Collaborative Practice Agreement · PharmD
Kentucky Written Collaborative Care Agreement for Pharmacists
Required. The Written Collaborative Care Agreement is the written instrument Kentucky 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 KY's pharmacist Collaborative Care Agreement (CRA) tier (KRS 315.010(5)), not base dispensing licensure, which needs no agreement and is out of scope here. Unlike NC's certified CPP tier, KY names no board-certification/residency requirement — any licensed pharmacist 'involved in patient care' may enter a CRA. No independence pathway found.
What a Kentucky Written Collaborative Care Agreement must contain
Governed by the Kentucky Board of Pharmacy. Each numbered item is a statutory requirement the agreement must satisfy.
Kentucky does not require the Pharmacist to hold a collaborative care agreement in order to practice pharmacy generally. To manage a specific patient's drug-related health care needs in cooperation with the Physician, however, the Pharmacist and the Physician shall enter into a written collaborative care agreement, as authorized by KRS 315.010(4) and 201 KAR 2:220. The patient's drug-related health care needs must fall within the Physician's statutory scope of practice, and the patient must be referred by the Physician to the Pharmacist.
The collaborative care agreement shall be signed and dated by each practitioner and each pharmacist who is a party to it, shall provide the method for referral of patients to be managed under it, and shall state the method for terminating it.
- The Written Collaborative Care Agreement on file also carries 1 scope, 1 education, 1 registration clauses, generated in the document itself.
Statutes and rules cited
- 201 KAR 2:220regulation
Establishes minimum requirements for the development and maintenance of collaborative care agreements between a pharmacist and a practitioner.
- KRS 315.010(4)statute
Chapter 315 definitions, including "collaborative care agreement."
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
Whether a KY collaborative care agreement can authorize controlled-substance prescribing (as NC's and VA's frameworks expressly do) was not confirmed in this research pass — set to False as the conservative, confirmed-only position rather than assumed; verify directly with the KY Board of Pharmacy before relying on this for a controlled-substance use case.
Written agreement
Required
Practice ownership (corporate practice of medicine)
Non-licensee ownership permitted — General pharmacy-permit ownership was not separately confirmed for KY in this research pass — most peer states (NC, VA) allow non-pharmacist/corporate pharmacy ownership subject to a pharmacist-in-charge control safeguard, and this entry assumes that same pattern for KRS Ch. 315 permits, but the exact KY statutory text was not directly verified — confirm before relying on it.
Materially more permissive than the healing-arts PSC/PLLC regime governing PA/APRN entries above, consistent with the general pattern across states on file, but KY's specific permit-ownership statute text was not directly pulled in this pass.
Legal sources for these rules (2)
About Kentucky's rules
KY's PSC/PLLC statutes (KRS Ch. 274, 275) are commonly read to restrict ownership to persons rendering the 'same or related' professional service — a physician generally cannot co-own a single PSC/PLLC with a PA or APRN, unlike NC/VA's explicit combination statutes. Secondary-sourced interpretation, not a confirmed ruling — verify before relying on it. Kentucky opted out of the federal Medicare CRNA supervision requirement in April 2012; facilities may still impose their own.
Other clinicians in Kentucky: see the state overview.