To assess refugees' understanding of the U.S. pharmacy system; to determine whether an educational workshop improved understanding.U.S. Committee for Refugees and Immigrants-affiliated institute, Manchester, NH.Student pharmacist-led workshops for refugees, including slide presentation, interactive activities, and demonstration.Comparison of pre- and post-workshop responses to knowledge-based questions about the U.S. pharmacy system; ability to interpret a medication label pictogram; comfort level and willingness to speak to a pharmacist.Significant post-workshop increases were seen in awareness that identification is needed when filling a prescription, that prescription medication labels have refill information, and that a translator can be requested in U.S. pharmacies. Participants who had not used a U.S. pharmacy before the workshop showed significant improvement after the workshop in mean percentage of correct responses to knowledge-based questions; those who had previously used a U.S. pharmacy did not. Participants who were in the U.S. for less than 3 months showed significant improvement in mean correct responses to knowledge-based questions after the workshop; those who were in the U.S. for 3 months or more did not. Participants' comfort level and willingness to speak to a pharmacist were not significantly increased after the workshop.Participants who were in the U.S. for the least time and those who had never used a U.S. pharmacy showed significant increases in understanding specific aspects of the U.S. pharmacy system after an educational workshop. Participants' comfort level and willingness to speak with a pharmacist did not change post-workshop.