Nutrition Support Pharmacy

Nutrition Support Pharmacy Specialty Certification (BCNSP®)

Target Population: Pharmacists who address the clinical status, nutrition status, and direct care of patients receiving acute and/or chronic nutrition support, including parenteral and enteral nutrition.

Program Purpose: To validate that the pharmacist has the advanced knowledge, skills, and experience necessary to optimize the safety and efficacy of nutrition support and the nutrition status of patients.

Currently there are over 1,150 BPS Board-Certified Nutrition Support Pharmacists.

Nutrition Support Pharmacy Specialty Council Members

The purpose of the BPS Specialty Councils is to develop standards and eligibility requirements for board certification, develop examinations and passing standards for certification, and review and approve professional development programs for recertification of board-certified pharmacists. Specialty council members are at the heart of the peer-reviewed and peer-developed nature of BPS Board Certification.

Beth Deen, Chair PharmD, BCNSP, BCPPS, FASPEN

Beth Deen is the Senior Pediatric Clinical Pharmacy Specialist in Nutrition Support at Cook Children’s Medical Center.  She provides daily parenteral nutrition consults to all inpatients receiving parenteral nutrition as well as managing parenteral nutrition in all outpatients followed by the Gastroenterology service.  Beth received her B.S. in Pharmacy from The University of Iowa and her Doctor of Pharmacy from The University of Texas.  She completed a Pediatric Pharmacotherapy Residency at LeBonheur Children’s Medical Center/The University of Tennessee, Memphis.  Beth is Board Certified in both Nutrition Support (BCNSP) and Pediatrics (BCPPS). She precepts PGY1 and PGY2 residents on their Nutrition Support rotations and is the PGY1 Pharmacy Residency Director (RPD).

Vivian Zhao, Vice Chair PharmD, BCNSP, FASPEN

Vivian Zhao is a clinical nutrition support pharmacy specialist at Emory University Hospital in Atlanta, Georgia. For nearly two decades, she has shaped multidisciplinary nutrition and metabolic care. As director of the only ASPEN-endorsed Nutrition Support Pharmacy Fellowship, she mentors fellows as research advisor and preceptor.

She earned her Doctor of Pharmacy from Massachusetts College of Pharmacy in Boston and completed PGY1 Pharmacy Practice and PGY2 Nutrition Support Pharmacy Residencies at Emory University Hospital. Her interests include enteral and parenteral nutrition support, micronutrient deficiency, and outcomes research in nutrition therapy.

Vivian is involved in organizations including the Board of Pharmacy Specialties, the American Society for Parenteral and Enteral Nutrition (ASPEN), and the Georgia Chapter of ASPEN (GASPEN). She currently serves as chair-elect for the ASPEN Drug–Nutrition Practice Section.

She has advanced the field through original research, authored peer-reviewed publications and book chapters, and delivered invited presentations at professional meetings. Her work consistently promotes excellence in nutrition support pharmacy practice, education, and research.

Sarah Alden, PharmD, BCPS, BCNSP

Sarah Alden is a clinical pharmacist at Mayo Clinic in Rochester, Minnesota. Her practice area includes both inpatient and outpatient Nutrition Support Services as well as inpatient surgical services. She earned her Doctor of Pharmacy degree from Drake University in Des Moines, Iowa. Her interests include parenteral nutrition, micronutrient deficiencies, and hepatobiliary surgery.

Kristen M. Bamberg, PharmD, MS, BCPS, BCCCP

Dr. Kristen Bamberg is the Lead Critical Care Pharmacist at Northern Arizona Healthcare in Flagstaff, Arizona and serves as adjunct faculty for Midwestern University College of Pharmacy – Glendale (CPG). She received her Master of Science in Microbiology from the State University of New York and Doctor of Pharmacy degree from Midwestern University. Over the last 15 years, Dr. Bamberg has developed the Critical Care Pharmacy Program at North Arizona Healthcare and supervises pharmaceutical care of the cardiac, trauma, and medical-surgical ICUs at the level I trauma center. She joined the BPS Critical Care Specialty Council in 2016, and served as both Vice-Chair and Chair during her 6 year tenure. Her areas of professional interest include trauma, infectious disease/antimicrobial stewardship, nutrition, and pharmacokinetics.

