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 04, 2026
  • Q & A: 103 Questions and Answers
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NBMTM BCMTMS Exam Syllabus Topics:
SectionWeightObjectives
Documentation and Billing7%- Required documentation standards for MTM services
- Coding, billing, and reimbursement rules
- Compliance and regulatory requirements
Fundamentals of Pharmacogenomics5%- Impact of genetic variations on drug response and metabolism
- Basic principles of pharmacogenomics
- Application of pharmacogenomic data in clinical decision-making
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
Patient Care Advocacy13%- Health literacy and cultural competence
- Patient education and communication strategies
- Adherence support and barrier resolution
- Care coordination and collaboration with providers
Pharmacotherapy62%- Disease state management and evidence-based treatment guidelines
- Patient-specific pharmacotherapy optimization
- Drug selection, dosing, monitoring, and adverse effect prevention
- Medication safety, drug interactions, and therapeutic alternatives
NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. When a patient presents with signs and symptoms of diabetic peripheral neuropathy, which lab should be checked prior to starting a patient on pregabalin?

A) Alanine transaminase
B) Serum creatinine
C) A1C
D) Triiodothyronine


2. A 28-year-old, Caucasian male patient who is positive for HIV presents to clinic to initiate antiretrovirals. The physician instructs the patient to get blood drawn for labs, prescribes the following medications, and asks him to return to the clinic prior to starting medications:
abacavir/lamivudine 600/300mg PO daily
darunavir 400mg 2 tablets PO daily
ritonavir 100mg PO daily
For which reason is pharmacogenomic testing for the HLA-B*5701 gene variant indicated for this patient prior to initiation of therapy?

A) To avoid an acute exacerbation of hepatitis secondary to lamivudine
B) To avoid a hypersensitivity reaction secondary to abacavir
C) To avoid an anaphylaxis reaction secondary to ritonavir
D) To avoid Stevens-Johnson syndrome secondary to darunavir


3. A patient completed a genetic test that was requested by a pharmacist. and the results showed that the pattern is a poor metabolizer of CYP2C19 if the patient has history of acute coronary syndrome, which medication should he avoided in the patient's treatment regimen due to a black box warning?

A) Lisinopnl
B) Losartan
C) clopidogrel
D) Ticagretor


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


5. A male patient who was recently diagnosed with prostatitis was prescribed levofloxacin 500mg PO daily.
Which counseling point would be MOST important for a pharmacist to provide lo the patient?

A) Take levofloxacin with an iron supplement
B) Avoid drinking milk within 2 hours or taking levofloxacin.
C) Consume meals nigh in Tat for the duration of therapy.
D) Avoid grapefruit juice for the duration of therapy


Solutions:

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

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