Pharmacy (PharmD)

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Pharmacists Occupational Outlook

USC College of Phamacy Requirements

    Pharmacists are healthcare professionals who ensure the safe and effective use of medications. They work in community pharmacies, hospitals, research, industry, public health, and more.

    A pharmacist is a licensed healthcare professional who specializes in the safe and effective use of medications. Pharmacists ensure patients receive the correct prescriptions, understand how to use them, and are aware of potential side effects or drug interactions. Pharmacists are medication experts, but their role has expanded significantly to include: patient counseling, immunizations, chronic disease management, health screenings, and collaborating with healthcare teams.

    They can work in a variety of environments:

    • Community pharmacy: Retail pharmacies (CVS, Walgreens, independents), providing medications, immunizations, and counseling
    • Hospital/Clinical Pharmacy: Working within healthcare teams to manage patient medications, especially in ICUs and inpatient settings
    • Ambulatory Care: Managing chronic diseases (diabetes, hypertension) in outpatient clinics
    • Industry/Pharmaceutical Companies: Involved in drug development, clinical trials, medical affairs, and regulatory affairs
    • Academia: Teaching, research, and training future pharmacists
    • Government/Public Health: FDA, CDC, or health departments, monitoring drug safety, writing policy, and ensuring public access
    • Specialty Pharmacy: Handling high-cost, complex therapies for cancer, autoimmune diseases, etc.

    To become a pharmacist in the US, one needs to:

    • Complete the required prerequisite coursework (biology, chemistry, physics, math, English, etc.)
    • Many students complete a Bachelor’s degree, although it's not always required
    • Take the PCAT if required. The Pharmacy College Admission Test is no longer required by many programs, but some may still recommend or accept it
    • Apply via PharmCAS, the centralized application service. Submit transcripts, personal statement, letters of recommendation, and experience
    • Earn a Doctor of Pharmacy (PharmD) Degree (4 years). Coursework includes pharmacology, medicinal chemistry, pathophysiology, pharmacy law, and therapeutics. Students complete clinical rotations in different pharmacy settings during the final year
    • Pass Licensing Exams: NAPLEX (North American Pharmacist Licensure Exam) assesses knowledge of general practice; MPJE (Multistate Pharmacy Jurisprudence Exam) covers pharmacy law (varies by state). Some states may have additional requirements
    • Apply for licensure in the state where you plan to practice. May include background checks, fees, and continuing education
    • Optional post-graduate training: Residency (PGY-1 and PGY-2) – 1–2 years of structured, paid training in clinical settings (needed for clinical, hospital, and specialty roles); or Fellowship – Research-focused post-grad training, often in the pharmaceutical industry or academia

    A successful pharmacist should have:

    • Strong communication skills (especially patient education)
    • Attention to detail (avoiding medication errors)
    • Scientific and mathematical aptitude
    • Compassion and empathy
    • Ethical decision-making
    • Interdisciplinary teamwork and adaptability (as roles continue to expand)

    Median Salary (2023): $129,000–$145,000/year
    Job Growth: 2–3% projected (slower than average)
    Demand Areas: Clinical pharmacy, ambulatory care, rural pharmacies, and specialty pharmacy. While retail pharmacy job growth is stabilizing, clinical, ambulatory care, and specialty roles are expanding as healthcare teams rely more on pharmacists for chronic disease management and preventive care.

    Reasons to became a pharmacist:

    An Exciting Career Choice
    Pharmacy combines science, health care, computer technology, business, math and
    counseling. Pharmacy offers a rare balance of independence and interaction with patients. If
    you’re looking for adventure, you might be surprised to learn that pharmacy can be very
    exciting: Pharmacists are educated to recognize signs and symptoms of diseases that may be
    used in a biological attack. The accessibility of pharmacies could be one of the keys to a
    successful mass immunization or drug distribution program in an emergency.

