee process, which can be found at nabp.pharmacy.com.
Full Name
Full Address
Date of Birth
Examination Needed
Reason for Examination
Have you previously taken the exam for which you are applying?
Please list dates of previous examination(s)
If this is the first attempt may leave blank. Click "Add date" bellow to add more fields. DO NOT push ENTER - this will submit the form
If this is your third attempt, the Iowa Board of Pharmacy requires you to upload your plan for studying for the reexamination.
Upload Study Plan
If this is will be your fourth attempt, the Iowa Board of Pharmacy requires you to upload a new plan for studying for your reexamination and will be reviewed by the Board during open session.
Contact Victoria Cook at victoria.cook@dia.iowa.gov about Board meeting attendance.
Signature
Submission Instructions
Please ensure that all of the steps listed at the top of this form are completed, all requested information has been entered, and (if applicable) the plan for study is uploaded. Failure to do so will result in delays in processing.
For any questions, please contact Victoria Cook during business hours (8am-4:30pm).
Email: victoria.cook@dia.iowa.gov
Phone: (515) 281-5088
