Collaborative Practice Agreement · PharmD
Arkansas Collaborative Practice Agreement (CPA) for Pharmacists
Required. The Collaborative Practice Agreement (CPA) is the written instrument Arkansas 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 Arkansas's Disease State Management (DSM) tier (Ark. Code Ann. § 17-92-101(16), § 17-92-205(a)), not base dispensing licensure. Requires a written, physician-approved protocol/patient care plan specific to an individual patient — protocol-dependent with no independence pathway.
What a Arkansas Collaborative Practice Agreement (CPA) must contain
Governed by the Arkansas State Board of Pharmacy. Each numbered item is a statutory requirement the agreement must satisfy.
The Pharmacist shall practice under a written Collaborative Practice Agreement ("CPA") with the Physician, who must have prescriptive authority, as authorized under the Arkansas Pharmacy Practice Act and Arkansas State Board of Pharmacy regulations. The Pharmacist shall keep a written copy of the CPA on file and shall produce it to the Arkansas State Board of Pharmacy upon request.
Source: Ark. Code Ann. § 17-92-101 et seq. and Arkansas State Board of Pharmacy Regulations
- The Collaborative Practice Agreement (CPA) on file also carries 2 scope, 1 education, 1 registration, 1 authority clauses, generated in the document itself.
Statutes and rules cited
- Ark. Code Ann. § 17-92-101 et seq. and Arkansas State Board of Pharmacy Regulationsboard rule
Arkansas State Board of Pharmacy's own published Law Book, compiling the Pharmacy Practice Act and Board regulations governing collaborative practice agreements between pharmacists and practitioners with prescriptive authority.
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 · no controlled-substance authority
DSM authority (Arkansas State Board of Pharmacy Regulation 9) is patient-specific and protocol-based for chronic-disease management (e.g. asthma, diabetes, hypertension, dyslipidemia, anticoagulation) rather than a controlled-substance prescriptive grant — no controlled-substance authority was found for this tier.
Written agreement
Required
Practice ownership (corporate practice of medicine)
Non-licensee ownership permitted — Pharmacies are separately licensed premises under the Arkansas Pharmacy Practice Act; no CPOM-style ownership restriction analogous to medical PCs was found relevant to DSM pharmacists specifically.
Legal sources for these rules (2)
- Ark. Code Ann. § 17-92-101(16), § 17-92-205(a) — Disease State Management
- Arkansas State Board of Pharmacy Regulation 9 — Pharmaceutical Care/Patient Counseling
About Arkansas's rules
Act 412 of 2021 created a 6,240-hour Full Independent Practice Credentialing Committee (FIPCC) pathway for CNPs and CNSs only — CRNAs and CNMs are excluded from FIPCC and follow their own frameworks. CRNA independent-practice status is a genuine, unresolved ambiguity (see that entry) — a widely repeated 'Medicare opt-out' claim doesn't equal a change to AR's own supervision statute.
Other clinicians in Arkansas: see the state overview.