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Updated: Oct 25, 2026

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BPS BCNSP Exam Overview:

Certification Vendor:Board of Pharmacy Specialties (BPS)
Exam Name:Board-Certified Nutrition Support Pharmacist
Exam Number:BCNSP
Passing Score:500 on a scaled score range of 200–800
Certificate Validity Period:7 years, subject to BPS recertification requirements
Exam Price:$600 USD
Available Languages:English
Related Certifications:Board-Certified Nutrition Support Pharmacist (BCNSP)
Exam Format:Computer-based examination, 150 items, including 125 scored items and 25 unscored pretest items, Forward-only navigation, Multiple-choice and other objective item formats
Real Exam Qty:150 items (125 scored and 25 unscored pretest items)
Exam Duration:225 minutes
Exam Way:Computer-based examination administered by Pearson VUE at authorized testing centers or through approved online remote proctoring, subject to eligibility and availability.
Pre Condition:Applicants must graduate from an ACPE-accredited pharmacy program or a pharmacy program outside the United States that qualifies them to practice in their jurisdiction; hold a current, active pharmacist license or registration in the United States or another jurisdiction; and, within the seven years preceding application, either complete at least three years of post-licensure Nutrition Support Pharmacy practice experience, with at least 50% of practice time within the examination content scope, or successfully complete a PGY2 pharmacy residency in Nutrition Support Pharmacy. The residency eligibility pathway is available only through July 31, 2028.
Official Syllabus URL:https://bpsweb.org/wp-content/uploads/BCNSP-Examination-Specifications-2025.pdf

BPS BCNSP Exam Syllabus Topics:

SectionWeightObjectives
Professional Practice26%- Practice Management
  • 1. Regulatory Compliance and Accreditation Standards
    • 2. Practice Operations and Resource Management
      • 3. Policies, Procedures, and Practice Guidelines
        - Quality of Care
        • 1. Professional Standards and Ethical Practice
          • 2. Evidence-Based Practice
            • 3. Quality Improvement and Patient Safety
              Nutrition Support21%- Normal and Abnormal Nutrition
              • 1. Physiology and Pathophysiology of Nutrition
                • 2. Malnutrition
                  • 3. Nutrition Deficiencies and Toxicities
                    • 4. Fluid, Electrolyte, and Acid-Base Homeostasis and Disorders
                      • 5. Nutrition Requirements throughout the Lifecycle
                        - Nutrition Support Formulations and Delivery
                        • 1. Nutrition Support Delivery Technology and Devices
                          • 2. Parenteral Nutrition Sterile Compounding
                            • 3. Enteral Nutrition Formulations
                              Therapeutics and Patient Management53%- Treatment Planning
                              • 1. Clinical Assessment
                                • 2. Shared Decision-Making and Goals of Care
                                  • 3. Social Determinants of Health
                                    • 4. Pharmacodynamics, Pharmacokinetics, and Pharmacogenomics
                                      • 5. Practice Settings
                                        • 6. Goals of Treatment
                                          • 7. Nutrition Assessment
                                            - Treatment Outcomes and Monitoring
                                            • 1. Medication Reconciliation and Optimization
                                              • 2. Drug-Drug, Nutrient-Nutrient, and Drug-Nutrient Interactions
                                                • 3. Adverse Events and Complications
                                                  • 4. Nutrition Status Monitoring
                                                    • 5. Adherence to Diet and Nutrition Support
                                                      • 6. Therapeutic Targets and Endpoints
                                                        • 7. Clinical Status Monitoring
                                                          - Therapeutic Implementation
                                                          • 1. Patient and Caregiver Education and Counseling
                                                            • 2. Interprofessional Care Coordination
                                                              • 3. Non-Pharmacologic Treatments and Lifestyle Modification
                                                                • 4. Enteral Nutrition
                                                                  • 5. Pharmacotherapy
                                                                    • 6. Oral Nutrition
                                                                      • 7. Parenteral Nutrition

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