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Updated: Oct 26, 2026

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BPS BCACP Exam Overview:

Certification Vendor:Board of Pharmacy Specialties (BPS)
Exam Name:Ambulatory Care Pharmacy Specialty Certification Examination
Exam Number:BCACP
Real Exam Qty:150 items (125 scored and 25 unscored)
Available Languages:English
Related Certifications:Board Certified Geriatric Pharmacist (BCGP)
Board Certified Cardiology Pharmacist (BCCP)
Board Certified Pharmacotherapy Specialist (BCPS)
Exam Price:$600 USD
Exam Duration:225 minutes
Exam Format:Computer-based examination, Multiple-choice questions, 125 scored items and 25 unscored items
Certificate Validity Period:7 years
Recommended Training:American Society of Health-System Pharmacists (ASHP) Ambulatory Care Pharmacy Specialty Review Course
American College of Clinical Pharmacy (ACCP) Board Certification Exam Preparation
Exam Registration:BPS Application and Certification Portal
BPS Examination Content Outlines
BPS Examination Dates and Fees
BPS Ambulatory Care Pharmacy Certification
Exam Way:Computer-based examination administered through BPS-authorized testing arrangements. Registration is continuously available; candidates generally have 90 days after receiving Authorization to Test (ATT) to schedule their examination. Confirm current testing locations and delivery options with BPS and its testing provider.
Pre Condition:Applicants must graduate from an ACPE-accredited pharmacy program or an equivalent program qualifying them to practice in their jurisdiction, hold a current and active pharmacist license or registration, and meet one of the following experience pathways within the past seven years: at least four years of ambulatory care practice after licensure with at least 50% of practice time in the defined specialty scope; successful completion of a PGY1 pharmacy residency plus at least two years of qualifying ambulatory care practice after licensure with at least 50% of practice time in the defined specialty scope; or successful completion of a PGY2 pharmacy residency in ambulatory care pharmacy. Applicants must also pass the BCACP certification examination.
Official Syllabus URL:https://bpsweb.org/wp-content/uploads/BCACP-Examination-Specifications-2025.pdf

BPS BCACP Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Professional Practice21%- Quality of Care
  • 1. Public health and population health
    • 2. Medication safety and stewardship
      • 3. Ethics and patient advocacy
        • 4. Continuity and coordination of care
          - Practice Management
          • 1. Resource utilization, reimbursement, and billing
            • 2. Literature evaluation, research methods, and statistics
              • 3. Quality management and process improvement
                • 4. Professional practice standards and regulations
                  • 5. Pharmacoeconomics, formulary management, and cost-effectiveness
                    Topic 2: Patient Care79%- Patient-Specific Factors
                    • 1. Goals of care and treatment
                      • 2. Social determinants of health and patient engagement
                        • 3. Shared decision-making and patient-centered care
                          - Therapeutic Implementation
                          • 1. Medication delivery and administration
                            • 2. Patient and caregiver education and counseling
                              • 3. Non-pharmacologic treatments and preventive care
                                • 4. Care coordination and transitions of care
                                  - Pharmacotherapy
                                  • 1. De-escalation and discontinuation of pharmacotherapy
                                    • 2. Initiation, optimization, and titration of pharmacotherapy
                                      - Clinical Assessment
                                      • 1. Pharmacodynamics, pharmacokinetics, and medication reconciliation
                                        • 2. Patient assessment, screening, laboratory testing, and diagnostic testing
                                          • 3. Risk factors and etiology of common health conditions
                                            - Therapeutic Outcomes and Monitoring
                                            • 1. Medication adherence and barriers to treatment
                                              • 2. Therapeutic targets and treatment outcomes
                                                • 3. Adverse drug events and drug interactions
                                                  • 4. Therapeutic and physiological monitoring

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