The National Association of Boards of Pharmacy (NABP) manages the National Association of Boards of Pharmacy Licensure Examination (NABPLEX). A new Scope of Pharmacy Practice study was completed in 1994, and representatives of NABP and the National Association of Pharmacy Regulatory Authorities of Canada met in 1995 to discuss the possibility of creating an international pharmacy licensing examination. The first step was to determine whether a common examination blueprint between the two countries was feasible. The NABPLEX competency statements were updated based on the results of the 1994 study, and they were then reviewed independently by representatives of each country to assess their applicability to the country. A survey instrument was developed to assess the relative importance of each competency statement as it relates to entry-level pharmacy practice. Results were analyzed separately for the 1,019 American respondents, 358 Canadian respondents, and both groups combined, and a joint examination blueprint was approved by both groups. The focus of this paper is on the process used to establish the joint blueprint, rather than on the blueprint itself. An appendix contains charts of survey responses. (Contains two tables, three appendix charts, and seven references.) (Author/SLD)