Preparing For The BCMTMS Exam in 2021-2022

I get quite a few questions about preparing for the BCMTMS exam. I’ve been fortunate to receive feedback from many candidates now regarding our content and how to best tailor our educational approach. I’m happy with the testimonials that we have received that make me believe we provide the best resources on the market that will help you pass this exam. This exam has expanded greatly in the amount of content that you need to prepare for. We have expanded our study package for 2021 by about 8-10 hours of video content and several hundred practice questions to make sure we give you the best available resources to help in your preparation for the BCMTMS Exam.

If you are considering becoming Board Certified in Medication Therapy Management, you should definitely take the time to watch this video I created. Here’s a brief overview of topics in the video:

  • How important is board certification?
  • Will it help my job prospects?
  • Application process/eligibility
  • About the exam
  • Studying for the BCMTMS exam
  • When do I get my results?


The most prominent 2021 BCMTMS exam change is that the content outline is expanding. What has been added to the content outline? While the % of questions on pharmacotherapy went down (very slightly), the topic list that you need to be prepared for expanded in a big way. Here’s the link with the full content outline, but I will give you a summary of the biggest topics that were added below.

  • Hormone replacement therapy
  • Nutrition and diet management
  • UTI
  • Birth control and contraceptives
  • Prenatal care and pregnancy
  • Epilepsy
  • Parkinson’s disease
  • Drug allergy
  • Psoriasis
  • Transplant
  • Chronic Kidney diseases
  • Pediatrics
  • Geriatrics
  • Ophthalmic disorders
  • Dermatological disorders
  • Oncologic disorders specific to side effect management, screening, testing, and adherence
  • Immunization recommendations
  • Anemia
  • Cirrhosis

As you can tell by this list, there are numerous topic areas that were added that are very vague and could be treated as subset specialties (i.e. geriatrics, oncology, etc.). With our study materials, we’ve done our best to give you the most important highlights in these topic areas as well as have practice questions to help identify if you are particularly weak in an area. My best advice with these exams is that it is best to know a little about many different topics than being an expert in one. Think BROAD!


When preparing for the BCMTMS Exam, recognize that pharmacogenomics is the second biggest change over previous years’ exams. This change actually took place in 2020, but now it is officially listed on the content outline with a percentage. You can anticipate approximately 10 questions in relation to pharmacogenomics. On a 200 question exam, this isn’t an astronomical amount, but getting several of these wrong could hurt your chance. It is definitely a topic area I would spend some time studying, especially if you don’t have a solid background in this area.


When preparing for the BCMTMS exam, consider that the percentage of questions relating to billing and documentation is slightly lower than the previous content outline. Overall, this topic area covers 7.5% of the 2021 BCMTMS Exam. Do not overlook this area and I would anticipate 15 or so questions from this topic. This is a reduction from 10% in 2020. From the feedback I’ve gotten on our All-Access Pass, I feel that we have done a good job of hitting the highlights in our study materials.


Testing windows have not been an issue in the past, but this is going to change with the BCMTMS exam in 2021. You can no longer take the exam whenever you want. There are 4 set testing windows with a specific registration period prior to that exam window. This may require a little more planning if you are looking to become a Board Certified Medication Therapy Management Specialist. Here’s the full announcement on this.


The BCMTMS examination is split into two parts with 100 questions each. Candidates have up to two hours to complete each part. So it is really important to set a good pace (50 questions per 60 minutes). I cannot tell you how important this is in preparing for the BCMTMS exam! My best advice when using our practice questions and exam would be to target 1 minute per question. This will allow you to review and proof questions that you may want to come back to as you are wrapping up each part.

Once you have submitted Part 1 (100 questions) and move on to Part 2, you CANNOT go back and review Part 1. After completing part one of the examination, candidates will have the option of taking a 15-minute break or move on to part 2.

Due to COVID-19, you will have the option for live-online proctoring in 2021. Per the BCMTMS folks, this is only temporary for 2021.

