Exam Name: Board Certified Medication Therapy Management Specialist
Certification Provider: NBMTM
Corresponding Certification: NBMTM Certification
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Updated: Oct 07, 2026
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NBMTM BCMTMS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Fundamentals of Pharmacogenomics | 5% | - Basic principles of pharmacogenomics - Application of pharmacogenomic data in clinical decision-making - Impact of genetic variations on drug response and metabolism |
| Documentation and Billing | 7% | - Required documentation standards for MTM services - Compliance and regulatory requirements - Coding, billing, and reimbursement rules |
| Defining Medication Therapy Management and Translating MTM into Practice | 13% | - Core concepts and definitions of MTM - Integration of MTM within healthcare systems and practice settings - Models and frameworks for delivering MTM services |
| Pharmacotherapy | 62% | - Medication safety, drug interactions, and therapeutic alternatives - Patient-specific pharmacotherapy optimization - Drug selection, dosing, monitoring, and adverse effect prevention - Disease state management and evidence-based treatment guidelines |
| Patient Care Advocacy | 13% | - Health literacy and cultural competence - Adherence support and barrier resolution - Care coordination and collaboration with providers - Patient education and communication strategies |
NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:
A 28-year-oict patient is pregnant and has a past medical history of depression, hypertension, and newly diagnosed acid reflux. The patient's current medications include:
* sertraline 50mg daily
* labetalol 20Omg b.i.d.
* lansoprazole DR 30mg daily (newly initiated)
The patient has been crushing sertraline and labetalol due to nausea and associated vomiting episodes. How should the patient be counseled to administer lansoprazole?
- A. Crush the lansoprazole capsule, place it in applesauce or orange juice, and take 30 minutes prior to eating breakfast
- B. Crush the lansoprazole capsule, place it in applesauce or orange juice, and take at same time as the other crushed medications
- C. Open the lansoprazole capsule, sprinkle its contents in applesauce or orange juice, and swallow it whole
30 minutes prior to eating breakfast. - D. Open the lansoprazole capsule, sprinkle its contents in applesauce or orange juice, and swallow it whole at same time as the other crushed medications
Correct Answer: C 🗳️
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. TPMT
- B. CFTR
- C. G6PO
- D. FCER2
Correct Answer: C 🗳️
For a patient who has uncomplicated major depressive disorder and no contraindications, which class of antidepressants would TYPICALLY be recommended as first-line therapy?
- A. Norepinephrine and dopamine reuptake inhibitors
- B. Tricyclic antidepressants
- C. Serotonin-norepinephrine reuptake inhibitors
- D. Selective serotonin reuptake inhibitors
Correct Answer: D 🗳️
in premature infants, which factor affecting medication absorption needs to be considered?
- A. Saliva enzymes
- B. Kidney size
- C. Gastric pH
- D. Stomach size
Correct Answer: B 🗳️
A 45-year-old male patient who has diabetic peripheral neuropathy is picking up a prescription for pregabalin.
During pick up. the patient reveals working a jobthat requires constant walking the patientexperiences suboptimal reliet of diabetic neuropathy and inquires about over the counter (OTC) pain relief options Which response by thepharmacist would be MOST appropriate?
- A. Use a triple antibiotic ointment
- B. Use a topical lidocaine
- C. Do not use OTC treatments when taking pregabalin.
- D. Use a capsaicin cream.
Correct Answer: D 🗳️
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