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NBMTM BCMTMS

BCMTMS

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

NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. A 55-year-old female patient presents to the pharmacy to pick up her monthly medications. Her medication history includes: methotrexate 7.5mg once weekly, losartan 50mg once daily, alprazolam 0.5mg b.i.d. p.r.n., atorvastatin 10mg daily, glipizide 10mg daily, and metformin 500mg daily. She presents a new prescription to the pharmacy for folic acid 1mg daily and Bactrim DS 160/800mg 1 tablet b.i.d. for 5 days for a UTI. She states that a recent diagnosis of folate deficiency was contributing to her "weakness and fatigue." Which of the following medications can be contributing to her folic acid deficiency?

A) Methotrexate
B) Bactrim DS
C) Losartan
D) Glipizide


2. 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) Atenolol
C) Amiodipine
D) Hydrochlorothiazide


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


4. Which statement BEST describes the relationship between the Group Health Research institute chronic care model (CCM) and medication therapy management (MTM)

A) CCM is a specialized, multifaceted method for Dining for MTM services.
B) CCM is a multidimensional, systems based approach for chronic care which can include MTM
C) CCM is a documentation strategy in chronic care patients who qualify for MTM services.
D) CCM is a specialized style of MTM used specifically for long-term care facility residents.


5. A 79-year-old patient presents to the pharmacy and complains of dry cough which started last week. The patient has a current medication list that includes: levothyroxine, metoprolol, sertraline, and lisinopril. The patient should be notified that the cough may be a side effect of taking which medication?

A) Sertraline
B) Lisinopril
C) Levothyroxine
D) Metoprolol


Solutions:

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

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