    A Trusted Profession
    According to recent Gallup Polls, pharmacists’ honesty and ethics were rated as “high” or “very
    high” by a large majority of Americans. If friends and/or family members frequently turn to you
    for advice, pharmacy may be a great field for you to explore.

    A Variety Of Career Opportunities
    There is a need for pharmacists in a wide variety of work settings: community pharmacies,
    hospitals, long-term care facilities, the pharmaceutical industry, mail order pharmacy centers,
    managed care organizations, and government agencies. What’s more, those with advanced
    pharmacy training can often move easily between these different areas.

    Excellent Earning Potential And Job Security
    Pharmacy is also one of the most financially rewarding careers. According to the US Bureau of
    Labor Statistics, the median annual wage for pharmacists in 2021 was $128,570. Pharmacists
    are also consistently in demand, even in times of economic downturns, war, political reform
    and natural disasters, so there is a relatively high level of job security that comes with a career
    in pharmacy.

    Helping People Get Better
    Patients do best when pharmacists are part of their healthcare teams because pharmacists
    are the medication specialists. According to the CDC, “The evidence is strong that when
    pharmacists are members of the health care team, outcomes related to preventing or
    managing chronic disease (e.g., blood pressure, blood glucose, cholesterol, obesity, smoking
    cessation) and medication adherence improve”.

    Working Directly With Patients
    Pharmacists are accessible in all healthcare settings: inpatient, ambulatory and community
    settings. Pharmacists are available to see patients at convenient times every day of the week,
    during morning, evening and weekend hours, and without an appointment. They are licensed to
    provide immunizations in all 50 states. Pharmacists may also provide other services such as
    asthma care, blood pressure monitoring services, cholesterol screening, diabetes disease
    management, smoking cessation consultation and more.

    Demand For Pharmacists
    There is an ongoing demand for pharmacy services throughout the U.S. in most sectors of the
    profession. The demand is fueled by the following factors such as: Increased demand for
    patient service, number of prescriptions filled each year and number of medicines available on
    the market.
    Major Innovations In Medication Therapy
    One of the many exciting developments in the pharmacy profession is the growth of a
    discipline, known as pharmacogenomics. Genetic variations in genes can affect a body’s
    response to a drug. In the future, specialists in this area hope to sequence the entire human
    gene in each individual. Pharmacists and other healthcare providers will be able to use
    that information to select the best medicines, treat diseases earlier than now possible, or
    prevent them entirely with individually-tailored drug therapies.
    State-Of-The-Art Technology
    Digital innovations in pharmacy include electronic prescriptions, robotics for central
    prescription processing and nationwide prescription monitoring programs, as well as
    pharmaceutical research. These technological advances enhance efficiency and
    help to promote patient safety. Pharmacists can provide innovative approaches to medication
    management, including recommended therapies, and the identification and resolution of
    problems with the aid of state-of-the-art technology.

    Questions? Contact pharm4me@aacp.org

    Courses:

    • Biology: General Biology I & II + Lab
    • Chemistry: General Chemistry I & II + Lab
    • Organic Chemistry: Organic Chemistry I & II + Lab
    • Math: Calculus, Statistics
    • Physics: General Physics I (sometimes II)
    • English: English Composition, Writing
    • Economics: Microeconomics or Macroeconomics
    • Psychology/Sociology: Intro Psych, Intro Sociology
    • Public Speaking / Communications (sometimes required)

    Always check the PharmD program websites for school-specific requirements using PharmCAS.

    GPA:

    • Minimum GPA: Usually 2.5–3.0
    • Competitive GPA: 3.4–3.7 or higher
    • Science GPA is particularly important—aim for a 3.5+ in science coursework.

    Many pharmacy schools no longer require the PCAT, but some still recommend or allow it. If required, take it no later than a year before applying.

    PCAT Content Areas:

    • Biology
    • Chemistry
    • Quantitative Reasoning
    • Reading Comprehension
    • Writing

    Competitive scores are generally above the 70th percentile.