Taylor Lee, PharmD, BCPPS

Taylor Lee is a pharmacy supervisor working at Orlando Health Arnold Palmer Hospital for Children. Taylor earned her doctor of pharmacy degree from the South Carolina College of Pharmacy and the South Carolina Honors College in 2018 and two years of post graduate residency training in pediatrics at Children’s National Medical Center. Her areas of interest include pediatric critical care, nutrition services, and underserved populations.

Sara Bliss, PharmD, BCNSP, BCPS, BCCCP, FASPEN

Bliss is a Clinical Pharmacist in Trauma and Nutrition Support at the University of North Carolina Hospitals in Chapel Hill, North Carolina. She received her Doctor of Pharmacy degree from University of Tennessee Health Science Center in Memphis, Tennessee. She completed a PGY1 Pharmacy Practice Residency and PGY2 Nutrition Support Pharmacy Residency at the University of Arizona Medical Center in Tucson, Arizona. Her interests include nutrition support in critically ill patients, parenteral nutrition safety, and transitions of care from hospital to home for parenteral nutrition patients.

Jacob Hall, PharmD, BCNSP

Jacob Hall is a Clinical Pharmacy Specialist at The University of Texas MD Anderson Cancer Center.  He obtained his Doctor of Pharmacy degree at the University of Houston College of Pharmacy, followed by PGY-1 Pharmacy Practice residency at Valley Baptist Medical Center-Harlingen.  He completed his PGY-2 Critical Care residency at The University of Texas MD Anderson Cancer Center with a focus on Nutrition Support.  He is an active member of ASPEN with a specific interest in nutrition support in oncology patients.

Rina Patel, PharmD, BCNSP, FASPEN

Rina Patel a Clinical Pharmacy Specialist at the University of Texas MD Anderson Cancer Center in Houston, Texas. She earned her Doctor of Pharmacy degree from the University of Houston College of Pharmacy. She completed her PGY1 Pharmacy Practice Residency at the Michael E. DeBakey Veterans Affairs Medical Center, followed by a PGY2 Residency in Critical Care and Nutrition Support at MD Anderson. Her clinical practice focuses on adult critical care (MICU/SICU) and inpatient and outpatient parenteral nutrition within the oncologic population.

Gordon S. Sacks, PharmD, BCNSP, FASPEN, FCCP

Gordon Sacks earned a Doctorate of Pharmacy degree from the University of Texas (1994) after receiving his BS degree in Pharmacy from Auburn University (1989). His long academic career included roles as Associate Professor of Pharmacy Practice (University of Mississippi), Clinical Professor and Chair of Pharmacy Practice (University of Wisconsin – Madison), and Professor and Department Head of Pharmacy Practice (Auburn University). During this time, he also maintained an active clinical role serving as Coordinator of the Nutrition Support Team at all 3 academic medical centers. In July 2018, Gordon joined Fresenius Kabi, USA, as Senior Director of Medical Affairs for the Parenteral Nutrition Market Unit and remained in this position until April 2024. Starting in July 2025, he began working in the newly established UNC Medical Center – Chapel Hill, Intestinal Failure & Rehabilitation Center/Home PN Clinic as a Nutrition Support Clinical Pharmacy Practitioner. He has been a board-certified Nutrition Support Pharmacist since 1995. He previously served as the President of the American Society for Parenteral and Enteral Nutrition (ASPEN) from July 2015 – June 2016.

Samantha VanAcker, PharmD, BCNSP

Samantha VanAcker is a senior clinical pharmacist at the University of California, Davis Medical Center (UCDMC) in Sacramento, California and focuses on inpatient adult parenteral nutrition and gastrointestinal surgery services. She received a PharmD from University of California, San Francisco (UCSF) School of Pharmacy, and completed both PGY-1 (acute care) and PGY-2 (nutrition support) training at UCDMC. She is an assistant clinical professor with UCSF and she participates in various ASPEN committees.

Amber Verdell, PharmD, APh, BCPS, BCNSP

Amber is a pharmacist at Olive View-UCLA Medical Center in northern Los Angeles County, California. She completed her Doctor of Pharmacy degree at the University of Tennessee Health Science Center in Memphis, Tennessee, PGY1 from DCH Regional Medical Center in Tuscaloosa, Alabama, and PGY2 in Nutrition Support from the University of Arizona in Tucson, Arizona. Amber’s interests include parenteral nutrition, drug-nutrient interactions, and quality improvement.

