200+ Free BCACP Practice Questions
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Key Facts: BCACP Exam
175
Total Questions
150 scored
3h 30m
Exam Time
BCACP format
500/800
Passing Score
Scaled scoring
37%
Pharmacotherapy
Largest domain
$600
Exam Fee
BPS 2026
7 years
Certification Valid
Recertification cycle
The BCACP exam has a pass rate of approximately 68-72%. The exam uses 175 questions over 3 hours 30 minutes with scaled scoring (200-800, 500 passing). Content covers diabetes, hypertension, dyslipidemia, anticoagulation, heart failure, COPD/asthma, CKD, mental health, pain management, immunizations, MTM services, and evidence-based medicine. BCACP certification requires recertification every 7 years. Eligibility requires PharmD + active license + 3 years ambulatory care practice or PGY2 ambulatory care residency within 7 years.
About the BCACP Exam
The BCACP certification is a specialized credential for pharmacists practicing in ambulatory care settings. The exam covers 4 domains: Patient-Centered Care: Ambulatory Care Pharmacotherapy (37%), Patient-Centered Care: Collaboration and Communication, Translation of Evidence into Practice (~15%), and Practice Advancement (~10%). The exam consists of 175 items (150 scored, 25 unscored) over 3 hours 30 minutes.
Questions
175 scored questions
Time Limit
3 hours 30 minutes
Passing Score
500/800 (scaled)
Exam Fee
$600 (Board of Pharmacy Specialties (BPS))
BCACP Exam Content Outline
Patient-Centered Care: Ambulatory Care Pharmacotherapy
Diabetes management (metformin, GLP-1, SGLT2, insulin), hypertension (ACEi/ARB, CCB, thiazides), dyslipidemia (statins, ezetimibe, PCSK9), anticoagulation (warfarin, DOACs), COPD/asthma (inhalers, biologics), heart failure GDMT (ARNI, beta-blockers, MRA, SGLT2), CKD management, mental health pharmacotherapy, pain management, immunizations, and OTC therapy management
Patient-Centered Care: Collaboration and Communication
Interprofessional collaboration, patient education and counseling, health literacy, cultural competency, shared decision-making, telehealth practice, care coordination, transitions of care, patient advocacy, MTM services, medication reconciliation, and social determinants of health
Translation of Evidence into Practice
Evidence-based medicine principles, clinical practice guidelines (ADA, AHA/ACC, GOLD, GINA), literature evaluation, research appraisal, quality improvement methodologies, outcome measures, formulary management, and pharmacoeconomics
Practice Advancement
Pharmacy operations, regulatory compliance, documentation requirements, HIPAA and privacy, quality assurance, scope of practice, precepting and mentorship, and professional development
How to Pass the BCACP Exam
What You Need to Know
- Passing score: 500/800 (scaled)
- Exam length: 175 questions
- Time limit: 3 hours 30 minutes
- Exam fee: $600
Keys to Passing
- Complete 500+ practice questions
- Score 80%+ consistently before scheduling
- Focus on highest-weighted sections
- Use our AI tutor for tough concepts
BCACP Study Tips from Top Performers
Frequently Asked Questions
What is the BCACP pass rate?
The BCACP pass rate typically ranges from 68-72% depending on preparation and experience. The exam uses scaled scoring from 200-800, with 500 required to pass. The exam covers a broad range of ambulatory care topics requiring both clinical knowledge and collaborative practice skills.
How many questions are on the BCACP exam?
The BCACP exam contains 175 questions total, with 150 scored and 25 unscored pretest questions. You have 3 hours and 30 minutes to complete the exam. The exam covers 4 domains: Pharmacotherapy (37%), Collaboration (~28%), Evidence Translation (~15%), and Practice Advancement (~10%).
What are the BCACP eligibility requirements?
To sit for the BCACP exam, you must have: (1) Graduated from an ACPE-accredited PharmD program, (2) Current, active pharmacist license, and (3) Either 3 years of ambulatory care pharmacy practice OR completion of PGY2 ambulatory care residency within the past 7 years.
How long is BCACP certification valid?
BCACP certification is valid for 7 years. Recertification can be achieved by either passing the exam again OR completing 100 hours of ambulatory care-specific continuing education through BPS-approved programming.
What are the best study resources for BCACP?
Recommended BCACP study resources include: ADA Standards of Care, AHA/ACC guidelines, GOLD/GINA guidelines, ACCP Ambulatory Care Guidelines, Pharmacotherapy: A Pathophysiologic Approach (DiPiro), and ambulatory care pharmacotherapy review courses. Plan for 3-4 months of study time. Focus on high-yield topics like diabetes, hypertension, heart failure, and anticoagulation.
How should I prepare for the BCACP exam?
Study systematically across all domains: Pharmacotherapy (37%), Collaboration (~28%), Evidence Translation (~15%), and Practice Advancement (~10%). Focus on clinical scenarios, medication therapy management, and guideline-based care. Complete at least 2000 practice questions covering diabetes, hypertension, dyslipidemia, anticoagulation, heart failure, and COPD/asthma.