Collaborative Practice Agreement · PharmD
Tennessee Collaborative Pharmacy Practice Agreement for Pharmacists
Required. The Collaborative Pharmacy Practice Agreement is the written instrument Tennessee 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.
TN has some form of collaborative/protocol-based pharmacy practice authority under Title 63, Chapter 10, but this research pass could not independently confirm its current specifics (agreement requirements, controlled-substance scope, or any ratio cap) against primary source text — treat this entire entry as substantially less certain than most other states in this dataset.
What a Tennessee Collaborative Pharmacy Practice Agreement must contain
Governed by the Tennessee Board of Pharmacy. Each numbered item is a statutory requirement the agreement must satisfy.
The Pharmacist shall practice pursuant to a written Collaborative Pharmacy Practice Agreement ("Agreement") with the Physician, as authorizing physician, as required by Tenn. Code Ann. § 63-10-217 and Tenn. Comp. R. & Regs. 1140-03-.17. Each collaborating provider must hold an active, unencumbered Tennessee license and maintain at least one million dollars ($1,000,000) in professional liability insurance coverage per occurrence for as long as the Agreement remains in effect.
Source: Tenn. Comp. R. & Regs. 1140-03-.17 (Collaborative Pharmacy Practice)
A written attestation identifying the collaborating providers, the effective date, and the scope of services covered shall be filed with the licensing boards of all participating providers no later than thirty (30) days after the Agreement's effective date, and the patient or the patient's authorized representative must sign a general consent to receive services from a health care team that includes a pharmacist.
- The Collaborative Pharmacy Practice Agreement on file also carries 1 scope, 1 education, 1 registration, 2 authority clauses, generated in the document itself.
Statutes and rules cited
- Tenn. Comp. R. & Regs. 1140-03-.17 (Collaborative Pharmacy Practice)board rule
Tennessee Board of Pharmacy rule implementing Tenn. Code Ann. § 63-10-217, governing collaborative pharmacy practice agreements: required elements, filing, quality assessment, review and renewal.
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
No TN-specific provision authorizing independent controlled-substance prescribing by a pharmacist under a collaborative agreement was confirmed in this research pass; set to False rather than assumed.
Written agreement
Required
TN's pharmacy practice act is understood to include some collaborative-agreement or protocol mechanism, but this research pass could not confirm its current form, scope, or whether it grants any controlled-substance authority — flagged rather than assumed.
Practice ownership (corporate practice of medicine)
Non-licensee ownership permitted — No pharmacist-ownership requirement for a general pharmacy permit was confirmed in this research pass — presumed permissive, consistent with the pattern in other states in this dataset, but not independently verified against TN's pharmacy statute.
Legal sources for these rules (1)
- Tenn. Code Ann. Title 63, Chapter 10 — Pharmacy (specific collaborative-practice section not independently confirmed in this research pass)
About Tennessee's rules
TN is a restricted-practice state for NPs — no independence pathway exists. Physicians must personally review ≥20% of an APRN's charts every 30 days (100% of controlled-substance charts) and visit remote practice sites in person every 30 days. TN has an explicit, unambiguous corporate-practice-of-medicine ban (statute, case law, and AG opinions; TCA § 63-6-204) — a professional corporation may practice only a single profession.
Other clinicians in Tennessee: see the state overview.