Johnathan Voss, PharmD, MBA, BCCCP, BCNSP, FASPEN

John is a Medical Science Liaison with Fresenius Kabi USA. In this role, John focuses on parenteral nutrition education and safety. John completed his PGY-1 residency at the University of Illinois at Chicago College of Pharmacy/UIC Hospital and Health System and his PGY-2 in Critical Care at the University of Tennessee Health Science Center/Regional One Health. He then spent 7 years practicing as a Surgery/Trauma Critical Care Pharmacist at John Peter Smith Hospital, a Level 1 trauma hospital in Fort Worth, TX. He regularly lectures on the topics of Fluid and Electrolyte Management and various Critical Care and Toxicology topics at the University of North Texas Health Science Center College of Pharmacy, where he is an adjunct clinical professor. John is an active member of the American Society for Parenteral and Enteral Nutrition (ASPEN), the American College of Clinical Pharmacy (ACCP), and the Society of Critical Care Medicine (SCCM). For ASPEN, he is the current chair of the Drug Nutrient Interaction section and for ACCP he is a past Secretary/Treasurer and Chair for the Gastrointestinal/Liver/Nutrition Practice Research Network.

Eligibility Requirements

An applicant for board certification in Nutrition Support Pharmacy must demonstrate all of the eligibility requirements listed below. All practice and education eligibility requirements must be met before submitting the application. Once all of the requirements below are met, an applicant will be deemed eligible to sit for the Nutrition Support Pharmacy specialty certification examination. If an applicant achieves a passing score on the Nutrition Support Pharmacy specialty certification examination, they may use the designation Board-Certified Nutrition Support Pharmacist, or BCNSP®.

  • Refer to the Nutrition Support Pharmacy Examination Content Outline here for details on eligibility requirements, effective dates, and more.

The rationale for the appropriateness of the requirements for BPS certification programs are based upon the following:

  • BPS recognizes individuals who graduate from a recognized school or college of pharmacy within the candidate’s jurisdiction. Those jurisdictions recognize and evaluate programs on the extent to which it accomplishes its stated goals and is consistent with the concept that pharmacy is a unique, personal service profession in the health science field. In the United States, the responsibility for recognizing schools and colleges of pharmacy falls to the Accreditation Council for Pharmacy Education (ACPE).
  • The rationale for requiring licensure or registration of pharmacists within their jurisdiction is based upon the fact that for public protection, all pharmacists must be licensed or registered. This is considered a baseline requirement to be a pharmacist specialist. In the United States, BPS recognizes the licensure process administered by the National Association of Boards of Pharmacy (NABP). The National Association of Boards of Pharmacy (NABP) aims to ensure the public’s health and safety through its pharmacist license transfer and pharmacist competence assessment programs. NABP’s member boards of pharmacy are grouped into eight districts that include all 50 United States, the District of Columbia, Guam, Puerto Rico, the Virgin Islands, Bahamas, and all 10 Canadian provinces.
  • The experiential component is required to help assure practical application of components of the specialty knowledge being certified. There are multiple pathways to meet the practice experience requirement. The faster eligibility pathways recognize accredited residencies through the American Society of Health System Pharmacists (ASHP). The ASHP residency accreditation program identifies and grants public recognition to practice sites having pharmacy residency training programs that have been evaluated and found to meet the qualifications of one of the ASHP’s residency accreditations standards. Thus, accreditation of a pharmacy residency program provides a means of assurance to residency applicants that a program meets certain basic requirements and is, therefore, an acceptable site for postgraduate training in pharmacy practice in organized health care.
  • Passing the BPS pharmacy specialty examination helps assure knowledge consistent with the validated content outline for the BPS specialty.

The appropriateness of the BPS program requirements are consistent with the Council on Credentialing in Pharmacy’s Resource Paper titled: Scope of Contemporary Pharmacy Practice: Roles, Responsibilities, and Functions of Pharmacists and Pharmacy Technicians.

Upcoming Deadlines

Individuals who meet the eligibility requirements for the BCNSP® examination can find more information about examination dates and fees for certification examinations here

Candidate's Guide

The Candidate’s Guide is intended for use by pharmacists who are interested in becoming certified as specialists by BPS in any of the BPS-recognized specialty practice areas. To review critical information for BPS Certification Examinations, visit this page.

