There is a global need for education in the field of pharmacoeconomics (PE). One is provided by Colleges of Pharmacy (COP's). Several surveys were conducted during the 1990's to determine the extent of pharmacoeconomic education at US-based COP's. One survey found that by 1999, 90% of US COP's provided PE education. On the other hand, only one study, conducted in 1997, was found that surveyed Non-US COP's. A total of 112 Non-US COP's in 44 countries were surveyed via e-mail; 41 COP's from 25 countries responded. Seventeen COP's from 13 countries reported providing PE education. OBJECTIVES: The objective of this study was to perform a follow-up study for Non-US COP's. METHODS: During January - May, 2004, surveys were sent to 291 Non-US COP's in 42 countries via e-mail using information from the World List of Pharmacy Schools (WLPS). Follow-up e-mails were sent to non-respondents and to respondents when clarifications of their responses were needed. RESULTS: A total of 89 COP's from 42 countries provided usable responses. A total of 46 COP's from 28 countries indicated that they provided PE education. Of these 46 COP's, 9 provided education at the professional level only, 15 at the graduate level only and 22 at both levels. The median number of students enrolled at the professional level was 100, and 15 at the graduate level. The median number of class contact hours for PE education was 12 for professional students and 15 for graduate students. CONCLUSIONS: Fifty-one percent (51%) of respondents provided PE education compared to 41% from the 1997 survey. The majority of Non-US COP's that offered PE education were located in Europe (N=19), followed by Asia (N=9), North America (N=7), and Oceania (N=6). More research is needed to determine the extent of PE education from other sources (e.g. other disciplines and non-university based).