Updated: Aug 07, 2026
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| Certification Vendor: | National Board of Medication Therapy Management (NBMTM) |
| Exam Name: | Board Certified Medication Therapy Management Specialist Examination |
| Exam Number: | BCMTMS |
| Exam Format: | Multiple-choice questions, Closed-book, Proctored, Two parts (100 questions each, 2 hours per part) |
| Exam Price: | $450 USD (standard), $550 USD (late registration) |
| Real Exam Qty: | 200 |
| Certificate Validity Period: | 5 years |
| Passing Score: | Determined via Angoff Method, scaled score; varies slightly by exam form |
| Exam Duration: | 240 minutes |
| Available Languages: | English |
| Recommended Training: | APhA Delivering Medication Therapy Management Services Power-Pak C.E. MTM Certificate Program |
| Exam Registration: | NBMTM myNBMTM Portal |
| Sample Questions: | NBMTM BCMTMS Sample Questions |
| Exam Way: | Online remote proctored or onsite testing center; administered by Meazure Learning |
| Pre Condition: | Active unrestricted pharmacist license; plus either 2 years post-licensure practice experience in MTM or completion of an NBMTM-approved MTM training program |
| Official Syllabus URL: | https://www.nbmtm.org/bcmtms-exam-overview/ |
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Documentation and Billing | 7% | - Coding, billing, and reimbursement rules - Required documentation standards for MTM services - Compliance and regulatory requirements |
| Topic 2: Patient Care Advocacy | 13% | - Adherence support and barrier resolution - Health literacy and cultural competence - Care coordination and collaboration with providers - Patient education and communication strategies |
| Topic 3: Fundamentals of Pharmacogenomics | 5% | - Application of pharmacogenomic data in clinical decision-making - Basic principles of pharmacogenomics - Impact of genetic variations on drug response and metabolism |
| Topic 4: Defining Medication Therapy Management and Translating MTM into Practice | 13% | - Integration of MTM within healthcare systems and practice settings - Core concepts and definitions of MTM - Models and frameworks for delivering MTM services |
| Topic 5: Pharmacotherapy | 62% | - Drug selection, dosing, monitoring, and adverse effect prevention - Patient-specific pharmacotherapy optimization - Disease state management and evidence-based treatment guidelines - Medication safety, drug interactions, and therapeutic alternatives |
1. A patient was referred by a cardioiogist and is currently taking pitavastatin 2mg 4 times per week. This close is the maximum tie patient can tolerate after failing atorvastatin and rosuvastatin due to statinintolerance The most recent LDL indicates thatthe patient needs to reduce LOL choleslerol level The patientis on a fixed income due to a recentlayoff Which of the following pharmacotherapy changes would beBEST to recommend?
A) Add ezetimioe iomg dairy
B) Change the frequency of pravastatin to once daily
C) Change pltavastatin to pravastatin 20mg dally.
D) Add airocumab 75mg/mL subcutaneous every 2 weeks
2. A pharmacist is counseling a patient on the correct use of a new inhaler. During the session, the pharmacist observes multiple verbal and non-verbal cues indicating the patient may have low health literacy. Following this observation, what should the pharmacist ask the patient to do NEXT in order to appropriately assess the patient's understanding of the delivered information?
A) Read aloud a patient information sheet.
B) Teach back what was learned so far.
C) Recite all current medications.
D) Take a formal written health literacy test
3. Which laxative do current guidelines recommend as first-line treatment for constipation-predominate irritable Dowel syndrome?
A) Psyllium husk
B) Sennosides/docusate
C) Magnesium citrate
D) Bisacody1 suppository
4. A male patient who was recently diagnosed with prostatitis was prescribed levofloxacin 500mg PO daily.
Which counseling point would be MOST important for a pharmacist to provide lo the patient?
A) Take levofloxacin with an iron supplement
B) Avoid grapefruit juice for the duration of therapy
C) Consume meals nigh in Tat for the duration of therapy.
D) Avoid drinking milk within 2 hours or taking levofloxacin.
5. A physician has diagnosed a patient with Addison's disease but believes the condition may be medication induced, if contained on the patient's current medication list, which of the following would MOST likely be the offending drug responsible for the diagnosis of this condition?
A) Sitagtiptin/metaformin
B) Metoprololsuccinate
C) indomethacin
D) Prednisone
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: B | Question # 3 Answer: A | Question # 4 Answer: D | Question # 5 Answer: A |
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