PTCB Medication Therapy Management Certificate

Which of the following is one of the five core elements of a Medication Therapy Management (MTM) service as defined by the APhA/NACDS consensus framework?

• APersonal Medication Record (PMR)
• BPrior authorization request
• CDUR rejection override
• DAutomatic refill enrollment

Under CMS Medicare Part D rules, how often must a plan sponsor offer a Comprehensive Medication Review (CMR) to each targeted beneficiary enrolled in the MTM program?

• AAt least once every 365 days
• BOnly upon patient request
• CEvery 90 days
• DOnce at enrollment only

A technician is preparing a Personal Medication Record (PMR) for a patient. Which of the following elements should be included for each medication?

• ADrug name, strength, dose, route, frequency, and indication
• BDrug name and cost only
• CDrug name and prescriber only
• DDrug name, NDC, and manufacturer only

Which CPT code is used to bill an INITIAL face-to-face MTM service provided by a pharmacist to a new patient for the first 15 minutes?

• A99605
• B99606
• C99607
• D99211

According to PQA medication adherence measures, a patient is considered adherent when the Proportion of Days Covered (PDC) is at least:

• A80%
• B50%
• C70%
• D95%

Which three therapeutic classes are included in the CMS Star Ratings PQA adherence measures?

• ADiabetes medications, RAS antagonists (hypertension), and statins
• BAntibiotics, anticoagulants, and opioids
• CBeta-blockers, diuretics, and PPIs
• DInsulin, inhalers, and antidepressants

A patient filled a 30-day supply of atorvastatin 4 times during a 180-day measurement window with no overlap. What is the approximate PDC?

• A67%
• B100%
• C50%
• D80%

Which of the following is classified as a potentially inappropriate medication in older adults according to the 2023 AGS Beers Criteria?

• ADiphenhydramine for routine allergy or insomnia use
• BAcetaminophen 500 mg
• CAtorvastatin 40 mg
• DLisinopril 10 mg

According to the 2023 AGS Beers Criteria, which benzodiazepine-related concern is emphasized for older adults?

• ABenzodiazepines should generally be avoided in older adults due to increased risk of cogn…
• BBenzodiazepines are preferred for chronic insomnia in older adults
• CShort-acting benzodiazepines carry no risk in older adults
• DBenzodiazepines should be used first-line for generalized anxiety in older adults

Which of the following is considered to have STRONG anticholinergic activity per the 2023 AGS Beers Criteria list of drugs to avoid in older adults?

• AOxybutynin (immediate release)
• BMetformin
• CAmlodipine
• DLevothyroxine

Which of the following drug-drug interactions would MOST likely be flagged during a Comprehensive Medication Review (CMR) as therapeutic duplication?

• ALisinopril and losartan prescribed together
• BMetformin and glipizide prescribed together
• CAtorvastatin and aspirin prescribed together
• DLevothyroxine and calcium carbonate prescribed together

A patient taking warfarin reports starting St. John's Wort for mood support. What is the concern?

• ASt. John's Wort induces CYP enzymes and can decrease warfarin levels, reducing anticoagul…
• BSt. John's Wort increases warfarin absorption, causing bleeding
• CNo interaction — warfarin and St. John's Wort are compatible
• DSt. John's Wort inhibits vitamin K synthesis, increasing INR

Which of the following drugs is considered a NARROW therapeutic index (NTI) drug?

• AWarfarin
• BAcetaminophen
• CAmoxicillin
• DLoratadine

Which of the following is a key role of a pharmacy technician in supporting MTM services?

• AGathering patient medication history, scheduling CMRs, and preparing the PMR draft for ph…
• BMaking independent clinical recommendations to prescribers
• CDiagnosing new medical conditions during CMR sessions
• DSigning off on the Medication-related Action Plan (MAP) without pharmacist review

To be eligible to sit for the PTCB Medication Therapy Management Certificate exam, a candidate must:

• AHold an active PTCB CPhT certification and complete a PTCB-Recognized MTM Education/Train…
• BHold a PharmD degree
• CBe licensed as a pharmacist in at least one state
• DHave 5 years of retail pharmacy experience

The PTCB MTM Certificate exam consists of how many multiple-choice questions?

• A65
• B100
• C90
• D150

What scaled score is required to pass the PTCB MTM Certificate Exam?

• A300 on a 0-400 scale
• B650 on a 900 scale
• C70% raw score
• D75% raw score

The PTCB MTM Certificate Exam fee is:

• A$89
• B$129
• C$45
• D$250

Which MTM core element is a structured, prioritized list of medication-related problems and patient self-management actions?

• AMedication-related Action Plan (MAP)
• BPersonal Medication Record (PMR)
• CMedication Therapy Review (MTR)
• DIntervention and Referral

Which of the following describes a Targeted Medication Review (TMR) under CMS Part D MTM program rules?

• AAn ongoing review addressing a specific medication-related problem, performed at least qu…
• BAn annual face-to-face review of all the patient's medications
• CA one-time review performed only at MTM enrollment
• DA review required only for patients on fewer than 5 medications

Under current CMS Part D MTM targeting rules, plan sponsors must automatically enroll beneficiaries who meet all of the following criteria EXCEPT:

• APay out-of-pocket the full retail price of all medications
• BHave multiple chronic diseases (at least 2 or 3, as set by the plan within CMS limits)
• CTake multiple Part D covered medications
• DAre likely to incur annual Part D drug costs above a specified CMS threshold

A patient with heart failure is taking furosemide, lisinopril, and potassium chloride. The pharmacist should watch for:

• AHyperkalemia from the combination of an ACE inhibitor and potassium supplement
• BHypoglycemia from furosemide
• CHepatotoxicity from lisinopril
• DQT prolongation from potassium chloride