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May 3, 2016Texas Pharmacy TechniciansEducation and Job Opening StatisticsCopyright 2015 Assessment Technologies Institute, L.L.C. All rights reserved.Confidential

Texas Pharmacy Technicians:Analysis of Educational Opportunities andEmployment DemandKey questions examined: If the only pathway to practice is ASHP training, will therebe enough pharmacy technicians to meet the demand? Are ASHP-accredited training programs reasonablyaccessible to students? Will techs trained in metro areasbe willing to practice in rural areas? Can technicians and, in the long run, pharmacies bearthe financial burden of ASHP-accredited training? Are there reasonable alternatives?Confidential3

Pharmacy Technician:School-Based Education in Texas4

2014 Top Programs(based on completions) 22 schools had 20 or morecompleters in 2014 Remington College leads thestate with completions acrossits 4 campuses. Cost: 20,520 Program costs not reportedfor all schools. Statewideaverage across all schoolsreporting costs was@ 17,000Source: The Integrated Postsecondary Education Data System for Classification of Instructional Programs 51.0805 (Pharmacy Technician).Confidential

Texas Institutions Offering Pharmacy Technician ProgramsConfidential

Program Completions: StatewideCompletions were down almost 50% in 2014 compared to 2010.“Completions” refers to the number of students completing a pharmacy technicianprogram at an educational institution in Texas.Source: The Integrated Postsecondary Education Data System for Classification of Instructional Programs 51.0805 (Pharmacy Technician).

Demand for Pharmacy Technicians in Texas

New Job Postings: StatewideNew job postings are trending upward: 57% increase since 2012.New Job 0003,0002,0001,00002012201320142015Source: Analysis of WANTED Analytics job postings for Standard Occupational Classification 29-2052 (Pharmacy Technicians).

Available Job Postings: StatewideThe number of available jobs each month has been trending upward.Available ,0005000JanFebMarAprMayJunJulAugSepOctNovSource: Analysis of WANTED Analytics job postings for Standard Occupational Classification 29-2052 (Pharmacy Technicians).Dec

Pharmacy Technician Salaries: Nationally and inTexasWANTED Analytics salary data:

Regional TrendsToday, we will focus on the following regions*:Austin-San AntonioDallas-Ft. WorthNorthwest* NHA examined the other regions and found similar results12

Texas Regional Map

Pharmacy Technician Completions: Austin-San AntonioCompletions were down 28% in 2014 compared to 2010.Source: The Integrated Postsecondary Education Data System for Classification of Instructional Programs 51.0805 (Pharmacy Technician).

New Job Postings: Austin-San AntonioNew job postings are up 75% in 2015 compared to 2012.On average, there were 19% more jobs available in 2015 vs 2014.New Job PostingsFull 12201320142015Source: Analysis of WANTED Analytics job postings for Standard Occupational Classification 29-2052 (Pharmacy Technicians).

Program Completions: Dallas-Fort WorthCompletions were down 62% in 2014 compared to 2010.Source: The Integrated Postsecondary Education Data System for Classification of Instructional Programs 51.0805 (Pharmacy Technician).

Top Programs by 2014 Completions: Dallas-FortWorthOnly 6 programs with any completers in 2014 are still open today;17 program discontinued since 2012.Source: The Integrated Postsecondary Education Data System for Classification of Instructional Programs 51.0805 (Pharmacy Technician).

New Job Postings: Dallas-Fort WorthNew job postings are up 64% in 2015 compared to 2012.On average, there were 26% more jobs available in 2015 vs. 2014.New Job PostingsFull 0002012201320142015Source: Analysis of WANTED Analytics job postings for Standard Occupational Classification 29-2052 (Pharmacy Technicians).

Program Completions: NorthwestCompletions were down 71% in 2014 compared to 2010Source: The Integrated Postsecondary Education Data System for Classification of Instructional Programs 51.0805 (Pharmacy Technician).

New Job Postings: NorthwestNew job postings were up 27% in 2015 compared to 2012.On average, there were 10% more jobs available in 2015 compared to 2014.New Job PostingsFull 2015Source: Analysis of WANTED Analytics job postings for Standard Occupational Classification 29-2052 (Pharmacy Technicians).

RecapWill there be enough pharmacy technicians to meet the demand if theproposed educational requirements are put in place? Job postings are increasing Limited geographic accessibility to formal training Earnings potential disproportionate to cost of trainingWith limited pharm tech training locations outside of metro centers,will trained pharm techs be attracted to practice elsewhere in Texas? Today, the option of pharmacy-based pharm tech training allowslocal pharmacies to draw from their communities.Confidential21

Solution to ConsiderToday, Texas only accepts PTCB certification.Starting in 2020, only ASHP-trained candidates will beable to sit for the PTCE certification.Solution: Approve the ExCPT certification for TXlicensure:– There is nothing in the laws or regulations thatrequires the Board to select only one exam.– Texas law favors competition.Confidential22

About National Healthcareer Association NHA is a national certification provider, offering NCCAaccredited certification programs for allied health professionals. Originally formed in 1989, NHA has issued more than 500,000certifications. In 2009, NHA acquired the Institute for the Certification ofPharmacy Technicians (ICPT) and the Exam for theCertification of Pharmacy Technicians (ExCPT). NCCA undertook a full review, as it does every five years, andreaccredited the ExCPT in 2013.– NHA provides NCCA with annual reports.Confidential23

