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Updated: Oct 25, 2026

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BPS BCPS Exam Overview:

Certification Vendor:Board of Pharmacy Specialties (BPS)
Exam Name:Pharmacotherapy Specialty Certification Examination
Exam Number:BCPS
Exam Price:$600 USD (initial certification application fee; verify current fees with BPS)
Real Exam Qty:150 items (125 scored and 25 unscored pretest items)
Certificate Validity Period:7 years; recertification is required to maintain certification
Available Languages:English
Exam Duration:225 minutes
Passing Score:Not publicly specified; BPS determines the passing standard
Related Certifications:Board-Certified Infectious Diseases Pharmacist (BCIDP)
Board-Certified Critical Care Pharmacist (BCCCP)
Board-Certified Cardiology Pharmacist (BCCP)
Board-Certified Ambulatory Care Pharmacist (BCACP)
Exam Format:Computer-based examination, Multiple-choice, single-response questions, Image-supported questions may be included, Some multiple-response questions, Forward-only navigation; questions cannot be revisited after submission
Recommended Training:BPS Sample Examination Items
American College of Clinical Pharmacy (ACCP)
BPS Official Examination Content Outlines
ACCP Pharmacotherapy Preparation Resources
American Society of Health-System Pharmacists (ASHP)
Exam Registration:BPS Candidate's Guide
BPS Pharmacotherapy Specialty Certification
BPS Examination Dates and Fees
BPS Certification Application Portal
Exam Way:Computer-based examination administered through authorized testing centers or other delivery arrangements specified by BPS and its examination provider. Availability and scheduling options should be confirmed during registration.
Pre Condition:Applicants must graduate from a pharmacy program accredited by the Accreditation Council for Pharmacy Education (ACPE) or an eligible pharmacy program outside the United States; hold an active pharmacist license or registration in the United States or another jurisdiction; and meet one of the following experience pathways within the seven years preceding application: at least three years of post-licensure pharmacotherapy practice experience, with at least 50% of practice time within the examination's specialty scope, or successful completion of an eligible PGY1 pharmacy residency.
Official Syllabus URL:https://bpsweb.org/examination-content-outlines/

BPS BCPS Exam Syllabus Topics:

SectionWeightObjectives
Patient Care Specialty Areas36%- Tertiary Pharmacotherapy Specialty Areas
  • 1. Oncology, hematology, nutrition support, women's health, hospice and palliative care, pediatrics, allergy, immunology, rheumatology, and urology
    - Secondary Pharmacotherapy Specialty Areas
    • 1. Critical care, geriatrics, pulmonology, neurology, emergency medicine, toxicology, gastroenterology, and psychiatry
      - Primary Pharmacotherapy Specialty Areas
      • 1. Infectious diseases, cardiology, nephrology, pain management, and endocrinology
        Professional Practice28%- Practice Management
        • 1. Professional practice standards, guidelines, and regulations
          • 2. Quality improvement, clinical informatics, and medication-use evaluation
            • 3. Pharmacoeconomics, formulary management, cost-effectiveness, and emergency preparedness
              - Quality of Care
              • 1. Public health, preventive care, continuity of care, and clinical practice guidelines
                • 2. Medication safety, ethics, and patient advocacy
                  - Evidence-Based Practice
                  • 1. Research methods, study design, statistics, and levels of evidence
                    • 2. Drug information resources and clinical literature evaluation
                      Therapeutics and Patient Management36%- Therapeutic Implementation
                      • 1. Pharmacotherapy, supplements, herbal products, nonpharmacologic treatments, and lifestyle modifications
                        • 2. Patient and caregiver education and counseling
                          • 3. Interprofessional care coordination, medication reconciliation, medication optimization, and medication delivery
                            - Treatment Outcomes and Monitoring
                            • 1. Adverse drug events, drug interactions, and medication adherence
                              • 2. Therapeutic targets, clinical endpoints, and physiological monitoring
                                - Treatment Planning
                                • 1. Clinical assessment, diagnosis, diagnostic testing, pharmacodynamics, and pharmacokinetics
                                  • 2. Shared decision-making, treatment goals, risk-benefit assessment, and social determinants of health

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