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About this exam

The Board-Certified Ambulatory Care Pharmacist (BCACP®) credential is a specialty certification awarded by the Board of Pharmacy Specialties (BPS). It is designed for pharmacists who provide integrated and accessible healthcare services to patients in outpatient settings, with an emphasis on comprehensive disease state and medication management, patient education, and continuity of care. The program's stated purpose is to validate that the pharmacist has the advanced knowledge, skills, and experience necessary to optimize healthcare outcomes and enhance continuity of care by providing evidence-based, individualized, and comprehensive care to patients in outpatient settings. More than 6,670 pharmacists currently hold the BCACP designation. The examination is built from a content outline produced through a job analysis, or role-delineation study, in which a panel of 15 to 20 subject matter experts identifies the competencies required for safe and effective practice and board-certified pharmacists confirm them through a validation survey; the process is repeated every five years so the outline reflects current practice. Items are multiple choice, with the great majority offering a single response from among four options and a small percentage requiring selection of three or four responses from up to eight options; some items may be supplemented by an image. BPS does not provide review information, preparatory courses, or study guides, and instead suggests studying publications tied to the content outline, attending continuing education in the specialty, joining study groups or prep courses, and reviewing posted sample items. This page is an independent study resource and is not affiliated with or endorsed by BPS.

What you'll study

Common questions

About BCACP preparation

What is the item format on the BCACP exam?

Items are multiple choice. The great majority offer a single response from among four options. A small percentage of items require selecting multiple responses - three or four - from a larger set of up to eight options. Some items may also be supplemented by an image.

How many questions are on the exam, and how much time is allowed?

BPS's ambulatory care specialty page does not publish an item count or a time limit. Those operational details live in the BPS Candidate's Guide and the examination content outline, so confirm current figures there rather than relying on secondhand numbers.

Am I eligible to sit for the BCACP examination?

You must demonstrate all of the eligibility requirements, and every practice and education requirement must be met before you submit the application. BPS directs candidates to the Ambulatory Care Pharmacy Examination Content Outline for the specific requirements and effective dates. Once those are met you are deemed eligible to sit.

How is the content outline developed, and how current is it?

The outline is the product of a job analysis, or role delineation study, involving a panel of 15 to 20 subject matter experts who define the competencies required for safe and effective practice. Board-certified pharmacists then endorse those competencies through a validation survey. The process runs every five years; a 2024 job analysis summary is posted.

Does BPS sell a review course or study guide?

No. To maintain independent standards, BPS does not provide review information, preparatory courses, or study guides. It publishes a program listing for informational purposes only - including the American Pharmacists Association and resources from ACCP and ASHP - and states that the list is not exhaustive and does not constitute endorsement.

How hard is the exam, and how should I sequence my studying?

BPS describes the exam process as rigorous and requiring concentrated study, and successful candidates are described as well prepared. Start with the content outline to map gaps, then work through journal articles, textbooks, and publications tied to outline domains, add specialty continuing education, and finish with sample items to learn the formats rather than to self-score.

Can I use the sample items to predict whether I'll pass?

No. BPS states the sample items exist to familiarize candidates and stakeholders with structure and format, are not intended for self-assessment, do not appear on the actual examination, and that performance on them does not correlate with performance on the real exam. Use them only to rehearse item formats.

What is a common preparation mistake candidates make?

Treating the sample items as a practice test and skipping the content outline. The outline is the validated blueprint, and BPS explicitly points candidates to it for the scope of the examination. Another frequent misstep is submitting an application before all practice and education requirements are complete.

I need testing accommodations - what is the process?

BPS states that it complies with the relevant provisions of the Americans with Disabilities Act. Applicants who want to request special accommodations during the application process should follow the instructions on the BPS ADA accommodations page, which should be reviewed before submitting the application.

How does recertification work, and who runs the exam?

Recertification is handled through a separate application, with a Recertification Overview and Recertification Guide published by BPS; approved professional development programs supply continuing education for it. BPS partners with Pearson to deliver the examination and states it has no other partnerships for the certification or recertification application process. Report any organization claiming otherwise.