The content of the PTCB Billing and Reimbursement Exam will be updated on Monday, January 5, 2026, following a recent job analysis. The current version of the exam will be offered until January 5, 2026. Those who schedule an exam on or after this date will receive the updated exam.
What is Changing?
PTCB conducted a job analysis this year to identify key changes in pharmacy billing and reimbursement practice, which resulted in a revised exam content outline. The two most significant changes are:
- Greater emphasis on medical billing services offered by pharmacies; and
- Enhanced detail and more specific examples across knowledge areas.
The exam length will also increase from 70 questions to 75. The exam time will remain the same.
Are Recognized/Training Education Programs (REPs) Also Changing?
Yes, both the PharmCon and American Society of Health-system Pharmacists (ASHP) programs will be updated to align with the updated exam content outline.
- PharmCon updated their program on November 13, 2025 to reflect the new content outline.
- ASHP will release an updated version of its program expected in late Spring of 2026.
Candidates who completed the earlier versions of these programs should take the exam before January 5, 2026, or supplement their studies to align with the new content outline.
When Will Scores Be Available?
Exam scores for the updated exam will be available approximately three to four months after the launch date. This time is needed for PTCB to conduct item and exam analysis and implement quality assurance procedures.
To obtain information, schedule an interview, or request a comment, contact mediarelations@ptcb.org.