5th attempt passed

Hi everyone, I graduated from pharmacy school in 2022, and it’s been a long, stressful journey trying to pass the NAPLEX. I failed my first few attempts — partly because I genuinely didn’t know how to study, and partly because I had a lot of personal and family issues going on. It felt like no matter how much time I put in, nothing was sticking.My first attempt was in 2022 then 2023 my fourth attempt was on May 2024 and it took me more than a year to sit for my last and final attempt on November 18 2025

But I finally passed on my 5th attempt. And honestly, what changed everything for me was the RXcellence ( previously known as NAPLEX READY) 12-day crash course. Before I start, I want to be completely honest — in the beginning I actually thought RXcellence was a scam. If you look at my older posts, I was literally asking everyone if they’re real because I was so skeptical. But after going through their program, I’m genuinely glad I gave them a chance. It ended up being the thing that helped me finally pass.

I’ve never studied the way they taught me to study. The course literally rewired my brain. Instead of memorizing random facts, I was actually understanding the material. The connections they helped me make between concepts were something I had never experienced before.

Their math book was a complete game changer. • It broke everything down step-by-step • Explained why each step is done • Gave alternative ways to solve the same problem -the math book comes with 2 courses where you get the second course for free you basically pay for one course, but they let you come in for the second course for free closer to your exam date. Which helps tremendously because that basically refreshes all the concepts. This helped me especially with allegation, millimoles, and dimensional analysis which ended up being a lifesaver on the exam. After finishing their math book, the math on the actual test felt surprisingly easy.

I’ve used other resources too — for example, I invested in PNN. Their mnemonics were nice, but overall it was not engaging for me and I kept zoning out. RXcellence, on the other hand, is built around applying concepts. They test you every day, and the style of questioning forces you to actually think and connect dots instead of just memorizing.BUT this course only works if you work, this is not for the weak , I remember I got so stressed on the 3rd day of the course and I cried my eyes out to tutor and I wanted to give up and she said “ I am not gonna let you give up, you are gonna pass through these doors as a Dr “ and that’s when I knew they care and they want to show you what a pass feels like .They do free reviews which are genuinely so inspiring and helpful and those reviews are life savers

And I have to mention Laura, the head tutor. She is truly something else. The way she teaches is unlike anything I’ve ever seen. She explains things in a way that suddenly makes everything click, even topics I struggled with for years.

I can confidently say that the reason I finally passed on my last allowed attempt was because of RXcellence. If you’re struggling, especially with understanding vs memorizing, or if math is holding you back, their crash course might honestly change your whole approach, but this program does not guarantee a pass, but it gives you community, which is long lasting friendships you find people who relate to you in this program and nobody is there to judge you. Some people might say they’re expensive but at the end of the day, nothing is worth your mental health the trauma that you go through with this exam, they help you get over the trauma they deliver results the kind of a support you get from this program is commendable, and I have no words for it. I know the head tutor, Laura and Jennifer they were there when I needed somebody the most they don’t just help you with the preparation of Naplex. They are there as your friends, your family and your therapists.

my intake on Topics to focus(sorry I have to be broad because the modulators keep removing my posts- so text me with questions)

Compounding & Formulations • Know which ingredients are suspending agents vs wetting agents glycerin as a wetting agent an benzoic acid as preservative and its purpose • Sterile vs non-sterile compounding basics. • BUD, garbing order, ISO classifications.

2. Diabetes • Mechanisms of action for all major classes: • Metformin • SGLT2 inhibitors • GLP-1 agonists • DPP-4 inhibitors • Sulfonylureas • Know which GLP-1 agents come with needles vs pen-only. • Which agents cause weight loss vs weight gain.

3. Ethics • Heavy ethics focus — one session with RXcellence was enough. • Mandatory reporting, scope of practice, confidentiality, negligence, consent, etc.anthrax .

4. Oncology • Mechanisms of action for cancer drug classes. • Max doses . • Major toxicities and supportive care especially N/V.

5. Antidotes. • General toxicology antidotes ,naloxone, flumazenil, digoxin immune Fab, etc..

6. Tylenol (APAP) Toxicity • Rummack-Matthew nomogram use. • When to give NAC.

7. Psychiatry • Lithium: therapeutic ranges, toxicity signs, appearance of non-adherence. • Serotonin syndrome vs hypertensive crisis.

8. Vaccinations • What vaccines nursing home patients need. • Diabetes-specific recommendations. • Healthcare worker vaccines. • Asplenia vaccine series. • Route of administration for each vaccine IM vs SC. • What to do if a vaccine series is interrupted. • Vaccination schedules for infants, adults, elderly.

9. Infectious Diseases • Cellulitis treatment. • Meningitis treatment by age group. • ID interactions -, ceftriaxone with LR, dextrose, NS. • Antibiotic pregnancy precautions which drugs pregnant patients should not handle.

10. Respiratory • Asthma: classifications, step therapy, combination inhalers. • COPD inhalers and key differences.combinations and biosimilars-Adavair brew

11. Math • A few allegation questions (the RXcellence math book was enough). • Dimensional analysis (heavily tested). • Milli-moles, IV flow rates, compounding math. • Half-life calculations. • Bioavailability, bioequivalence, biosimilar differences.

12. Cardiology / Lipids • focus on all statins know everything about statins when to increase/decrease. • Drug interactions affecting statins.

13. Nephrology • Anti-XA dosing with CrCl. • Renal dosing adjustments.

14. Ophthalmology • Substitute for latanoprost or therapeutic interchange concepts.

15. Rheumatology & Pain • Gout: EVERYTHING — acute treatments, prophylaxis, ULT therapy rules. • Fibromyalgia medications approved. • NSAID cautions & interactions.

16. Stats • Type I error vs Type II error., number needed to treat number needed to harm absolute risk reduction, relative risk, relative risk reduction know it at all • Basic statistical interpretation.

17. Patches • How often each patch is changed fentanyl, scopolamine, clonidine. • Patch application rules

18. Chemo N/V

I hope my experience helps someone who feels stuck like I did. If I can pass on the 5th try, you can too. But one piece of advice I can give you as I went from my first attempt to fifth attempt real quick so get the help you need today even if you’re on your second attempt get the help so that way you don’t have to go through the trauma I went through this exam took three years of my life, and I had to push everything away because of this one exam so if you feel like you need help reach out to them and I promise you’ll be the next one writing this review about you PASSING .God bless you all .