Collaborative Practice Agreement · PharmD
Nevada Collaborative Practice Agreement for Pharmacists
Required. The Collaborative Practice Agreement is the written instrument Nevada 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 Nevada's pharmacist Collaborative Practice Agreement (CPA) tier for drug-therapy management, not ordinary dispensing licensure, which needs no agreement and is out of scope here. Any Nevada-licensed pharmacist and any licensed practitioner may enter a CPA; patient informed written consent is required.
What a Nevada Collaborative Practice Agreement must contain
Governed by the Nevada State Board of Pharmacy. Each numbered item is a statutory requirement the agreement must satisfy.
The Pharmacist ("Pharmacist") may enter into a collaborative practice agreement with the Physician authorizing the Pharmacist to engage in collaborative drug therapy management -- including initiating, monitoring, modifying, or discontinuing a patient's drug therapy -- under the Physician's supervision, as provided under NRS 639.2623 and NRS 639.2627.
Source: NRS 639.2623; NRS 639.2627
To enter into the agreement, the Physician must agree to maintain an ongoing relationship with any patient referred to the Pharmacist, obtain the patient's informed written consent, and, except as otherwise provided by regulation, actively practice within one hundred (100) miles of the Pharmacist's primary practice location.
Source: NRS 639.2623; NRS 639.2627
- The Collaborative Practice Agreement on file also carries 1 scope, 1 education, 1 registration, 1 authority clauses, generated in the document itself.
Statutes and rules cited
- NRS 632.237statute
Nurse Practitioner independent practice, with a Schedule II prescribing protocol required absent sufficient clinical experience.
- NRS 630.271statute
Requires a written supervisory agreement between a Physician Assistant and a supervising physician.
- NAC 630.495regulation
Limits simultaneous supervision of Physician Assistants and collaboration with Advanced Practice Registered Nurses to a combined total of three, absent Board approval.
- NRS 639.2623; NRS 639.2627statute
Authorizes a pharmacist collaborative practice agreement for collaborative drug therapy management, including initiating, monitoring, modifying, or discontinuing a patient's drug therapy.
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
Narrow exception: a pharmacist separately registered under NRS 639.28079 may prescribe/dispense controlled substances for medication-assisted treatment (e.g. buprenorphine) — that authority runs through its own registration, not the general CPA.
Written agreement
Required
Practice ownership (corporate practice of medicine)
Non-licensee ownership permitted — No pharmacist-ownership requirement was found in Nevada pharmacy licensing statute/rule for this research pass — pharmacy ownership appears materially more permissive than the NRS Ch. 89 professional-entity framework governing physicians/APRNs above.
Whether Nevada requires a designated pharmacist-in-charge with retained professional control was not independently confirmed in this pass.
Legal sources for these rules (2)
- Nev. Rev. Stat. § 639.2623 — Collaborative Practice Agreement; Authority; Requirements; Controlled-Substance Exclusionsecondary
- Nev. Rev. Stat. § 639.28079 — Pharmacist Registration for Medication-Assisted Treatment (narrow controlled-substance exception)
About Nevada's rules
Nevada has an active corporate-practice-of-medicine doctrine (NRS 89.070) limiting professional-entity ownership to the licensed profession rendering the service — a full-practice-authority NP may independently own a med-spa-type entity, but PAs are not enumerated as eligible owners. NPs/CNMs/CNSs share a 2,000-hour APRN practice-authority threshold (NRS 632.237); CRNAs are separately and explicitly supervised (NRS 632.2397).
Other clinicians in Nevada: see the state overview.