An exam bank is only as good as its last update. Real4exams checks the NBMTM Board Certified Medication Therapy Management Specialist landscape daily and mails you new versions the moment they exist — free for 365 days, keeping your BCMTMS preparation current through 2026 and beyond.
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 Format: | Closed-book, Computer-based, Multiple-choice, Proctored |
| Available Languages: | English |
| Real Exam Qty: | 200 |
| Exam Price: | USD 450 (US applicants), USD 530 (International applicants) |
| Passing Score: | Scaled score (cut score determined via Angoff method; not a fixed percentage) |
| Certificate Validity Period: | 5 years |
| Exam Duration: | 240 minutes |
| Recommended Training: | NBMTM Candidate Handbook and Exam Content Outline |
| Exam Registration: | NBMTM Official Certification Portal |
| Sample Questions: | ![]() |
| Exam Way: | Computer-based proctored exam (in-person testing centers or remote proctoring via Meazure Learning) |
| Pre Condition: | Pharmacy degree (PharmD or equivalent), unrestricted pharmacist license, and either 2 years of MTM experience post-licensure 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: Pharmacotherapy | 62% | |
| Topic 2: Fundamentals of Pharmacogenomics | 5% | |
| Topic 3: Documentation and Billing | 7% | |
| Topic 4: Patient Care Advocacy | 13% | |
| Topic 5: Medication Therapy Management Foundations | 13% | - Definition and Practice Translation |
BCMTMS Candidates Ask, Real4exams Answers
Is there a way to preview the BCMTMS material before purchase?
There is, and we recommend it. Real4exams posts a free demo of the NBMTM Board Certified Medication Therapy Management Specialist questions on the product page — download it or leave your email and we will send it over. Buying includes 365 days of free updates; when that year runs out, you can extend the update service at a 50% discount from your member zone.
What does it take — and cost — to pass the BCMTMS exam?
The passing mark for the NBMTM Board Certified Medication Therapy Management Specialist exam is Scaled score (cut score determined via Angoff method; not a fixed percentage), and one attempt costs USD 450 (US applicants), USD 530 (International applicants). Retakes are charged at full price again, so walking in underprepared is an expensive mistake. A practical safeguard: rehearse with Real4exams practice questions until your timed mock scores clear Scaled score (cut score determined via Angoff method; not a fixed percentage) with room to spare, then book the real BCMTMS exam.
How do I book a seat for the NBMTM Board Certified Medication Therapy Management Specialist exam?
Registration is handled through NBMTM's official channels:
Delivery format for the exam itself: Computer-based proctored exam (in-person testing centers or remote proctoring via Meazure Learning). Pick whichever option fits your situation when scheduling.
What subject areas does the BCMTMS exam cover?
NBMTM structures the NBMTM Board Certified Medication Therapy Management Specialist exam around 5 domains. The heaviest hitters are Documentation and Billing (7% of the exam), Pharmacotherapy (62% of the exam), Fundamentals of Pharmacogenomics (5% of the exam). Start your revision where the weight is, and scroll up to the outline section on this page for the complete topic list.
Where does the BCMTMS exam fit in the NBMTM certification track?
The BCMTMS exam is the official NBMTM assessment that awards the Board Certified Medication Therapy Management Specialist (BCMTMS) certification — a credential at the Professional level. Passing it proves vendor-validated skills that employers actively look for.
What if I fail the NBMTM Board Certified Medication Therapy Management Specialist exam — and when do I get my files?
Delivery first: your BCMTMS product downloads instantly, and a copy reaches your email within one minute of payment. Nothing after 2 hours (spam folder checked)? Contact our online service and we will resolve it at once. Install limits do not exist — use as many computers as you like. On refunds: if you sit the corresponding BCMTMS exam within 60 days of purchase and fail, you qualify for a full refund. File the claim within 2 days after the exam with a scanned enrollment slip and the official Score Report PDF; processing completes within 7 days. The guarantee excludes attempts made within 3 days of purchase, downloads never used in an actual exam, free materials, and expired orders, and the candidate name must match the payer name. Rather keep studying? Swap your product for two free exam products of equal value — your original purchase keeps its update service either way.