Things You May Not KnowBoth the ExCPT and PTCE : Are NCCA accredited, thus both are subject to rigorous thirdparty standards of psychometric soundness; Are administered by third party testing centers; Require recertification every two years and 20 hours of CE; Are developing new exams for launch in 2017; and Both exams performed strongly in the 2014 TSBP review– There was a 3.5% score difference between the exams.– More recently, California did a side-by-side comparison andagain both exams performed strongly, the ExCPT slightlybetter particularly with respect to retail pharmacy.Confidential24

More About ExCPT ExCPT is recognized by 31 states and the District ofColumbia– Ten states currently do not have law or regulationaddressing certification; ExCPT costs nearly 20% less than the PTCE; ExCPT has 25% more questions than the PTCE; And . . .Confidential25

ExCPT Has Always Required Pre-Cert TrainingEligibility Requirements for CertificationHigh school graduate or equivalentExCPTPTCE (w/in 30 days of completion)Accredited or state-recognized training; or Employer-based training recognized by theBoard of Pharmacy; or Training program offered by any branch ofthe U.S. military; or At least 1,200 hours of supervised pharmacyrelated worked experience. Confidential26

NHA Innovates and Invests in the ProfessionInnovative interactive study materials, designed for adult learners– E.g., practice exams are linked to content and provide immediateexplanations of incorrect answers.Rich data analytics– Identify for instructors the topics for which additional training is needed byindividuals or for the class as a whole.– Identify for schools weaknesses in curriculum or instructors.Best-in-class customer support– NHA receives industry-high customer satisfaction ratings.Multiple pathways for entry, not barriers.NHA believes competition drives innovation,quality service and fair pricing.Confidential27

Thank youCopyright 2015 Assessment Technologies Institute, L.L.C. All rights reserved.Confidential

Appendix

Interest in pharm tech education (reflected as “inquiries” in thetable below) is declining, while job openings are out-pacing thecompletion rate of pharm tech education programs.

Top Programs by 2014 Completions:Austin-San AntonioAccredInstitutionitorSectorSouthern Careers Institute-SanAntonioProprietaryKaplan College-San AntonioSan PedroProprietarySouthern Careers InstituteAustinProprietaryAustin Community CollegeDistrictASHP PublicCost ofProgram20102011201220132014 16,6008281106136127 15,72700906250 16,6004039493239NA3231353231 23,3201919341320NA323254419NA00009 14,610463927209Associate's degreeAward of at least 1 but less than2 academic yearsAward of at least 1 but less than2 academic years 34,75200088NA00003NA00003Associate's degreeAward of at least 1 but less than2 academic yearsAssociate's degreeAward of less than 1 academicyearAssociate's degreeAward of less than 1 00Virginia College-AustinASHPProprietaryNorthwest Vista CollegeASHPPublicNorthwest Vista CollegeSouthwest School of Businessand Technical Careers-SanAntonioBrown Mackie College-SanAntonioSanford-Brown College-SanAntonioSanford-Brown College-SanAntonioNational American UniversityAustinASHPPublicAward LevelAward of less than 1 academicyearAward of at least 1 but less than2 academic yearsAward of less than 1 academicyearAward of at least 1 but less than2 academic yearsAward of at least 1 but less than2 academic yearsAward of less than 1 academicyearAward of at least 1 but less than2 academic yearsProprietaryAward of less than 1 academicyearAllied Health CareersCoastal Bend CollegeKaplan College-San AntonioSan PedroNorthwest Vista CollegeSan Antonio yProprietaryPublicASHPProprietaryPublicPublicBrown Mackieinstitutions areclosed orclosing.Source: The Integrated Postsecondary Education Data System for Classification of Instructional Programs 51.0805 (Pharmacy Technician).5 additionalschoolclosures from2011-2014

Top Programs by 2014 Completions:NorthwestLargest geographic area in the State but the least number ofcompleters.InstitutionAccreditorSectorEl Paso Community CollegeASHP PublicAward LevelAward of less than 1 academicyearVernon CollegeASHP PublicCisco CollegeASHP PublicEl Paso Community CollegeASHP PublicAmarillo CollegeASHP PublicMilan Institute-AmarilloASHP ProprietaryAssociate's degreeAward of less than 1 academicyearAward of less than 1 academicyearInternational Business CollegeEl PasoProprietaryAward of less than 1 academicyearInternational Business CollegeEl PasoProprietaryKaplan College-El PasoProprietaryCost ofProgram 20102011201220132014NA171211620Award of at least 1 but less than2 academic yearsNA1025181211Award of at least 1 but less than2 academic yearsNA141010710NA1207710 4,3651118589 12,650188201384969742906756000380000Award of at least 1 but less than2 academic yearsAward of less than 1 academicyearSource: The Integrated Postsecondary Education Data System for Classification of Instructional Programs 51.0805 (Pharmacy Technician).

Available Job Postings: Austin-San AntonioOn average, there were 19% more jobs available in 2015 compared to 2014.Available 0JanFebMarAprMayJunJulAugSepOctNovSource: Analysis of WANTED Analytics job postings for Standard Occupational Classification 29-2052 (Pharmacy Technicians).Dec

Available Job Postings: Dallas-Ft. WorthOn average, there were 26% more jobs available in 2015 compared to 2014.Available 01000JanFebMarAprMayJunJulAugSepOctNovSource: Analysis of WANTED Analytics job postings for Standard Occupational Classification 29-2052 (Pharmacy Technicians).Dec

Available Job Postings: NorthwestOn average, there were 10% more jobs available in 2015 compared to 2014.Available bMarAprMayJunJulAugSepOctNovSource: Analysis of WANTED Analytics job postings for Standard Occupational Classification 29-2052 (Pharmacy Technicians).Dec