    Clinical Exposure:

    • Pharmacy Technician job (certified or not)
    • Shadowing licensed pharmacists
    • Volunteer or paid experience in hospital/retail pharmacies

    Other Experiences:

    • Community service (non-medical counts too)
    • Undergraduate research (especially in pharmaceutical sciences)
    • Leadership in clubs (Pre-Pharmacy Club, student government, etc.)

    Keep a journal or spreadsheet of your experiences and hours. Be proactive about forming relationships with professors and pharmacists—they’ll write your letters. Join professional organizations like:

    • American Pharmacists Association (APhA) – ASP
    • National Community Pharmacists Association (NCPA)

    PharmCAS (Centralized Application Service):

    • Personal Information
    • Academic History
    • Supporting Info (volunteer/work/shadowing)
    • Personal Statement (Why pharmacy?)
    • Letters of Recommendation (usually 2–4): At least one from a pharmacist or a professor in science
    • Transcripts
    • (Optional) PCAT Scores
    • School-specific questions

    Timeline to Prepare:

    • 1st Year: Start prerequisites, join Pre-Pharmacy Club
    • 2nd Year: Gain pharmacy experience, continue coursework
    • 3rd Year: Finish most prerequisites, decide if taking PCAT
    • Summer before 4th Year: Apply via PharmCAS, write personal statement, request LORs
    • 4th Year: Interview with pharmacy schools, complete degree (if applicable)

    Pharmacy schools look for:

    • Communication skills
    • Ethical judgment
    • Teamwork
    • Cultural competence and Empathy
    • Patient-centered mindset

    When people consider a career in pharmacy, they may think of their local  community pharmacist dispensing medications and providing healthcare advice. While community pharmacy is a common and rewarding career pathway, it isn’t the only option for pharmacists! In fact, according to a recent resource published by the International Pharmaceutical Federation (FIP), there are 100+ career pathways that pharmacists can pursue. Here’s a look at their expansive list broken down by category. Some pharmacy career pathways may require additional work experience, education, or training beyond a Doctor of Pharmacy (Pharm.D.) degree.

    Pharmacy Practice & Specialty Roles

    The career pathways in this category are among the most common career options for pharmacists. They generally offer opportunities for direct patient care in a variety of clinical settings.

    • Ambulatory Care Pharmacist • Aseptic Infusion & IV Manufacturing Pharmacist • Bariatrics Pharmacist • Biologics & Biosimilars Pharmacist • Chief Clinical / Medical Officer • Chief Pharmaceutical Officer • Clinical Director • Clinical Pharmacist • Clinical Programs Leader • Community Pharmacist • Compounding Pharmacist • Cosmeceuticals / Cosmetics Pharmacist • Critical Care Pharmacist • Director of Clinical Solutions • Emergency Care Pharmacist • Functional Medicine Pharmacist • General Practice Pharmacist • Geriatrics Pharmacist • Home Care Pharmacist Pharmaceutical Industry Roles Pharmacy careers in this category are great for those with medication expertise and a strong interest in business or research. • Biomedical Researcher • Clinical Research Associate • Digital Diagnostics Researcher • Digital Therapeutics Researcher • Drug Safety Associate • Forensic Scientist • Industrial Manufacturing • Marketing & Medical Strategy • Medical / Drug Information Associate • Medical Science Liaison • Medicinal Chemist • Home Health Equipment • Hormone Medicine Pharmacist • Hospital Pharmacist • Immunization Pharmacist • Infectious Disease Pharmacy / Antimicrobial Steward • Infectious Disease Testing Pharmacist Management Roles • Internal Medicine / General Medicine Pharmacist • Long-Term Care Operations Pharmacist • Managed Care Pharmacist • Mental Health & Addictions Pharmacist • Natural Supplements & Herbal Medicine Pharmacist • Nutraceutical Pharmacist • Oncology Pharmacist • Outpatient Pharmacist • Pain Management / Opioid Steward • Pediatric Pharmacist • Pharmacy Manager / Pharmacy Operations Manager • Regulatory Health Project Leader • Sexual Health Pharmacist • Surgical Care Pharmacist • Systemic Therapy Pharmacist • Travel Medicine Pharmacist • Veterinary Pharmacist Pharmacodynamics, Physiologically-Based Pharmacokinetics, & Quantitative System Pharmacology Modelling) • Pharmaceutical Sales Representative • Pharmaceutical Scientist • Pharmaceutical Study / Research Lead • Pharmacist Clinical Pathologist • Pharmacologist • Pharmacovigilance Specialist • Product Development • Quality Assurance • Quality Control Chemist • Regulatory Affairs Pharmacist • Regulatory Affairs Specialist • Research Scientist • Pharmaceutical Modeler (Pharmacokinetics, • Toxicology Pharmacist.