How many questions and how much time does the BCMTMS exam give me?
Expect 200 questions within 240 minutes on the NBMTM Board Certified Medication Therapy Management Specialist exam. Divide the two and the pace is unforgiving — there is little slack for second-guessing. Build speed deliberately: run full-length timed sessions in the Real4exams test engine, practice marking hard questions for review, and treat every mock as a dress rehearsal for the real BCMTMS exam.
Which official courses does NBMTM recommend for the BCMTMS exam?
NBMTM points NBMTM Board Certified Medication Therapy Management Specialist candidates toward these official training resources:
Coursework builds understanding; the 103 practice questions for the BCMTMS exam from Real4exams then prove whether that understanding survives a real testing clock.
Is there anything I must do before registering for the BCMTMS exam?
Pharmacy degree (PharmD or equivalent), unrestricted pharmacist license, and either 2 years of MTM experience post-licensure or completion of an NBMTM-approved MTM training program Because NBMTM can revise these requirements, verify the current rules on the official exam page — https://www.nbmtm.org/bcmtms-exam-overview/ — before scheduling your NBMTM Board Certified Medication Therapy Management Specialist exam.
NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:
Question #1
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, anxiety, hypertension, and eczema
B. Asthma. multiple myeloma, hyperlipemia, and hypertension
C. Asthma, depression, hypertension, and hyperlipidemia
D. Asthma, eczema, nauses and vomiting, and anxiety
Question #2
in premature infants, which factor affecting medication absorption needs to be considered?
A. Stomach size
B. Gastric pH
C. Kidney size
D. Saliva enzymes
Question #3
A 56-year-oid patient with a history of diabetes, hypertension, hypercholesterolemia, and asthma calls the pharmacy regarding message she has received. The medication list includes:
* metformin FR 6O0mg b.I.d
* glipizide 10mg bid
* lisinopril 40mg daily
* atorvastatin 40mg daily
* Tresiba 200units/mi_ 60 units sc hs
* semaglutide 0.5mg sc weekly
* Humalog 100units/mL 20 units Lid. before meals
* budesonide/formoterol 80/4.5 1 puff twice daily
The patient states that the can was regarding refills on their medications in which they decided to refill everything but their insulins. The patient states they have plenty of insulin, and they do not need any at the moment Which of the following questions would the BEST for the pharmacist lo ask using the motivational interviewing techniques to determine the patient's adherence to their insulins?
A. "Do you have concerns about the cost-effectiveness of diabetic medications?"
B. "How are you taking your insulin'"
C. "Where else are you getting your insulin?"
D. "Do you remember to take your insulin?"
Question #4
A patient is participating in an MTM session snares that they are taking hydrocodone/acetaminopen iomg
/325mg four times daily for the last year due to chronic back pain The patient complains of constipation even after taking senna/docusate supplements for the last month and describes bloating, cramps, and an Inability to have a bowel movement for the pant five days Which reaction by the pharmacist to the patients concern would be BEST?
A. Advise the patient to eat more fiber and stay hydrated
B. Refer the patient to a physician to rule out a bowel obstruction
C. Advise the patient 10 try the senna/docusate supplement for a few more weeks.
D. Recommend the patient try a psyllium laxative.
Question #5
During a follow-up MTM visit with a patient, the patientasks the pharmacist about possible adverse effects related to a current medication that is a relatively new drug Which resource would provide any post-marketing surveillance adverse effect information reported by the public and/or other health professionals?
A. Case report study
B. Risk Evaluation and Mitigation strategy
C. Randomized controlled trial
D. MedWatch Safety information and Adverse Event Reporting Program
Solutions:
| Question #1 Correct Answer: C | Question #2 Correct Answer: C | Question #3 Correct Answer: B | Question #4 Correct Answer: A | Question #5 Correct Answer: D |


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