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Updated: Aug 20, 2026
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| Certification Vendor: | NBMTM |
| Exam Name: | Board Certified Medication Therapy Management Specialist |
| Exam Number: | BCMTMS |
| Real Exam Qty: | 150 |
| Passing Score: | 70% |
| Exam Price: | USD 495 |
| Available Languages: | English |
| Exam Format: | Multiple Choice |
| Certificate Validity Period: | 5 years |
| Exam Duration: | 180 minutes |
| Sample Questions: | NBMTM BCMTMS Sample Questions |
| Exam Way: | Computer-based testing at Pearson VUE centers |
| Pre Condition: | Licensed pharmacist (PharmD or equivalent) required; minimum of 2 years pharmacy practice experience recommended |
| Official Syllabus URL: | https://www.nbmtm.org |
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Medication Therapy Management (MTM) Care Plan Development | 30% | - Address polypharmacy and medication optimization - Recommend evidence-based pharmacotherapy - Develop individualized medication therapy care plans - Establish therapeutic goals with measurable outcomes |
| Topic 2: Professional Practice and Communication | 25% | - Maintain continuing education and competency - Utilize technology and documentation systems - Adhere to legal, regulatory, and ethical standards - Apply reimbursement principles for MTM services - Communicate effectively with healthcare team members |
| Topic 3: Patient Assessment and Documentation | 25% | - Document patient encounters appropriately - Identify drug therapy problems - Gather patient-specific information (medical history, current medications, lab results) - Review and interpret patient data for MTM eligibility |
| Topic 4: Patient Education and Follow-up | 20% | - Promote adherence and self-management strategies - Schedule and conduct follow-up assessments - Provide patient-centered counseling on medications - Modify care plans based on patient response |
1. 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) Prednisone
B) Metoprololsuccinate
C) indomethacin
D) Sitagtiptin/metaformin
2. A newly diagnosed epilepsy patient with few episodes or focal onset seizures in the past week presents to the pharmacy with a new prescription for a carbamazepine ER 200mg once daily The patent has an ongoing diagnosis of bipolar disorder and a history of migraines and takes valproic acid 750mg in divided doses daily.
Which one of the following severe and RARE side effects should the pharmacist discuss with the patient?
A) Osteoporosis
B) Suicidal ideation
C) Drowsiness. insomnia
D) Stevens-Johnson syndrome (SJS). TEN
3. 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) Ask the patient how they are supposed to take the medication
B) Override the rejection claim and counsel patient to take daily.
C) Call the prescriber and verify the directions of the prescription and diagnosis code.
D) Have the pharmacy technician verify the DUR with the patient.
4. 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 Is the best time for the call center to contact you?"
B) "Do you take your medications in the morning?"
C) "What side effects should you watch out for while on the medications?"
D) "Do you know when your next doctors appointment is scheduled for?
5. Which immunosuppressant requires screening for symptoms of post-transplant lymphoproliferative disorders and progressive mulitifocal leukoencephalopathy with counseling and education as pan of a Risk evaluation and Mitigation Strategy?
A) Tacrolimus
B) Belatacept
C) Cyclosporine
D) Azathioprine
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: D | Question # 3 Answer: C | Question # 4 Answer: C | Question # 5 Answer: C |
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