Content Outline for BCNSP

Refer to the Nutrition Support Pharmacy Examination Content Outline here for details on eligibility requirements, effective dates, and more.

The examination content outline is a product of a job analysis, also known as a role delineation study, that includes discussions with a panel of 15-20 subject matter experts who represent the specialty area. These experts determine the competencies required for safe and effective pharmacy practice in the specialty area and engage board-certified pharmacists through a validation survey for their endorsement of the identified competencies. The job analysis process is conducted every 5 years to help ensure that the competencies in the examination content outline reflect current pharmacy practice in the specialty area.

  • Click here to review the BCNSP® Job Analysis Summary.

Important Resources

Preparing for the BCNSP® Examination

Certification is a significant differentiator, and the rigorous exam process requires concentrated study. Successful candidates are well prepared, and a number of available resources can assist pre-qualified applicants.

Suggested preparation for the examination might include:

  • The study of journal articles, textbooks or other publications related to the Content Outline.
  • Attendance at continuing education programs and courses in specialized pharmacy practice.
  • Participation in study groups and examination preparation courses.
  • Reviewing the sample examination items provided in order for candidates to familiarize themselves with the various item formats which are presented on the exam. Sample question performance should not be interpreted as an indicator of exam performance.

To maintain its strict, independent standards for certification, BPS does NOT provide review information, preparatory courses, or study guides. However, such materials are available from outside organizations, state or local professional associations and colleges of pharmacy. Potential applicants may contact the professional associations noted below for additional study resources.

The Board of Pharmacy Specialties provides the following program listing for informational purposes. This list is not an exhaustive list of options available for examination preparation. BPS does not endorse or provide preparatory courses for Board Certification Examinations.

Nutrition Support Pharmacy
  • For more info about the interim transition plan effective through December 31, 2026, visit this press release.
  • Beginning January 1, 2027, CEImpact will be the BPS-approved professional development (PDP) program provider for Nutrition Support Pharmacy. More information about CEImpact can be found here.

BPS partners with Pearson to provide the examination. BPS does not have any other partnerships for the certification or recertification application process. BPS partners with professional development program (PDP) providers to provide continuing pharmacy education (CPE) for recertification and the relationship is noted here. Any organization claiming a relationship with BPS for the application process or providing CPE labeled ‘BPS-approved’ outside of the organizations listed should be reported to BPS immediately.

Certification for Applicants Outside the U.S.

BPS would like to offer some helpful tips to candidates outside of the United States in order to make their application experience easier. To learn more about applying for board certification as a pharmacist outside of the U.S., visit this page.

Apply for ADA Accommodations

BPS complies with the relevant provisions of the Americans with Disabilities Act (ADA). For applicants looking to request special accommodations in their application process, more instructions can be found on this page.

Frequently Asked Questions

After review of the BPS Candidates Guide and specialty certification page, some applicants may still have questions. Visit this page to see frequently asked questions from pharmacists pursuing board certification like you!

Sample Examination Items

Sample Items for BCNSP® Examinations

The sample examination items for BCNSP® examinations are made available by BPS for the purposes of familiarizing certification candidates and other stakeholders with the structure and format of BPS Certification Examinations. This is not meant for use as a self-assessment. Performance on any of these items does not correlate with performance on the actual examination.

The content of these examples is meant to be illustrative of actual examination items, but these items do not appear on the certification examination and are not meant to identify the scope of the examination. For a more comprehensive indication of the scope of the certification examination, please refer to the BCNSP Exam Content Outline.

Examination items are in multiple-choice format. The great majority of examination items are multiple-choice with a single response from among four options. Some examinations may include a small percentage of items that require selection of multiple (three or four) responses from among a larger set of available (up to eight) options. Examinations items may also be supplemented by an image.

View the examination items down below.

Which electrolyte abnormality is most likely to be observed in patients receiving continuous renal replacement therapy?

Hyperkalemia
Hypermagnesemia
Hyponatremia
Hypophosphatemia

Correct!

Incorrect!

