One product, three ways to study. Real4test delivers the NBMTM Board Certified Medication Therapy Management Specialist bank as a printable PDF, an interactive Windows software version, and an intelligent online version that flags your mistakes until you master them — every format containing the same 103 practice questions for the BCMTMS exam.
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 |
| Certificate Validity Period: | 5 years |
| Real Exam Qty: | 200 |
| Exam Format: | Multiple-choice questions, Two parts (100 questions each, 2 hours per part), Proctored, Closed-book |
| Passing Score: | Determined via Angoff Method, scaled score; varies slightly by exam form |
| Available Languages: | English |
| Recommended Training: | Power-Pak C.E. MTM Certificate Program APhA Delivering Medication Therapy Management Services |
| 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 - Integration of MTM within healthcare systems and practice settings - Core concepts and definitions of MTM |
| Topic 2: Pharmacotherapy | 62% | - Drug selection, dosing, monitoring, and adverse effect prevention - Medication safety, drug interactions, and therapeutic alternatives - Patient-specific pharmacotherapy optimization - Disease state management and evidence-based treatment guidelines |
| 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% | - Adherence support and barrier resolution - Care coordination and collaboration with providers - Patient education and communication strategies - Health literacy and cultural competence |
| Topic 5: Documentation and Billing | 7% | - Coding, billing, and reimbursement rules - Required documentation standards for MTM services - Compliance and regulatory requirements |
Everything You Wanted to Ask About the NBMTM Board Certified Medication Therapy Management Specialist Exam
Which domains make up the BCMTMS exam?
The NBMTM Board Certified Medication Therapy Management Specialist exam spans 5 domains, and they are not weighted equally. The top areas are Fundamentals of Pharmacogenomics — 5%, Defining Medication Therapy Management and Translating MTM into Practice — 13%, Documentation and Billing — 7%. Budget your study hours to match those weights; the full domain list is in the outline section further up this page.
Are there official NBMTM courses for the BCMTMS exam?
Yes. NBMTM officially recommends these training options for the NBMTM Board Certified Medication Therapy Management Specialist exam:
Training builds the foundation — then measure it with the 103 practice questions for the BCMTMS exam from Real4test to see how you perform when the clock is running.
What is the NBMTM Board Certified Medication Therapy Management Specialist exam, in plain terms?
The BCMTMS exam is NBMTM's official certification test, and passing it earns the Board Certified Medication Therapy Management Specialist (BCMTMS™) credential at the Specialist / Advanced Practice level. In career terms, it is verified proof of skill — the kind that moves you up the shortlist when your company works with NBMTM technologies, or when you apply to one that does.
What is the BCMTMS passing score, and how much is the exam fee?
You pass the NBMTM Board Certified Medication Therapy Management Specialist exam at Determined via Angoff Method, scaled score; varies slightly by exam form, and each attempt costs $450 USD (standard), $550 USD (late registration) — fail, and that fee is due again in full for the retake. Treat mock exams as insurance: keep practicing with Real4test until your scores sit comfortably above Determined via Angoff Method, scaled score; varies slightly by exam form twice in a row, then schedule the real BCMTMS exam.
Can I check your BCMTMS questions before buying?
Please do. Real4test offers a free demo download for the NBMTM Board Certified Medication Therapy Management Specialist exam — grab it from the product page or leave your email and we will send it over. Purchases come with 365 days of free updates; after that year, extending the update service costs 50% of the original price in your member zone.
How many questions are in the BCMTMS exam and how long does it run?
The NBMTM Board Certified Medication Therapy Management Specialist exam packs 200 questions into 240 minutes. That ratio leaves almost no room for stalling, so time management is a trained skill, not luck. Our suggestion: rehearse full-length timed sessions in the Real4test engine, learn to park a question and return later, and walk into the BCMTMS exam with a pacing plan already rehearsed.
What are the eligibility requirements for the BCMTMS exam?
Active unrestricted pharmacist license; plus either 2 years post-licensure practice experience in MTM or completion of an NBMTM-approved MTM training program Since NBMTM revises these rules from time to time, confirm the current prerequisites on the official exam page (https://www.nbmtm.org/bcmtms-exam-overview/) before booking your NBMTM Board Certified Medication Therapy Management Specialist exam.
What if I fail — and how fast is delivery?
Delivery is effectively instant: your BCMTMS download link is emailed within one minute of payment, with no cap on how many computers you install it on. If the email has not shown up within 2 hours, check spam and contact our 7x24 support — we reply quickly and resend immediately. If you fail the NBMTM Board Certified Medication Therapy Management Specialist exam itself, the refund policy applies when you took the corresponding exam within 60 days of purchase: submit a scanned enrollment slip and the official Score Report PDF within 2 days after the exam, and the refund is processed within 7 days. Not covered: attempts within 3 days of purchase, exams never actually taken, free materials, and expired orders — and the candidate name must match the payer name. Prefer material over money? Exchange for two free exam products of equal value and keep the update service on your original purchase.
Where can I register for the NBMTM Board Certified Medication Therapy Management Specialist exam?
Use NBMTM's official registration channels:
The exam is offered as Online remote proctored or onsite testing center; administered by Meazure Learning — choose the format that fits your situation when you schedule.
NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:
Question #1
Which statement BEST describes the relationship between the Group Health Research institute chronic care model (CCM) and medication therapy management (MTM)
A. CCM is a specialized style of MTM used specifically for long-term care facility residents.
B. CCM is a multidimensional, systems based approach for chronic care which can include MTM
C. CCM is a documentation strategy in chronic care patients who qualify for MTM services.
D. CCM is a specialized, multifaceted method for Dining for MTM services.
Question #2
For a patient who has pulmonary arterial hypertension and acute vasoreactivity, which medication is the preferred treatment?
A. Verapamil
B. Amlodipine
C. Hydrochlorothiazide
D. Metoprolol
Question #3
A pharmacist is completing a comprehensive medication review for a new patient wno has started menopause at the MTM clinic. The patient asks for a recommendation because sne is suffering from vaginal dryness.
Cuming, and irritation, and over-the-counter vaginal moisturizers have not relieved the issues Which recommendation would be MOST appropriate for the patient?
A. Estrogen vaginal cream 0 5g vaginally for 2 weeks, then reassess
B. Progesterone 200mg PO QHS for A weeks
C. Conjugated estrogen 0.625mg PO daily and progesterone 200mg PO QHS for A weeks
D. Conjugated estrogen 0.625mg PO dally indefinitely
Question #4
Which counseling point is MO ST appropriate Tor a pharmacist to provide to a female patient who is just starting levothyroxine therapy?
A. "Be sure that you are taking an antacid 30 minutes prior to taking this medication."
B. "Consistently take this medication with either breakfast or dinner."
C. "immediately discontinue this medication if you become pregnant.''
D. "Check your thyroid Hormone levels 4 to 6 weeks after starting this medication "
Question #5
A cardiologist recently made a financial investment and now holds 40% total ownership in a pharmacy. The physician refers an patients who are enrolled in Medicare to that pharmacy and asks the patients to only pick up medications from that pharmacy With regards to laws governing Medicare fraud and abuse, which legislation has been violated by the referring cardiologist^
A. Stark Law
B. False Claims Act
C. Anti-KicKback statute
D. Criminal Health Care Fraud Statute
Solutions:
| Question #1 Correct Answer: B | Question #2 Correct Answer: B | Question #3 Correct Answer: A | Question #4 Correct Answer: D | Question #5 Correct Answer: C |


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