NBMTM BCMTMS Exam : Board Certified Medication Therapy Management Specialist

NBMTM BCMTMS exam
  • Exam Code: BCMTMS
  • Exam Name: Board Certified Medication Therapy Management Specialist
  • Updated: Aug 13, 2026
  • Q & A: 103 Questions and Answers
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NBMTM BCMTMS Exam Syllabus Topics:

SectionWeightObjectives
Documentation and Billing7%- Compliance and regulatory requirements
- Coding, billing, and reimbursement rules
- 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
Pharmacotherapy62%- Patient-specific pharmacotherapy optimization
- Disease state management and evidence-based treatment guidelines
- Drug selection, dosing, monitoring, and adverse effect prevention
- Medication safety, drug interactions, and therapeutic alternatives
Fundamentals of Pharmacogenomics5%- Application of pharmacogenomic data in clinical decision-making
- Basic principles of pharmacogenomics
- Impact of genetic variations on drug response and metabolism
Defining Medication Therapy Management and Translating MTM into Practice13%- Models and frameworks for delivering MTM services
- Core concepts and definitions of MTM
- Integration of MTM within healthcare systems and practice settings

NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. A patient who practices the Muslim faith and cannot consume pork-based products presents to the pharmacy and asks. "What: should I be on the lookcut for when buying an over-the-counter omega-3 fatty acid capsule'" Which response by a pharmacist would be MOST appropriate'?

A) "Omega-3 ratty acid capsules do not contain any pork-based ingredients, so you can purchase them without any issue."
B) "All omega-3 Tatty acids are derived from pork-based ingredients, so they should be avoided completely."
C) "Omega-3 fatty acid capsules may contain a pork-based gelatin, so let me confirm which non-gelatin- based options we have available.'
D) "Omega-3 fatty acids are very important for your heart, and you should take them regardless of your religious beliefs "


2. 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) Advise the patient 10 try the senna/docusate supplement for a few more weeks.
C) Refer the patient to a physician to rule out a bowel obstruction
D) Recommend the patient try a psyllium laxative.


3. A patient presents with stage 1 hypertension. Diabetes, and an atherosclerotic cardiovascular disease 10-year risk score of 7%. Current guidelines indicate that which medication wouldbe the MOST appropriate first-line therapy for the patient?

A) Irbesartan
B) Amiodipine
C) Hydrochlorothiazide
D) Atenolol


4. A patient well-Known to ire MTM clinic was recently diagnosed with recurrent hepatic encephalopathy.
Which treatment would De MOST appropriate to recommend for the patterns

A) Rifaximin 550mg bid plus lactulose titrated to 2-3 son stools per day
B) Disulfiram 500mg on=e daily plus lactulose titrated to 2-3 soft stools per day
C) Metronidazole 500mg t.i.d.
D) Ciprofloxacin 500mg bid plus lactulose titrated to 2-3 soft stools per day


5. in treating venous thromboembolism, which direct oral anticoagulant would be BEST for maintenance treatment in a 78-yeaf-oia adult who has a creatinine clearance of 23mL/min and weighs less than 60Kg?

A) Rivaroxaban 20mg FO daily
B) EdoxaDan 30mg PO daily
C) Apixaban 5mg PO b.i.d.
D) Dabigatran I50mg PO b.i.d.


Solutions:

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

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