A 30-year-old transplant patient develops a serum potassium of 5.8 mEq/L. The patient's medication regimen includes the following:

Tacrolimus 1 mg orally twice daily
Prednisone 20 mg orally twice daily
Hydrochlorothiazide 25 mg orally daily
Insulin glargine 10 units subcutaneously at bedtime
Levofloxacin 500 mg orally daily
Fluconazole 200 mg orally daily

Which medication is the most likely cause of this patient's hyperkalemia?
Hydrochlorothiazide
Insulin glargine
Prednisone
Tacrolimus

Correct!

Incorrect!

Alopecia, delayed wound healing, and fatty liver may indicate a deficiency in:

calcium.
dextrose.
lipid emulsion.
magnesium.

Correct!

Incorrect!

What are the Medicare Part B standard criteria for macronutrient requirements for parenteral nutrition?

Total 20-30 kcal/kg daily; protein 1.0 - 2.0 g/kg daily
Total 20-35 kcal/kg daily; protein 0.8 - 1.5 g/kg daily
Total 20-35 kcal/kg daily; protein 1.0 - 2.0 g/kg daily
Total 20-40 kcal/kg daily; protein 0.8 - 1.5 g/kg daily

Correct!

Incorrect!

What is the current recommendation for daily vitamin D supplementation to prevent rickets and vitamin D deficiency in healthy, breastfed infants?

200 IU
400 IU
600 IU
800 IU

Correct!

Incorrect!

Which intervention may decrease catheter-associated bloodstream infections in pediatric patients with parenteral nutrition-associated liver disease?

Antibiotic ointment at insertion site
Cyclic TPN
Ethanol lock therapy
Lipids < 1 g/kg/day

Correct!

Incorrect!

A patient with Crohn disease has been hospitalized for management of a small bowel obstruction. The patient's past medical history is significant for Crohn disease. The patient developed a fever on day 6 of parenteral nutrition. Two sets of blood cultures were drawn, one peripheral and one via the patient's peripherally inserted central catheter (PICC), and both grew gram-positive cocci. A transthoracic echocardiogram was performed and was negative. The final culture report indicated the pathogen was methicillin-resistant Staphylococcus aureus (MRSA). Which course of continued treatment is recommended for this patient?

Remove the PICC and continue vancomycin for 7 days.
Remove the PICC and continue vancomycin for 14 days.
Retain the PICC, and continue vancomycin for 14 days.
Retain the PICC, and continue vancomycin for 28 days.

Correct!

Incorrect!

Batch-prepared sterile products without preservatives are considered:

low risk.
low-medium risk.
medium risk.
medium-high risk.

Correct!

Incorrect!

Which total nutrient admixture would be considered the most unstable?

Dextrose 10%, amino acids 3%, lipids 1.5%
Dextrose 10%, amino acids 4%, lipids 2.0%
Dextrose 15%, amino acids 5%, lipids 2.5%
Dextrose 20%, amino acids 6%, lipids 3.0%

Correct!

Incorrect!

A study is designed to compare presence versus absence of pressure sores among patients receiving diet, patients receiving tube feeds, and patients receiving parenteral nutrition. Which is the appropriate statistical test to use for analysis of the data?

t test
Chi-square test
Kruskal-Wallis test
Mann-Whitney U test

Correct!

Incorrect!

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Nutrition Support Pharmacy Sample Questions

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Recertification Requirements for BCNSP

Pharmacists who earn the designation Board-Certified Nutrition Support Pharmacist® (BCNSP) are required to maintain their certification over a seven-year period by completing one of the following recertification pathways:

Option One: Recertification Examination

  • For BCNSP with certification beginning January 1, 2023 or earlier: Achieve a passing score on the recertification examination administered by BPS.
  • For BCNSP with certification beginning January 1, 2024 or later:Achieve a passing score on the recertification examination administered by BPS and self-report up to 20 units of continuing professional development (CPD).  Assessed continuing pharmacy education (CPE) from BPS-approved professional development programs can also satisfy this requirement. For more information on CPD, review the FAQ. To maintain an active certification in good standing, a minimum of two units of assessed CPE from BPS-approved professional development programs or self-reported CPD must be reported each year.