    Academic Pharmacy Roles Pharmacy careers in academia are typically focused on the teaching and training of future pharmacists. These roles require both pharmacy knowledge and a passion for education.

    • Clinical Rotations Preceptor • Education & Training Pharmacist • Lecturer / Professor • Licensing Exam Preceptor / Moderator • Pharmaceutics Professor • Pharmacodynamics Researcher / Professor • Pharmacokinetics Researcher / Professor • Pharmacology Researcher / Professor • Pharmacy Practice Researcher / Professor • Pharmacy Student Mentor / Preceptor • Research & Development Pharmacist • Residency / Fellowship Coordinator • Teacher Practitioner • Teaching Assistant / Lab Assistant • Teaching Fellow • Therapeutics Professor.

    Technology & Health Informatics Pharmacy Roles Those with an interest in healthcare records, data  or systems may be interested in pharmacy roles in the technology and health informatics category.

    • Automation Pharmacist • Clinical Applications Pharmacist • Clinical Data Analyst • Clinical Software Development Specialist • Clinical Software Integration Specialist • Clinical Solutions Pharmacist • Digital Health Specialist • Electronic Health Record Training Pharmacist • Health Informatics Specialist • Information Technology Pharmacist • Pharmacy Informatics Specialist • Social Media Engagement / Communication Specialist • Telehealth Service Provider • Virtual Clinical Pharmacist.

    Government & Regulatory Roles Those in government and regulatory pharmacy roles may use their medication expertise to inform government regulations, develop policies and protocols, ensure patient safety, and more.

    • Clinical Inspection Pharmacist • Consumer Safety Officer • Correctional Facility Pharmacist • Drug Advertising Reviewer • Drug Pricing Reviewer • Drug Reimbursement Expert • Drug Safety Data Reviewer • Medicines Advisor • Military Pharmacist • Nuclear Pharmacist • Patient Advocacy Board Member • Pharmaceutical Services Commissioner / Negotiator or Drug Reimbursement Reviewer • Pharmacoeconomics Specialist • Pharmacy Advocacy Member • Pharmacy Education Accreditation Reviewer • Poison Control Pharmacist • Public Health Service Pharmacist • Regulatory Board Member • Specialist Pharmaceutical Advisor to Local, Regional, or National Government.

    Non-Traditional Pharmacy Career Roles It’s amazing the number of industries in which pharmacists play an active role. Here’s a list of other non-traditional pharmacy career pathways.

    • Academic Detailer • Aerospace / Space Health Pharmacist • Business Adviser / Investor • Career Development Coach • Central Fill Pharmacist • Continuing Education Provider • Digital Therapeutics Specialist • Drug Information Pharmacist • Estate & Tax Planning Consultant • Geospatial Pharmacist • Health / Life Coach • Medical Writer / Editor (In Medical Communications Agencies) • Medication Safety Management Specialist • Pharmacogenomics Specialist • Pharmacy Financial Consultant • Pharmacy Programs Coordinator • Pharmacy Research Coordinator • Pharmacy Strategy Consultant • Start-Up Developer / Innovator • Supply Chain Pharmacist / Warehouse Manager / Distribution Manager / Wholesaling Manager.

    PharmacyForMe.org