In summing up the most important points about the 2021 BCMTMS exam changes, be sure to do a little more planning in regards to the registration and testing periods and when studying for the exam, be sure to allow a little more time to prepare for the expanded content outline.

I hope that helps you prepare for the BCMTMS exam and best wishes in 2021 and beyond!

Study Materials for the BCMTMS Exam can be found here.

Here’s some of the testimonials from our content as well:

“Hi Eric, I just wanted to let you know that I took your BCMTMS review course and I just found out I passed the exam. I worked your program every day and it certainly made the difference in my becoming certified, and I learned a lot as well. Thanks for the excellent course and I would recommend it to anyone trying to become certified”. – Jeff Pearlroth

First-class work Eric! I recently took the BCMTMS exam. I purchased your BCMTMS study material. I have been a retail pharmacist for 20 years. Your program taught me how to once again think clinically. The BCMTMS exam is no pushover. It is lengthy and can be quite confounding. Do not underestimate the level of difficulty of this examination. I listened to your audio lectures several hours each day while driving. I passed on the first attempt. Good work and thank you for helping many. I highly recommend purchasing Eric’s material if you are interested in taking the BCMTMS examination. His program lays a profound understanding of clinical knowledge and unique clinical pearls, some of which were included in the exam. Thank you, Eric, for your good work. This will be used to help many of our patients.” – Michael Fulghum

Hi, I just wanted to thank you for sharing your review on the BCMTMS exam. I literally watched every video and read the review 2 nights before and passed the exam with flying colors! Again thank you for your time and hard work. Very much appreciated!” – Israel Santiago

I passed the exam this month and the result far surpassed the minimum passing score. I credit this to the organization of material and the quiz questions within your study guide.
Thanks again.”
 – Raquel Macfarlane

I took about a month ago… I PASSED! I think, based on the scoring system, I did pretty well too. I wanted to say thank you very much for your study guide. Extremely helpful for someone like me who hadn’t taken a test like this in 15 years and had no idea where to start.” – Bryan Coehrs

“I just received my results and I passed my BCMTMS Exam! Your gracious time and effort to put together those banks of questions that actually help us is appreciated. I honestly stayed up reading almost all of them and reading the rationale and learning new information. I will apply this Information to my practice and MTM work.” – Keishon T.



    Hi Eric I did take the BCMTMS Exam earlier this year. I did pass and am now board certified. Thanks for everything!!

    • Eric Christianson

      Awesome! Congrats!!

  2. Riyad

    Hi every one

    From your experience , how much time dose it take to prepare for BCMTMS exam ? considering i have 10+ experience as a community pharmacist with no previous experience in MTM “Just taken the MTM training from Apha”

    • Eric Christianson

      Hi Riyad, thanks for the message. I have heard a wide range in the folks that have reached out and shared their experience. I have a very small minority that are less than 1 month. The most common range (median if you will) is in the 3-6 month timeframe and that is what I typically recommend. If you are really far off from working clinically, you may want to target 6-12 months to get yourself up to speed on all the topic areas on the content outline. Hope that helps a little!

  3. Jessica Iroanya

    I passed the NBMTM exam while working multiple jobs and fulfilling other numerous outside obligations. As I was preparing for this board examination, the study material I purchased from Med Ed 101 was an absolute lifesaver. The study material aligned pretty well with the actual exam. I would have been lost as far as how to prepare for the NBMTM exam without this invaluable study material from Med 101. Thank you Eric so much for taking the time to develop such a helpful study package!!!

  4. K N

    I haven’t been in school for awhile and I didn’t pass the BCMTM exam . I would appreciate your help to let me know about updated material I can obtain. I really want to pass . Please let me know . Thank you

    • Eric Christianson

      Hello! Thanks for the message! We update/review content on an annual basis to ensure that it is up to date with current guidelines, new drugs, etc. You can find the study packages here –

      Best wishes on your preparations!


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Written By Eric Christianson

June 9, 2021

Study Materials For Pharmacists


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