OR

Option Two: Professional Development Program

  • For BCNSP with certification beginning January 1, 2023 or earlier: recertification via professional development program requires 100 units of assessed CPE from BPS-approved professional development programs provided by
    • For more info about the interim transition plan effective through December 31, 2026, visit this press release.
    • Beginning January 1, 2027, CEImpact will be the BPS-approved professional development (PDP) program provider for Nutrition Support Pharmacy. More information about CEImpact can be found here.
  • For BCNSP with certification beginning January 1, 2024 or later: recertification via professional development program requires 100 units. Earn at least 80 units of assessed continuing pharmacy education (CPE) from BPS-approved professional development programs and self-report up to 20 units of continuing professional development (CPD) by the end of the 7 year recertification cycle (assessed CPE can also satisfy this requirement).*
    • For more info about the interim transition plan effective through December 31, 2026, visit this press release.
    • Beginning January 1, 2027, CEImpact will be the BPS-approved professional development (PDP) program provider for Nutrition Support Pharmacy. More information about CEImpact can be found here.
    • * A minimum of 2 units of CPD or BPS-approved, assessed CPE must be earned annually, regardless of recertification pathway.

Click here to view a simplified comparison infographic to learn more about the differences between the CPE and CPD recertification frameworks.

Year certified/recertified

New cycle start

(begin earning recert units)

Cycle expiration

(deadline to meet recert reqs)

Units required 

(PDP = professional development program)

20191/1/202012/31/2026100 units assessed CPE via BPS-approved PDP
20201/1/202112/31/2027100 units assessed CPE via BPS-approved PDP
20211/1/202212/31/2028100 units assessed CPE via BPS-approved PDP
20221/1/202312/31/2029100 units assessed CPE via BPS-approved PDP
20231/1/202412/31/2030100 units (80 units assessed CPE via BPS-approved PDP + 20 units CPD)
2024 onward1/1/2025 onward12/31/2031 onward100 units (80 units assessed CPE via BPS-approved PDP + 20 units CPD)

For full details regarding recertification, please refer to the BPS Recertification Guide.

Board-Certified Infectious Diseases Pharmacists® are required to pay the BPS Annual Certification Maintenance fee of $125 each year for years one through six and the $400 recertification fee in year seven. Individuals with more than one BPS certification are assessed one BPS Annual Certification Maintenance Fee each year. 

BCNSP Interim Transition Plan

Beginning January 1, 2026 through December 31, 2026 BCNSP must self-report ACPE-accredited continuing pharmacy education (CPE) that aligns with the BCNSP exam content outline.

Beginning January 1, 2027, CEImpact will be the BPS-approved professional development (PDP) program provider for Nutrition Support Pharmacy. More information about CEImpact can be found here.

Certificants must self-report a minimum of 5 CPE and a maximum of 15 CPE annually during the transition period, regardless of recertification framework

Existing Recertification Framework (cycle start date 1/1/2023 and earlier)Updated CPD Recertification Framework (cycle start date 1/1/2024 onward)
100 assessed CPE
*BCNSP self-report 5–15 per year towards 100 total
At least 80 assessed CPE
*BCNSP self-report 5–15 per year toward 80 total
Up to 20 self-report CPD
*BCNSP can self-report as activity type allows based on CPD FAQ chart

Instructions for self-reporting

  • Log in to MyBPS.
  • In the “Recertification” section, under the “Action” column, click “Report Activity.”
  • Click the orange “Add Activity Record” button.
  • Read the attestation before clicking the check box of acknowledgment.
  • Complete the required fields.
  • Upload your evidence of completion in the “Supporting documents” field by clicking the green “Add files” button.
  • Click “Save” when you are ready to proceed.

All self-reported CPE must be accurately documented. Records are subject to audit. For more information about the transition review the press release.

Do you need help finding ACPE-accredited CPE activities?

The Pharmacy Learning Assistance Network (P.L.A.N.®) is a continuing pharmacy education information service provided to pharmacists and pharmacy technicians through the Accreditation Council for Pharmacy Education (ACPE).

Upcoming Deadlines

Candidates are required to recertify every 7 years. Certificants must submit their recertification application no later than the deadline of August 17. BPS encourages candidates to submit their recertification application as early as January 1 of their recertification year.

Candidates who intend to recertify via examination should note the availability of the recertification examination and related application deadlines. Candidates recertifying their BCNSP credential by examination can find more information about examination dates and fees here

Candidates who intend to recertify via continuing pharmacy education (CPE) MUST submit their recertification application by the deadline date of August 17 even if they have not completed their CPE requirements.

