Earning the NBMTM Board Certified Medication Therapy Management Specialist credential tells employers you can work with NBMTM technologies at a professional level. Prepare for the BCMTMS exam in 2026 with the 103 expert-prepared practice questions from Actual4Exams.
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 Price: | $450 USD (standard), $550 USD (late registration) |
| Exam Duration: | 240 minutes |
| Passing Score: | Determined via Angoff Method, scaled score; varies slightly by exam form |
| Exam Format: | Two parts (100 questions each, 2 hours per part), Multiple-choice questions, Proctored, Closed-book |
| Available Languages: | English |
| Certificate Validity Period: | 5 years |
| Real Exam Qty: | 200 |
| Recommended Training: | APhA Delivering Medication Therapy Management Services Power-Pak C.E. MTM Certificate Program |
| Exam Registration: | NBMTM myNBMTM Portal |
| 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: Defining Medication Therapy Management and Translating MTM into Practice | 13% | - Models and frameworks for delivering MTM services - Core concepts and definitions of MTM - Integration of MTM within healthcare systems and practice settings |
| Topic 2: Documentation and Billing | 7% | - Required documentation standards for MTM services - Compliance and regulatory requirements - Coding, billing, and reimbursement rules |
| 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: Patient Care Advocacy | 13% | - Care coordination and collaboration with providers - Health literacy and cultural competence - Adherence support and barrier resolution - Patient education and communication strategies |
| Topic 5: 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 |
BCMTMS Exam FAQ: What Candidates Ask About NBMTM Board Certified Medication Therapy Management Specialist
The BCMTMS exam, officially known as NBMTM Board Certified Medication Therapy Management Specialist, is the NBMTM test that leads to the Board Certified Medication Therapy Management Specialist (BCMTMS™) certification at the Specialist / Advanced Practice level. Passing it validates the skills employers expect from a certified professional.
The BCMTMS exam contains 200 questions, and you have 240 minutes to complete them. Work out your per-question pace before test day, and flag slow items instead of stalling on them — time pressure, not knowledge, sinks many first attempts. Timed mock exams in the Actual4Exams test engines are the most reliable way to build that rhythm.
The passing score for the BCMTMS exam is Determined via Angoff Method, scaled score; varies slightly by exam form, and the official registration fee is $450 USD (standard), $550 USD (late registration). If you miss the mark, a retake means paying the full fee again, so book your seat only when you are ready. A practical benchmark: score consistently above the passing line on timed practice tests before scheduling the real exam.
Active unrestricted pharmacist license; plus either 2 years post-licensure practice experience in MTM or completion of an NBMTM-approved MTM training program
Entry requirements can change, so confirm the latest conditions on the official exam page: https://www.nbmtm.org/bcmtms-exam-overview/.
You can book the BCMTMS exam through the official registration channels below:
Exam delivery: Online remote proctored or onsite testing center; administered by Meazure Learning. Seats at popular test centers fill quickly, so schedule early once your preparation is on track.
NBMTM recommends the following training options for NBMTM Board Certified Medication Therapy Management Specialist candidates:
Pair any course with the 103 practice questions from Actual4Exams to measure how ready you really are before paying the exam fee.
Yes. A free PDF demo of the NBMTM Board Certified Medication Therapy Management Specialist questions is available, so you can check the question style and answer quality before you pay. Every purchase also includes 365 days of free updates, and if the product expires you can renew the update service at a 50% discount from your member zone.
If you take the corresponding BCMTMS exam within 60 days of purchase and do not pass, you can apply for a full refund under the 100% Money Back Guarantee: submit a scan of your enrollment slip and your official Score Report (PDF) within 2 days of the exam date, and the claim is processed within 7 days. Attempts made within 3 days of purchase, downloads without an actual exam attempt, free materials, and expired orders are not eligible, and the candidate name must match the payer name. Prefer new material instead of a refund? You can exchange your purchase for two free products of equal value and keep the update service on your original product. As for delivery, the files are available for instant download and are also emailed to you within one minute of payment — if nothing arrives within 2 hours, contact customer service. There is no limit on how many computers you can install the product on.
The official NBMTM Board Certified Medication Therapy Management Specialist outline is organized into 5 domains. The first three are:
- Documentation and Billing — 7% of the exam
- Patient Care Advocacy — 13% of the exam
- Pharmacotherapy — 62% of the exam
See the complete exam topics section above for the full outline and the weighting of every domain.
NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:
An 85-year-oia patient who has several disease conditions and is enrolled in Medicare Part D presents to a pharmacy to refill prescriptions After reviewing the patient's medication vials to provide refills, the pharmacist realizes that, even though the refills are due. many of the vials are still half full with medication Which Initial reaction by the pharmacist lo this observation would be BEST?
- A. "There are quite a few tablets remaining in these, which is not good Are you forgetting to take your medication*?"
- B. "Many or my patients have difficulty remembering to take medications. What kind of problems nave you experienced?"
- C. "Since medication therapy management services are an included benefit of Medicare Pan D. can you explain to me why you have not been taking your medication'?"
- D. "Is your physician aware that you're not taking your medications'?"
Correct Answer: B 🗳️
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. Add monteiukast QMS.
- B. Add a budesonide Inhaler b.i.d
- C. Change the albuterol inhaler to a formoterol as monotherapy.
- D. Change the albuterol Inhaler to a prednisone burst p.r.n
Correct Answer: A 🗳️
Which guideline BE ST describes a daily nutrient goal for a patient who is following the DASH diet?
- A. Saturated fat intake should be no more than 17% of total daily calories
- B. Sodium intake should be no more than 2300mg daily
- C. Fiberintake should be between Gg and 10g daily
- D. Protein intake should De at least 55% of total daily calories.
Correct Answer: D 🗳️
Which phosphodiesterase-5 enzyme inhibitor is indicated for benign prostatic hyperplasia with or without erectile dysfunction?
- A. Tadatafil
- B. Alprostadil
- C. Vardenafil
- D. sildenafil
Correct Answer: D 🗳️
A prescription is faxed over for a new patient for methotrexate 7.5mg. Upon reviewing the prescription claim, the pharmacist realizes there is a DUR rejection and realizes it is regarding the days' supply. When the prescription was sent over, it was written for 4 tablets by mouth daily instead of weekly, making the days' supply 4 days instead of 30 days. Knowing that methotrexate is a high-risk medication and can either be taken weekly for rheumatoid arthritis or daily for cancer, which of the following actions should the pharmacist perform NEXT to resolve the DUR rejection?
- A. Call the prescriber and verify the directions of the prescription and diagnosis code.
- B. Override the rejection claim and counsel patient to take daily.
- C. Have the pharmacy technician verify the DUR with the patient.
- D. Ask the patient how they are supposed to take the medication
Correct Answer: A 🗳️
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