Examination Information

Background

Pursuant to 26 V.S.A. § 4125(d), a naturopathic physician may obtain a special license endorsement authorizing the naturopathic physician to prescribe, dispense, and administer prescription medicines.  To obtain the prescribing endorsement, an applicant must pass the Vermont naturopathic pharmacology examination or the approved NPLEX pharmacology examination. Both examinations test knowledge of the pharmacology, clinical use, side effects, and drug interactions of prescription medicines, including substances in the Vermont Department of Health's regulated drugs rule. 

Issuance of Endorsement

The prescribing endorsement is issued simultaneous to notice of passing either the Vermont naturopathic pharmacology examination or the NPLEX pharmacology examination. 

After Obtaining Endorsement

A naturopathic physician holding the prescribing endorsement shall comply with Rule 3.5(b)&(c) by entering into a formal written agreement with an objective and independent supervising physician who shall evaluate the naturopathic physician’s ability to: (1) safely prescribe and administer prescription drugs within the naturopath’s scope of practice; (2) comply with federal and state statutes; and (3) comply with the applicable administrative rules of the Vermont Board of Pharmacy. OPR may request a copy of the Rule 3.5 agreement to verify compliance.

Naturopathic Physician Licensing Examination (NPLEX) Pharmacology Examination

The NPLEX pharmacology examination was offered on March 18, 2017. To review the notice emailed to all licensed naturopathic physicians please click here.

Vermont Naturopathic Pharmacology Examination

Please note the Vermont Naturopathic Pharmacology Examination will not be offered after July 1, 2017.  An examination can be scheduled until June 1, 2017.  The Vermont naturopathic pharmacology examination is administered at the Office of Professional Regulation, 89 Main Street, 3rd Floor, in downtown Montpelier. Metered parking is available throughout the downtown. Unmetered parking often can be found on East State Street, uphill of the office.

The examination is closed-book, proctored, and administered in paper format. Candidates have two hours to answer 100 multiple-choice items, each with four possible answers. Notes, papers, and electronic devices are not permitted in the examination room. Scratch paper is provided. All notes and papers must be surrendered at the conclusion of testing.

Scheduling

To schedule an examination, please call 802-828-2373 or e-mail Aprille.Morrisonnull@sec.state.vt.usnull. Appointments generally are available four weeks from request. A test fee of $250.00 is used to defray the costs of exam development and administration. Only Vermont licensed naturopathic physicians may sit for the examination.

Content

Exam items are drawn from a pool of questions in the following approximate content ratios:

Endocrine

12

Antimicrobial Drugs

11

Cardiovascular (e.g., HTN, hyperlipidemia, not CHF)

10

Pain Management

10

Musculoskeletal (e.g., NSAIDs, steroids, muscle relaxants)

9

Psychopharmacologic Agents (e.g., TCAs, SSRIs, SNRIs)

8

Antimigraine Agents

4

Skin and Related Connective Tissues (topical drugs)

4

Respiratory

3

Gastrointestinal (e.g., acid blockers, motility agents)

3

Renal/Urinary (e.g., prostate)

3

Reproductive (e.g., ICPs)

3

Central and Peripheral Nervous

3

Hematopoietic and Lymphoreticular

2

Pharmacokinetics/pharmacodynamics

2

Anesthetics (local)

2

Hypnotics (e.g., benzodiazepines, sleep aides)

2

Anticonvulsants (e.g., Neurontin)

2

Stimulants/Amphetamines

2

Antiparkinson Drugs (interactions only)

1

Botulinum Toxin

1

Antiglaucoma Drugs

1

Drugs Affecting Autonomic Nervous System

1

Carcinogens, Environmental Insults, Antineoplastic/Immunosuppressant Drugs

1

Results

Scores are mailed within three business days of test completion. The minimum passing score is 70%. 

Unsuccessful candidates may schedule a re-test not fewer than ninety days from the first examination. Because the item pool is finite and under ongoing development, candidates who twice fail the examination may be delayed in re-testing until new items are developed and approved. Candidates who fail the examination three or more times may be required to demonstrate appropriate remediation before further re-testing.  

This page was last updated: 2017-04-12