NBMTM Board Certified Medication Therapy Management Specialist : BCMTMS Exam

  • Exam Code: BCMTMS
  • Exam Name: Board Certified Medication Therapy Management Specialist
  • Updated: Aug 17, 2026
  • Q & A: 103 Questions and Answers

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NBMTM BCMTMS Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Documentation and Billing7%- Required documentation standards for MTM services
- Coding, billing, and reimbursement rules
- Compliance and regulatory requirements
Topic 2: 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
Topic 3: Pharmacotherapy62%- Medication safety, drug interactions, and therapeutic alternatives
- Drug selection, dosing, monitoring, and adverse effect prevention
- Patient-specific pharmacotherapy optimization
- Disease state management and evidence-based treatment guidelines
Topic 4: Patient Care Advocacy13%- Health literacy and cultural competence
- Care coordination and collaboration with providers
- Patient education and communication strategies
- Adherence support and barrier resolution
Topic 5: Fundamentals of Pharmacogenomics5%- Application of pharmacogenomic data in clinical decision-making
- Basic principles of pharmacogenomics
- Impact of genetic variations on drug response and metabolism

NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. When conducting a comprenensive medication review. whichquestion would De MOST appropriate for a pharmacistto ask to assess the patient's healthliteracy associated with reading instructions, pamphlets. and other written material from a physician?

A) "How do you assess your health literacy?"
B) "How often do you need to have someone help you?"
C) "Is it hard for you to comprehend what you read?"
D) "Do you always understand what you are reading?"


2. A patient presents at the pharmacy to request monthly refills. During the conversation with the pharmacist, the patient does not mention the names or indications of the medications being refilled; however, the patient could describe the color and shape of each. Past interactions with the patientinclude several missed appointments for an annual influenza vaccine, an outburst when asked to fill out an influenza vaccination questionnaire, and continual refusals when offered medication guides. Based on this information, which approach should the pharmacy staff use to communicate with the patient going forward?
when asked to nil out an influenza vaccination questionnaire, and continual refusals when offered medication guides Based on this information, which approach should the pharmacystaff use to communicate with the patient going forward?

A) Ask the pharmacy manager to witness all communications andtransactions with the patient
B) Require that pharmacy staff place medication guides in the patient's medication bags following transactions.
C) Offer to help the patient complete forms and questionnaires and speak using non-medical terms
D) Have the pharmacy staff make a record book of Incidents relating to interactions with the patient


3. 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) Care teams
D) Telephonic


4. A patient who is taking cannabidiol for seizures associated with Lennox-Gastaut syndrome should have specific lab values tracked closely during therapy to monitor for which potential effect?

A) Nephrotoxicity
B) Intoxication syndrome
C) Hepatotoxicity
D) Pancreatitis


5. During the course of a targeted medication review for a patient who has asthma, the pharmacist discovers a poor response to a recently increased dose of inhaled corticosteroids which has cause excessive use of rescue with a B2-agonist Upon further investigation, the pharmacist identifies a causal gene variant reported in the patient's recent pharmacogenomics test results variation in which of the following genes would MOST likely have caused an altered response to an inhaled corticosteroid?

A) CFTR
B) G6PO
C) TPMT
D) FCER2


Solutions:

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

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