Updated: Aug 17, 2026
No. of Questions: 103 Questions & Answers with Testing Engine
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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 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 |
| Available Languages: | English |
| Exam Format: | Multiple-choice questions, Closed-book, Proctored, Two parts (100 questions each, 2 hours per part) |
| Exam Duration: | 240 minutes |
| 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/ |
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: 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 |
| Topic 2: Defining Medication Therapy Management and Translating MTM into Practice | 13% | - Integration of MTM within healthcare systems and practice settings - Models and frameworks for delivering MTM services - Core concepts and definitions of MTM |
| Topic 3: 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 |
| Topic 4: Patient Care Advocacy | 13% | - Care coordination and collaboration with providers - Health literacy and cultural competence - Patient education and communication strategies - Adherence support and barrier resolution |
| Topic 5: Documentation and Billing | 7% | - Required documentation standards for MTM services - Compliance and regulatory requirements - Coding, billing, and reimbursement rules |
1. A patient with a history of hypertension and Design prostatic hyperplasia presents with complaints of nasal congestion. Which medication would be most appropriate to recommend?
A) Fluticasone nasal spray
B) Cetirizine
C) Pseudoephedrine
D) Acetaminophen
2. What are the genes involved in the metabolism pathway or warfarin?
A) CYP2C19, VKORC1
B) CYP2C9, VKORC1
C) CYP2D6, VKORC1
D) CYP3A4, VKORC1
3. A patient who is taking norethindrone 0.35mg daily for contraception is 5 hours late for a dose. How many hours must pass for a dose of norethindrone to be considered MISSED?
A) 6
B) 24
C) 12
D) 3
4. Which laboratory indicator to diagnose viral hepatitis is considered MOST appropriate?
A) Decreased sodium level
B) Elevated white blood cell count
C) Presence of hepatitis antibody and antigens
D) Elevated liver enzymes
5. A patient presents to his scheduled appointment Tor face-to-face MTM with a pharmacist. The patient has a list of personal medications and bottles of over-the counter herbal supplements Upon review ol the entire medication checklist the pharmacist wants to educate the patient on managing the drug interaction that was found between warfarin and SI John's won supplement What would be the BEST approach to guide the patient in managing the drug interaction?
A) St John's wort should be OK as long as the physician is aware
B) St John's wort will decrease the INR
C) St. John's wort will increase the INR
D) St Jonns wort has to be replaced with gingKo blloba.
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: A | Question # 3 Answer: D | Question # 4 Answer: C | Question # 5 Answer: C |
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