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Updated: Aug 04, 2026
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NBMTM BCMTMS Exam Overview:
| Certification Vendor: | National Board of Medication Therapy Management (NBMTM) |
| Exam Name: | Board Certified Medication Therapy Management Specialist Examination |
| Exam Number: | BCMTMS |
| Exam Duration: | 240 minutes |
| Available Languages: | English |
| 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) |
| Certificate Validity Period: | 5 years |
| Real Exam Qty: | 200 |
| Passing Score: | Determined via Angoff Method, scaled score; varies slightly by exam form |
| Recommended Training: | Power-Pak C.E. MTM Certificate Program APhA Delivering Medication Therapy Management Services |
| 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/ |
NBMTM BCMTMS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Pharmacotherapy | 62% | - Patient-specific pharmacotherapy optimization - Disease state management and evidence-based treatment guidelines - Medication safety, drug interactions, and therapeutic alternatives - Drug selection, dosing, monitoring, and adverse effect prevention |
| Topic 2: Fundamentals of Pharmacogenomics | 5% | - Application of pharmacogenomic data in clinical decision-making - Impact of genetic variations on drug response and metabolism - Basic principles of pharmacogenomics |
| Topic 3: Defining Medication Therapy Management and Translating MTM into Practice | 13% | - Core concepts and definitions of MTM - Models and frameworks for delivering MTM services - Integration of MTM within healthcare systems and practice settings |
| Topic 4: Documentation and Billing | 7% | - Coding, billing, and reimbursement rules - Compliance and regulatory requirements - Required documentation standards for MTM services |
| Topic 5: Patient Care Advocacy | 13% | - Health literacy and cultural competence - Patient education and communication strategies - Adherence support and barrier resolution - Care coordination and collaboration with providers |
NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:
1. A pharmacist is providing a race-to-face MTM session to a patient that the pharmacist has not seen for 5 years. The session lasts for 45 minutes which group of CPT codes should the pharmacist submit for billing?
A) 99605, 99606, 99606
B) 99605, 99606, 99607
C) 99606, 99607, 99607
D) 99605, 99607, 99607
2. While performing a medication review for a patient who was diagnosed with asthma last year, the pharmacist notes current use of an albuterol inhaler, as needed, which is typically 2 to 4 times per week when the patient's symptoms Hare up. The patient is not Inking any other medicatians for asthma Based on this information, which therapy should the pharmacist recommend to the patient's provider?
A) Change the albuterol inhaler to a formoterol as monotherapy.
B) Change the albuterol Inhaler to a prednisone burst p.r.n
C) Add a budesonide Inhaler b.i.d
D) Add monteiukast QMS.
3. An MTM pharmacist representing a national insurance company calls a patient to provide an annual comprehensive medication review Using the leach hack method, which question would be MOST appropriate for the pharmacist to ask during the session to ensure the patient's understanding?
A) "What side effects should you watch out for while on the medications?"
B) "What Is the best time for the call center to contact you?"
C) "Do you know when your next doctors appointment is scheduled for?
D) "Do you take your medications in the morning?"
4. 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
5. A 45-year-old patient with a history of dyslipidemia, HIV, hypertension, and arthritis presents to the ambulatory care clinic for an MTM session. The patient reports being discharged from the hospital one month ago due to a non-ST-elevation myocardial infarction, for which the patient was recently started on atenolol
25mg and nitroglycerin sublingual tablets, indefinitely. The patient's current medication list now includes:
Lisinopril 40mg PO daily
Simvastatin 40mg PO daily
Dolutegravir 50mg/rilpivirine 25mg PO daily with meal
Ibuprofen 200mg 1 tablet every 8 hours p.r.n.
Atenolol 25mg PO daily
Nitroglycerin tablets p.r.n.
According to current guidelines from the American Heart Association, simvastatin 40mg should be switched to which medication?
A) Rosuvastatin 20mg
B) Atorvastatin 20mg
C) Pravastatin 80mg
D) Lovastatin 80mg
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: D | Question # 3 Answer: A | Question # 4 Answer: A | Question # 5 Answer: A |
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