The deadline to complete the required CPE for recertification is December 31 for all specialties. The board-certified pharmacist is responsible for submitting an application that is completely and accurately filled out. Incomplete and/or unpaid applications will not be processed. 

Recertification Guide

The recertification guide is intended to provide BPS-certified pharmacists with information on the recertification process. To review recertification information, visit this page.

CPE Providers

BCNSP with certification beginning January 1, 2023 or earlier: recertification via professional development program requires 100 units of assessed CPE from BPS-approved professional development programs provided by:

  • For more info about the interim transition plan effective through December 31, 2026, visit this press release.
  • Beginning January 1, 2027, CEImpact will be the BPS-approved professional development (PDP) program provider for Nutrition Support Pharmacy. More information about CEImpact can be found here.

BCNSP with certification beginning January 1, 2024 or later: recertification via professional development program requires 100 units. Earn at least 80 units of assessed continuing pharmacy education (CPE) from BPS-approved professional development programs and self-report up to 20 units of continuing professional development (CPD) by the end of the 7 year recertification cycle (assessed CPE can also satisfy this requirement).*

  • For more info about the interim transition plan effective through December 31, 2026, visit this press release.
  • Beginning January 1, 2027, CEImpact will be the BPS-approved professional development (PDP) program provider for Nutrition Support Pharmacy. More information about CEImpact can be found here.

* A minimum of 2 units of CPD or BPS-approved, assessed CPE must be earned annually, regardless of recertification pathway. 

Content Outline for BCNSP

Refer to the Nutrition Support Pharmacy Examination Content Outline here for details on eligibility requirements, effective dates, and more.

The examination content outline is a product of a job analysis, also known as a role delineation study, that includes discussions with a panel of 15-20 subject matter experts who represent the specialty area. These experts determine the competencies required for safe and effective pharmacy practice in the specialty area and engage board-certified pharmacists through a validation survey for their endorsement of the identified competencies. The job analysis process is conducted every 5 years to help ensure that the competencies in the examination content outline reflect current pharmacy practice in the specialty area.

  • Click here to review the BCNSP Job Analysis Summary.

Important Resources

Logging CPD Activities (Video)

Watch a step-by-step video walkthrough of how to report CPD activities in MyBPS once a certificant begins a new certification cycle. For CPD categories and descriptions, see the “How will CPD activities contribute to recertification?” question in the CPD FAQs.

CPD Annual Reflection and Plan (ARP) Sample

Click here to view a sample Annual Reflection and Plan (ARP) to help guide formatting and structure for your CPD annual reflection and learning plan. 

CPD Activity Evaluation Sample

Click here to view a sample CPD activity evaluation (scholarly activity) to help guide how evaluations may be documented for CPD credit. This sample is for guidance and is not the only acceptable format.

Frequently Asked Questions

After review of the BPS Recertification Guide, some applicants may still have questions. Visit this page to see frequently asked questions from pharmacists renewing their board certification like you!

Sample Examination Items

Sample Items for BCNSP Examinations

The sample examination items for BCNSP examinations are made available by BPS for the purposes of familiarizing certification candidates and other stakeholders with the structure and format of BPS certification examinations. This is not meant for use as a self-assessment. Performance on any of these items does not correlate with performance on the actual examination.

The content of these examples is meant to be illustrative of actual examination items, but these items do not appear on the certification examination and are not meant to identify the scope of the examination. For a more comprehensive indication of the scope of the certification examination, please refer to the BCNSP Exam Content Outline.

Examination items are in multiple-choice format. The great majority of examination items are multiple-choice with a single response from among four options. Some examinations may include a small percentage of items that require selection of multiple (three or four) responses from among a larger set of available (up to eight) options. Examinations items may also be supplemented by an image.

View the examination items down below.

Which electrolyte abnormality is most likely to be observed in patients receiving continuous renal replacement therapy?

Hyperkalemia
Hypermagnesemia
Hyponatremia
Hypophosphatemia

Correct!

Incorrect!

