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Last Updated: Sep 01, 2026

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NBMTM BCMTMS Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Medication Therapy Management (MTM) Care Plan Development30%- Establish therapeutic goals with measurable outcomes
- Develop individualized medication therapy care plans
- Address polypharmacy and medication optimization
- Recommend evidence-based pharmacotherapy
Topic 2: Professional Practice and Communication25%- Communicate effectively with healthcare team members
- Apply reimbursement principles for MTM services
- Adhere to legal, regulatory, and ethical standards
- Maintain continuing education and competency
- Utilize technology and documentation systems
Topic 3: Patient Education and Follow-up20%- Schedule and conduct follow-up assessments
- Modify care plans based on patient response
- Provide patient-centered counseling on medications
- Promote adherence and self-management strategies
Topic 4: Patient Assessment and Documentation25%- Document patient encounters appropriately
- Gather patient-specific information (medical history, current medications, lab results)
- Identify drug therapy problems
- Review and interpret patient data for MTM eligibility

NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

Question 1

A prescription is faxed over for a new patient for methotrexate 7.5mg. Upon reviewing the prescription claim, the pharmacist realizes there is a DUR rejection and realizes it is regarding the days' supply. When the prescription was sent over, it was written for 4 tablets by mouth daily instead of weekly, making the days' supply 4 days instead of 30 days. Knowing that methotrexate is a high-risk medication and can either be taken weekly for rheumatoid arthritis or daily for cancer, which of the following actions should the pharmacist perform NEXT to resolve the DUR rejection?

A. Have the pharmacy technician verify the DUR with the patient.
B. Call the prescriber and verify the directions of the prescription and diagnosis code.
C. Ask the patient how they are supposed to take the medication
D. Override the rejection claim and counsel patient to take daily.


Question 2

During a follow-up MTM visit with a patient, the patientasks the pharmacist about possible adverse effects related to a current medication that is a relatively new drug Which resource would provide any post-marketing surveillance adverse effect information reported by the public and/or other health professionals?

A. Randomized controlled trial
B. MedWatch Safety information and Adverse Event Reporting Program
C. Case report study
D. Risk Evaluation and Mitigation strategy


Question 3

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


Question 4

A 71-year-ow patient who was recently diagnosed withheart failurepresents for a comprehensive medication review. The pharmacist notes that a I of the patient's medications are up to date except eplerenone,which shows as 98 days past due for a refill When the pharmacist inquires about this, the patient responds by saying.
"My insurance does not cover this medication and i cannot afford the cash price " The pharmacist tens the patient spironolactone would be a cheaper option andhas shown to be just as effectivefor heart failure as eplerenone.The patient responds by saying. "Well, can you tell that to my doctor?" Which style of communication shouldthe pharmacist use while calling the patient's prescriber?

A. Passive-aggressive
B. Passive
C. Aggressive
D. Assertive


Question 5

A pharmacist places the following note in the Plan section or a patients soap note:
'Recommend patient increase ibuprofen 200mg to q.I.d scheduled dose Patient agrees.
Which description of an error with this note is most accurate?

A. it is missing a follow-up and monitoring plan
B. it should have been placed in the Objective section.
C. It introduces new Information that should be included in the Subjective section
D. it includes irrelevant information mat should have been excluded.


Solutions:

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

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