Pharmacy License from North Carolina to Missouri: Does It Transfer? (2026)
Last verified: 2026-07-21 · source: Missouri Board of Pharmacy ↗
A pharmacist license transfers from North Carolina to Missouri by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the Missouri Board of Pharmacy, verify your North Carolina license, and meet Missouri's endorsement requirements. NAPLEX is not retaken; license history transfers via the NABP e-LTP. Missouri requires passing the Missouri MPJE (state-specific Multistate Pharmacy Jurisprudence Examination) with a minimum score of 75; Missouri has not adopted the Uniform MPJE, and MPJE scores from other states are not accepted..
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Verdict
Licensure by endorsement
Your North Carolina license transfers into Missouri through the NABP Electronic Licensure Transfer Program — NABP forwards your license and NAPLEX history to the Missouri Board of Pharmacy — but Missouri gates the license behind its own pharmacy-law exam. NAPLEX is not retaken; license history transfers via the NABP e-LTP. Missouri requires passing the Missouri MPJE (state-specific Multistate Pharmacy Jurisprudence Examination) with a minimum score of 75; Missouri has not adopted the Uniform MPJE, and MPJE scores from other states are not accepted.. Coming from North Carolina neither speeds this up nor slows it down; the eLTP is origin-neutral, so the timeline below is Missouri's standard out-of-state queue. Open the e-Profile transfer and book the law exam as early as Missouri allows.
What changes, North Carolina → Missouri
| North Carolina (current) | Missouri (destination) | |
|---|---|---|
| Application fee | $600 (North Carolina reciprocity application fee, non-refundable/non-transferable. NABP eLTP fees ($300 application + $100 per jurisdiction) and the UMPJE exam fee are separate.) | $450 (Missouri application fee payable to the Missouri Board of Pharmacy, non-refundable; separate NABP e-LTP fees apply ($300 application + $100 per jurisdiction) plus the MPJE exam fee paid to NABP; MACHS fingerprint fee is additional) |
| Processing time | ~2 weeks (Board allows ~10 business days to review the application; add 10 business days for each clarification request. Application expires one year from submission; excludes NABP eLTP review and exam scheduling.) | 3–5 weeks (board asks applicants to allow up to 3 weeks after passing the MPJE for final approval; NABP takes up to ~2 weeks to certify the exam score to the board; excludes NABP e-LTP review and exam scheduling) |
| Licensing authority | North Carolina Board of Pharmacy | Missouri Board of Pharmacy |
The destination column is what you must satisfy — Missouri sets the rules for this move.
Step by step
- Confirm Missouri's current requirements on the Missouri Board of Pharmacy website (linked below) — rules change.
- Submit the endorsement application to the Missouri Board of Pharmacy (application linked below).
- Arrange license verification from your current state via the verification system.
- File the preliminary license transfer/reciprocity application through your NABP e-Profile (e-LTP).
- Submit the Missouri pharmacist license transfer/reciprocity application with the $450 fee.
- Pass the Missouri MPJE with a minimum score of 75 (a retake application is required after a failure).
- Fingerprint-based criminal background check via the Missouri Automated Criminal History System (MACHS/IdentoGO).
- Hold a current active US pharmacist license, with either at least one year of licensure or 1,500 intern hours (verified through NABP).
- Pay the fees ($450 (Missouri application fee payable to the Missouri Board of Pharmacy, non-refundable; separate NABP e-LTP fees apply ($300 application + $100 per jurisdiction) plus the MPJE exam fee paid to NABP; MACHS fingerprint fee is additional)) and allow 3–5 weeks (board asks applicants to allow up to 3 weeks after passing the MPJE for final approval; NABP takes up to ~2 weeks to certify the exam score to the board; excludes NABP e-LTP review and exam scheduling).
Official links
Related guides
Frequently asked questions
Does Missouri accept a North Carolina pharmacist license?
A pharmacist license transfers from North Carolina to Missouri by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the Missouri Board of Pharmacy, verify your North Carolina license, and meet Missouri's endorsement requirements. NAPLEX is not retaken; license history transfers via the NABP e-LTP. Missouri requires passing the Missouri MPJE (state-specific Multistate Pharmacy Jurisprudence Examination) with a minimum score of 75; Missouri has not adopted the Uniform MPJE, and MPJE scores from other states are not accepted..
Do I retake the NAPLEX moving from North Carolina to Missouri?
No — the NAPLEX is a one-time national exam that transfers with your record. NAPLEX is not retaken; license history transfers via the NABP e-LTP. Missouri requires passing the Missouri MPJE (state-specific Multistate Pharmacy Jurisprudence Examination) with a minimum score of 75; Missouri has not adopted the Uniform MPJE, and MPJE scores from other states are not accepted..
What will the move to Missouri cost?
$450 (Missouri application fee payable to the Missouri Board of Pharmacy, non-refundable; separate NABP e-LTP fees apply ($300 application + $100 per jurisdiction) plus the MPJE exam fee paid to NABP; MACHS fingerprint fee is additional) (Missouri application fee payable to the Missouri Board of Pharmacy, non-refundable; separate NABP e-LTP fees apply ($300 application + $100 per jurisdiction) plus the MPJE exam fee paid to NABP; MACHS fingerprint fee is additional).
How long will licensing in Missouri take?
3–5 weeks (board asks applicants to allow up to 3 weeks after passing the MPJE for final approval; NABP takes up to ~2 weeks to certify the exam score to the board; excludes NABP e-LTP review and exam scheduling) — board asks applicants to allow up to 3 weeks after passing the MPJE for final approval; NABP takes up to ~2 weeks to certify the exam score to the board; excludes NABP e-LTP review and exam scheduling.
Sources
Primary sources only — official boards and compact commissions. Data last verified 2026-07-21.
- Missouri Board of Pharmacy — Pharmacist Licensure Transfer/Reciprocity Application & FAQ ↗ (accessed 2026-07-21)
- Missouri Board of Pharmacy — Pharmacist Forms page ↗ (accessed 2026-07-21)
- NABP — Electronic Licensure Transfer Program (eLTP) ↗ (accessed 2026-07-21)
- North Carolina Board of Pharmacy — Licensure by Reciprocity (fee $600; UMPJE effective 2026-04-01; intern-hour and background-check rules) ↗ (accessed 2026-07-21)
- NABP — General Requirements for Licensure Transfer (North Carolina: pass the UMPJE prior to submitting the transfer application) ↗ (accessed 2026-07-21)
Reviewed by Billy Reiner, Editor · verified against primary sources 2026-07-21
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