A 30-year-old transplant patient develops a serum potassium of 5.8 mEq/L. The patient's medication regimen includes the following:

Tacrolimus 1 mg orally twice daily
Prednisone 20 mg orally twice daily
Hydrochlorothiazide 25 mg orally daily
Insulin glargine 10 units subcutaneously at bedtime
Levofloxacin 500 mg orally daily
Fluconazole 200 mg orally daily

Which medication is the most likely cause of this patient's hyperkalemia?
Hydrochlorothiazide
Insulin glargine
Prednisone
Tacrolimus

Correct!

Incorrect!

Alopecia, delayed wound healing, and fatty liver may indicate a deficiency in:

calcium.
dextrose.
lipid emulsion.
magnesium.

Correct!

Incorrect!

What are the Medicare Part B standard criteria for macronutrient requirements for parenteral nutrition?

Total 20-30 kcal/kg daily; protein 1.0 - 2.0 g/kg daily
Total 20-35 kcal/kg daily; protein 0.8 - 1.5 g/kg daily
Total 20-35 kcal/kg daily; protein 1.0 - 2.0 g/kg daily
Total 20-40 kcal/kg daily; protein 0.8 - 1.5 g/kg daily

Correct!

Incorrect!

What is the current recommendation for daily vitamin D supplementation to prevent rickets and vitamin D deficiency in healthy, breastfed infants?

200 IU
400 IU
600 IU
800 IU

Correct!

Incorrect!

Which intervention may decrease catheter-associated bloodstream infections in pediatric patients with parenteral nutrition-associated liver disease?

Antibiotic ointment at insertion site
Cyclic TPN
Ethanol lock therapy
Lipids < 1 g/kg/day

Correct!

Incorrect!

A patient with Crohn disease has been hospitalized for management of a small bowel obstruction. The patient's past medical history is significant for Crohn disease. The patient developed a fever on day 6 of parenteral nutrition. Two sets of blood cultures were drawn, one peripheral and one via the patient's peripherally inserted central catheter (PICC), and both grew gram-positive cocci. A transthoracic echocardiogram was performed and was negative. The final culture report indicated the pathogen was methicillin-resistant Staphylococcus aureus (MRSA). Which course of continued treatment is recommended for this patient?

Remove the PICC and continue vancomycin for 7 days.
Remove the PICC and continue vancomycin for 14 days.
Retain the PICC, and continue vancomycin for 14 days.
Retain the PICC, and continue vancomycin for 28 days.

Correct!

Incorrect!

Batch-prepared sterile products without preservatives are considered:

low risk.
low-medium risk.
medium risk.
medium-high risk.

Correct!

Incorrect!

Which total nutrient admixture would be considered the most unstable?

Dextrose 10%, amino acids 3%, lipids 1.5%
Dextrose 10%, amino acids 4%, lipids 2.0%
Dextrose 15%, amino acids 5%, lipids 2.5%
Dextrose 20%, amino acids 6%, lipids 3.0%

Correct!

Incorrect!

A study is designed to compare presence versus absence of pressure sores among patients receiving diet, patients receiving tube feeds, and patients receiving parenteral nutrition. Which is the appropriate statistical test to use for analysis of the data?

t test
Chi-square test
Kruskal-Wallis test
Mann-Whitney U test

Correct!

Incorrect!

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Nutrition Support Pharmacy Sample Questions

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Testimonials

I proudly display my BPS credential, which reflects my specialized qualifications and commitment to nutrition support pharmacy.

My BPS certification has provided the opportunities to gain insight from other experienced practitioners within a specialized area of pharmacy and allowed me to continue to educate other healthcare professionals, as well as pharmacy residents and students in the optimal management of nutrition support.

Board certification has been invaluable in my career as a clinical pharmacist. My mentors in residency encouraged initial certification in pharmacotherapy which gave me a competitive edge during my initial job search. I use lecture and rotation opportunities to discuss the opportunity to seek board certification to highlight knowledge and skill in pharmacy practice to my students and residents.

As a clinical pharmacist in medical center, my work involves TPN, pharmacotherapy and sterile compounding. My BPS certifications ensure that as a practitioner, my knowledge is consistently updated. As a preceptor to pharmacy school students, BPS certifications ensure that I can teach updated issues and techniques.

Board certification promotes quick identification of other pharmacists who share either a similar or different board certification as well as offers networking opportunities within each specialty. I’ve reached out to other board certified colleagues to collaborate on difficult clinical scenarios only to learn more through our discussion.

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