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Last Updated: Aug 08, 2026

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NBMTM BCMTMS Exam Syllabus Topics:

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

NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. A 56-year-oid patient with a history of diabetes, hypertension, hypercholesterolemia, and asthma calls the pharmacy regarding message she has received. The medication list includes:
* metformin FR 6O0mg b.I.d
* glipizide 10mg bid
* lisinopril 40mg daily
* atorvastatin 40mg daily
* Tresiba 200units/mi_ 60 units sc hs
* semaglutide 0.5mg sc weekly
* Humalog 100units/mL 20 units Lid. before meals
* budesonide/formoterol 80/4.5 1 puff twice daily
The patient states that the can was regarding refills on their medications in which they decided to refill everything but their insulins. The patient states they have plenty of insulin, and they do not need any at the moment Which of the following questions would the BEST for the pharmacist lo ask using the motivational interviewing techniques to determine the patient's adherence to their insulins?

A) "Where else are you getting your insulin?"
B) "Do you remember to take your insulin?"
C) "Do you have concerns about the cost-effectiveness of diabetic medications?"
D) "How are you taking your insulin'"


2. A pharmacist may utilize which technique to optimize time allocated to MTM services?

A) Have support personnel print off a patient's medication lists from claims data for review prior to a comprehensive medication review
B) Have a pharmacy technician or other support personnel perform the medication therapy review process
C) Utilize pharmacy interns to finalize a comprehensive medication review in the OutcomesMTM platform.
D) Streamline the SOAP process oy restricting documentation to valid positive test results.


3. A pharmacist is providing a race-to-face MTM session to a patient that the pharmacist has not seen for 5 years. The session lasts for 45 minutes which group of CPT codes should the pharmacist submit for billing?

A) 99605, 99606, 99606
B) 99605, 99607, 99607
C) 99605, 99606, 99607
D) 99606, 99607, 99607


4. Which medication is preferred for healing Helicobacter pylori-negative, NSAlD-induced ulcers?

A) Sucralfate
B) Ranitidine
C) Omeprazole
D) Clarithromycin


5. 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) Aggressive
B) Passive
C) Passive-aggressive
D) Assertive


Solutions:

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

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