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NBMTM BCMTMS exam : Board Certified Medication Therapy Management Specialist

BCMTMS Exam Questions
  • Exam Code: BCMTMS
  • Exam Name: Board Certified Medication Therapy Management Specialist
  • Updated: Aug 22, 2026
  • Q & A: 103 Questions and Answers
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NBMTM BCMTMS Exam Syllabus Topics:

SectionWeightObjectives
Fundamentals of Pharmacogenomics5%- Impact of genetic variations on drug response and metabolism
- Application of pharmacogenomic data in clinical decision-making
- Basic principles of pharmacogenomics
Defining Medication Therapy Management and Translating MTM into Practice13%- Integration of MTM within healthcare systems and practice settings
- Core concepts and definitions of MTM
- Models and frameworks for delivering MTM services
Pharmacotherapy62%- Medication safety, drug interactions, and therapeutic alternatives
- Patient-specific pharmacotherapy optimization
- Disease state management and evidence-based treatment guidelines
- Drug selection, dosing, monitoring, and adverse effect prevention
Documentation and Billing7%- Coding, billing, and reimbursement rules
- Compliance and regulatory requirements
- Required documentation standards for MTM services
Patient Care Advocacy13%- Health literacy and cultural competence
- Care coordination and collaboration with providers
- Adherence support and barrier resolution
- Patient education and communication strategies

NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. A patient was referred by a cardioiogist and is currently taking pitavastatin 2mg 4 times per week. This close is the maximum tie patient can tolerate after failing atorvastatin and rosuvastatin due to statinintolerance The most recent LDL indicates thatthe patient needs to reduce LOL choleslerol level The patientis on a fixed income due to a recentlayoff Which of the following pharmacotherapy changes would beBEST to recommend?

A) Add airocumab 75mg/mL subcutaneous every 2 weeks
B) Add ezetimioe iomg dairy
C) Change the frequency of pravastatin to once daily
D) Change pltavastatin to pravastatin 20mg dally.


2. A well-Known patient at an MTM clinic has been newly diagnosed with psoriasis. The patients PCP cans the pharmacy and asks for a recommendation to start therapy until the patient is able to consult a dermatologist in a few weeks. Which recommendation would beMOST appropriate for the pharmacist to make'

A) Pimecrolimus cream 1% daily
B) Calcipotriene ointment 0.001% daily
C) Tazarotene cream rj.05% daily
D) Betamethasone valerate ointment 0.1% daily


3. A 65-year-otd male patient who has a past medical history or hyperlipidemia. hypertension. diabetes. and obesity arrives at the pharmacy for a comprehensive medication review During the discussion with the pharmacist, the patient explains having to discontinue exercise due to increased dyspnea upon exertion In addition, lite patient complains or a persistent cough and orthopnea when retiring to sleep. Which diagnostic test would be MOST userful for runner assessment or the patient's symptoms?

A) C-reactive protein tab test
B) B-type natriuretic peptide lab test
C) Electrocardiogram
D) Echocardiogram


4. Which class of medications is typically first line in treating eating disorders?

A) Serotonin and norepinephrine reuptake inhibitors
B) Tricyclic antidepressants
C) Selective serotonin reuptake inhibitors
D) Mood stabilizers


5. A regular patient of the pharmacy presents to pick up the monthly medication refills. During the course or conversation. the patient mentions that the insurance company had requested to set up a review session to go over all current medications, and that a pharmacist at a call center will undertake the review. Which type of MTM service modelIt MOST likely being provided to the patient?

A) Hybrid MTM disease management
B) Care teams
C) Telephonic
D) Pharmacy-based disease monitoring


Solutions:

Question # 1
Answer: B
Question # 2
Answer: D
Question # 3
Answer: D
Question # 4
Answer: C
Question # 5
Answer: A

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