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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) |
| Passing Score: | Determined via Angoff Method, scaled score; varies slightly by exam form |
| Real Exam Qty: | 200 |
| Certificate Validity Period: | 5 years |
| Available Languages: | English |
| Exam Price: | $450 USD (standard), $550 USD (late registration) |
| Exam Duration: | 240 minutes |
| 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 |
|---|---|---|
| Patient Care Advocacy | 13% | - Care coordination and collaboration with providers - Patient education and communication strategies - Adherence support and barrier resolution - Health literacy and cultural competence |
| Documentation and Billing | 7% | - Coding, billing, and reimbursement rules - Required documentation standards for MTM services - Compliance and regulatory requirements |
| Fundamentals of Pharmacogenomics | 5% | - Basic principles of pharmacogenomics - Application of pharmacogenomic data in clinical decision-making - Impact of genetic variations on drug response and metabolism |
| Pharmacotherapy | 62% | - Drug selection, dosing, monitoring, and adverse effect prevention - Patient-specific pharmacotherapy optimization - Medication safety, drug interactions, and therapeutic alternatives - Disease state management and evidence-based treatment guidelines |
| 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 |
1. When comparing demographics and other patient characteristics, which group of patients would typically show the LOWE ST rates of medication adherence to statin therapy?
A) Non-smokers when compared to patients that smoke
B) Patients with a previous history of congenital heart disease when compared to those without it
C) Younger otherwise healthy patients when compared to older patients
D) Higher-income patients when compared to Medicaid patients
2. A 45-year-oid patient with a medical history or hypertension. hypercholesterolemia, chronic pain from cancer, and obesity is taking
* phentermine 37 5mg daily
* losartan-HCTZ 50/25 daily
* rosuvastatin 20mg daily
*oxycodone 30mg one tablet dally every 6 hours p.r.n. (#120)
The patient presents to the pharmacy with a prescription of oxycodone 30mg hut two tablets every 6 hours prn tor pain (#240); The pharmacist notices an increase in the dosage of the medication with360MME on this prescription. The patient states that the old dosage was not helping their pain, so the doctor increased the dose.
taking more as needed Tor pain relief. Which of the following recommendations would be best for the pharmacist to present to the patient's prescriber?
A) Decrease oxycodone quantity and recommend naloxone spray.
B) Decrease their oxycodone quantity and recommend an extended release with naloxone spray
C) increase oxycodone quantity and recommend a laxative
D) increase their oxycodone quantity and recommend naloxone spray.
3. Which statement is MOST accurate regarding MTM sessions that are facilitated by a call center and face-to- face sessions in a community pharmacy?
A) Face-to-face sessions are more effective than sessions facilitated at call centers.
B) Medicare prefers face-to-face sessions over sessions facilitated at call centers.
C) Both types of sessions meet the Medicare Part D criteria of being interactive.
D) Sessions facilitated at call centers are completed more quickly than face-to-face sessions.
4. A patient has a past medical history of multiple myeloma, hypertension. hypertipidemia. depression, anxiety, nausea and vomiting, asthma, and eczema which chronic conditions would qualify the patient tor MTM services through Medicare Part D?
A) Asthma, eczema, nauses and vomiting, and anxiety
B) Asthma. multiple myeloma, hyperlipemia, and hypertension
C) Asthma, depression, hypertension, and hyperlipidemia
D) Asthma, anxiety, hypertension, and eczema
5. A patient presents with stage 1 hypertension. Diabetes, and an atherosclerotic cardiovascular disease 10-year risk score of 7%. Current guidelines indicate that which medication wouldbe the MOST appropriate first-line therapy for the patient?
A) Hydrochlorothiazide
B) Amiodipine
C) Irbesartan
D) Atenolol
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: B | Question # 3 Answer: C | Question # 4 Answer: C | Question # 5 Answer: C |
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