100+ Free PTCB MTM Practice Questions

The PTCB Medication Therapy Management Certificate is an assessment-based certificate program that validates a pharmacy technician's knowledge of MTM services. It is a 65-question computer-based exam (1 hour 20 minutes) offered at Pearson VUE test centers and via online proctoring. A passing scaled score of 300 (on a 0-400 scale) is required.

Candidates must (1) hold an active PTCB CPhT Certification and (2) complete a PTCB-Recognized Medication Therapy Management Education/Training Program. There is no specific number of years of MTM work experience required, but prior MTM exposure is highly recommended.

The application fee is $89 (2025/2026) paid directly to PTCB. This does not include the cost of the PTCB-Recognized MTM Education/Training Program, which is paid separately to the training provider and varies by organization.

A passing scaled score of 300 on a 0-400 scale is required. PTCB uses scaled scoring to account for minor differences in difficulty across exam forms, so passing is not reported as a raw percentage. Focus preparation on the three knowledge domains, especially the 40% Medications and Medical Concepts section.

The exam covers three domains: (1) Medications and Medical Concepts (40%), (2) Patient Safety and Quality Assurance Strategies (36%), and (3) MTM Administration and Management (24%). Key topics include the five MTM core elements (MTR, PMR, MAP, intervention, documentation), Medicare Part D CMR/TMR requirements, PQA adherence measures, 2023 Beers Criteria high-risk medications, documentation, and billing codes 99605/99606/99607.

A Comprehensive Medication Review (CMR) is an interactive, person-to-person or telehealth review performed at least once every 365 days by a pharmacist or qualified provider and results in a written summary (PMR + MAP) to the patient. A Targeted Medication Review (TMR) addresses specific medication issues (adherence, duplications, high-risk meds) and must be performed quarterly after enrollment.

Technicians play a critical support role: identifying MTM-eligible patients, scheduling CMRs, gathering medication history (Rx, OTC, herbals, supplements), drafting the Personal Medication Record, documenting interventions, monitoring adherence gaps (PDC), and following up with patients on their action plans. Clinical decisions and the CMR itself must be performed by a pharmacist or other qualified provider.

Plan for 40-80 hours of study over 4-8 weeks. Focus on the APhA/NACDS MTM core elements framework, CMS Part D MTM rules (CMR/TMR), 2023 AGS Beers Criteria, PQA adherence measures (PDC greater than or equal to 80% for diabetes, RAS antagonists, and statins), CPT codes 99605/99606/99607, and common drug therapy problems. Complete 100+ practice questions and review any topics with explanations.