Collaborative Practice Agreement · PharmD
Alabama CDTM Agreement for Pharmacists
Required. The CDTM Agreement is the written instrument Alabama law names for a Pharmacist working with a physician. Below: the board that governs it, what it must contain, and the terms it has to carry.
Represents Alabama's Collaborative Practice tier (Ala. Admin. Code r. 680-X-2-.44, enforceable since May 1, 2022), not base dispensing licensure. Jointly approved by the Board of Pharmacy and Board of Medical Examiners; permanently agreement-dependent with no independence pathway.
What a Alabama CDTM Agreement must contain
Governed by the Alabama State Board of Pharmacy. Each numbered item is a statutory requirement the agreement must satisfy.
The Pharmacist shall practice pursuant to a Collaborative Drug Therapy Management Agreement (the "CDTM Agreement") with the Physician, as authorized by Ala. Code § 34-23-77 and Ala. Admin. Code r. 680-X-2-.44. Neither the Physician nor the Pharmacist may engage in collaborative drug therapy management until the CDTM Agreement, together with a written attestation naming the parties and describing the scope of covered services, has been submitted to and approved by both the Alabama State Board of Pharmacy and the Alabama Board of Medical Examiners; submission must occur within ten (10) days after the Agreement is signed.
Source: Ala. Code § 34-23-77
Each party to the CDTM Agreement must hold an active, unrestricted Alabama license. The Physician must have practiced medicine for at least three (3) years, or at least one (1) year if board-certified by a specialty board approved by the American Board of Medical Specialties or the American Osteopathic Association Bureau of Osteopathic Specialists.
Source: Ala. Admin. Code r. 680-X-2-.44
- The CDTM Agreement on file also carries 2 scope, 1 education, 1 registration, 1 authority clauses, generated in the document itself.
Statutes and rules cited
- Ala. Code § 34-23-77statute
Authorizes a Collaborative Practice Agreement between an Alabama-licensed pharmacist and physician; requires the agreement to be submitted to and approved by both the Board of Pharmacy and the Board of Medical Examiners before it is effective.
- Ala. Admin. Code r. 680-X-2-.44board rule
Alabama Board of Pharmacy rule implementing Collaborative Drug Therapy Management Agreements: required terms, eligibility, quality assurance, renewal, and limitations.
Terms it has to carry
Ratio, proximity, chart review, meeting and prescribing terms the agreement has to carry, from the state's supervision rules.
Proximity
Not codified — left to the agreement
Supervision ratio
Not codified — no cap on file
Chart review
Not codified — left to the agreement
Meeting cadence
Not codified — left to the agreement
Prescriptive authority
Covered by the practice agreement · controlled substances permitted
Agreement must specify duties performed, documentation/communication protocol, a quality-assurance plan, and (for drug-therapy CPAs) the authorized formulary; renewable every 2 years, amendments/termination reportable within 10 days (Ala. Admin. Code r. 680-X-2-.44).
Written agreement
Required
Practice ownership (corporate practice of medicine)
Non-licensee ownership permitted — General Alabama pharmacy-ownership rules (Board of Pharmacy permit/pharmacist-in-charge requirements) apply; no 'friendly PC' style restriction unique to collaborative-practice pharmacists distinct from standard pharmacy ownership rules was found in this research pass.
Materially more permissive than the healing-arts/APRN PC ownership regime governing PA/CRNP/CNM/CNS above.
Legal sources for these rules (1)
- Ala. Admin. Code r. 680-X-2-.44 — Collaborative Pharmacy Practice
About Alabama's rules
Alabama is a restrictive state: PA/CRNP/CNM all require an indefinite collaborative agreement with no independence pathway, and share a combined 360 hours/week (9 FTE) supervision cap per physician. CRNA's status is a genuine ambiguity — statute requires an 'immediately available' physician/dentist/podiatrist, but no filed agreement or ratio regime exists like CRNP/CNM's; flagged for legal review.
Other clinicians in Alabama: see the state overview.