NBMTM BCMTMS Exam : Board Certified Medication Therapy Management Specialist

BCMTMS
  • Exam Code: BCMTMS
  • Exam Name: Board Certified Medication Therapy Management Specialist
  • Updated: Aug 26, 2026
  • Q & A: 103 Questions and Answers

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NBMTM BCMTMS Exam Syllabus Topics:

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

NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

Question 1

A mediation-related action plan (MAP) is being developed for a patient who has been diagnosed with type 2 diabetes andis a member of Medicare Part D. The patient has been prescribed metformin 500mg PO b.i.d The pharmacist is creating the MAP shown below:

When completing the MAP which additional statement would be MOST appropriate to add lo the section titled. "What I need to do''?

A. Stop taxing metformin one flay Before any office procedure.
B. Take metformin in the morning with water.
C. Start walking 30 minutes every day
D. Take an extra dose of metformin If blood glucose is greater than 200 mg/dL.


Question 2

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. Glipizide
B. Bactrim DS
C. Losartan
D. Methotrexate


Question 3

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. Require that pharmacy staff place medication guides in the patient's medication bags following transactions.
B. Ask the pharmacy manager to witness all communications andtransactions with the patient
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


Question 4

Which statement is MOST accurate regarding MTM sessions that are facilitated by a call center and face-to- face sessions in a community pharmacy?

A. Medicare prefers face-to-face sessions over sessions facilitated at call centers.
B. Face-to-face sessions are more effective than sessions facilitated at call centers.
C. Sessions facilitated at call centers are completed more quickly than face-to-face sessions.
D. Both types of sessions meet the Medicare Part D criteria of being interactive.


Question 5

A patient takes lisinopril 20mg once daily. Which question would BEST evaluate the efficacy of Lisinopril for this patient?

A. "Do you feel like the drug is working?"
B. ''How have your recent wood pressure readings been?"
C. "Is your blood pressure under control with lisinopril?"
D. "Have your symptoms started improving after starting lisinopril?"


Solutions:

Question 1
Answer: C
Question 2
Answer: D
Question 3
Answer: C
Question 4
Answer: D
Question 5
Answer: D

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