Ambulatory Care

Ambulatory care pharmacy practice is the provision of integrated, accessible health care services by pharmacists who are accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. This is accomplished through direct patient care and medication management for ambulatory patients, long-term relationships, coordination of care, patient advocacy, wellness and health promotion, triage and referral, and patient education and self- management. Ambulatory care pharmacists may work in institutional and community-based clinics or pharmacies and are involved in direct care of a diverse patient population. Those who are granted certification in this specialty may use the designation Board Certified Ambulatory Care Pharmacist® and the initials BCACP, as long as certification is valid.

Eligibility Requirements (all practice eligibility requirements must be met prior to the candidate sitting for the examination)

The minimum requirements for this specialty certification are:

  • Graduation from a pharmacy program accredited by the Accreditation Council for Pharmacy Education (ACPE) or a program outside the U.S. that qualifies the individual to practice in the jurisdiction.

  • Current, active license to practice pharmacy in the U.S. or another jurisdiction.

  • Completion of four (4) years of practice experience with at least 50% of time spent in ambulatory care pharmacy activities (as defined by the BPS Ambulatory Care Content Outline)
    Completion of a PGY1 residency * plus one (1) additional year of practice with at least 50% of time spent in ambulatory care pharmacy activities (as defined by the BPS)
    Ambulatory Care Pharmacy Content Outline
    Completion of a specialty (PGY2) residency * in ambulatory care pharmacy
    *Effective January 1, 2013, only residency programs accredited by the American Society of Health-System Pharmacists (ASHP) or new residency programs granted Candidate Status for accreditation by ASHP are creditable for this purpose.

  • Achieving a passing score on the Ambulatory Care Specialty Certification Examination

Examination Content – Ambulatory Care Pharmacy Content Outline

(Refer to the Ambulatory Care Pharmacy Content Outline for details.)

  • Domain 1: Patient-Centered Care: Ambulatory Care Pharmacotherapy (37% of the examination)
  • Domain 2: Patient-Centered Care: Collaboration and Patient Advocacy (29% of the examination)
  • Domain 3: Translation of Evidence into Practice (14% the examination)
  • Domain 4: Practice Models and Policy (14% of the examination)
  • Domain 5: Population and Public Health (6% of the examination)


Pharmacists who earn the designation Board Certified Ambulatory Care Pharmacist® (BCACP) will be required to maintain their certification over a seven year period by completing one of the following professional development activities:

  1. Achieving a passing score on the 100-item, multiple-choice objective recertification examination (administered by BPS), based on the content outline for the Ambulatory Care Pharmacy Specialty in their seventh year following initial certification;


  2. Earning 100 hours of continuing education credit provided by the professional development programs offered by the American College of Clinical Pharmacy (ACCP) and/or the joint program offered by the American Society of Health-System Pharmacists (ASHP) and the American Pharmacists Association (APhA). No more than 50 hours will be accepted by BPS during the first three years of the certification cycle. Further, Ambulatory Care Pharmacy Preparatory Review and Recertification Courses offered by either of the approved providers may only be completed for recertification credit up to two times, in nonconsecutive years, during the 7-year recertification cycle.

    **To achieve the 100 hour requirement, the BCACP may participate in recertification offerings from both BPS-approved ambulatory care pharmacy providers.

Board Certified Ambulatory Care Pharmacists® are also required to pay the BPS Annual Certification Maintenance fee of $100 each year for years one through six and a $400 recertification fee in year seven.