Aims: To evaluate if a revamped business management course for 4th year undergraduate pharmacy students had achieved the course aims of not only improving pharmacy students' perceived understanding of pharmacy business management topics but also increasing their confidence in their business management knowledge and skills. Background: Student feedback from previous years had indicated that the cohort had struggled to translate theoretical business management concepts learned in the classroom into practice in the workplace. To address this problem the course has been changed to a 'flipped classroom' format with face-to-face time focusing on case-based scenarios and interactive classroom discussion with some role plays. Method: Both course assessment throughout the semester and a student survey informed the evaluation process. Results: After completing the course, students felt they had increased their knowledge of business management concepts but many indicated that they lacked the confidence to undertake basic management functions. Conclusions: Further course restructuring is required with a greater focus on skills development.