Practice Agreement · PharmD

Pharmacist Practice Agreement in Illinois

Illinois law does not require a Pharmacist to hold a named agreement with a physician. Practices still use one to define the working relationship; here is what it covers and what the state does require.

Practice authoritySupervision required
Written agreementAgreement required
What Illinois calls itNo named instrument
Governing boardIllinois Board of Pharmacy
Research date2026-09-03 · clauses 2026-09-03

Represents Illinois's collaborative pharmacy practice tier under the Pharmacy Practice Act (225 ILCS 85), not ordinary licensure — base dispensing needs no agreement and is out of scope here. Precise current statutory mechanics of Illinois's collaborative-practice framework (post the Collaborative Pharmaceutical Task Force created by P.A. 100-0497) were not fully confirmed in this research pass.

What a Pharmacist practice agreement covers in Illinois

Governed by the Illinois Board of Pharmacy. Each numbered item is a statutory requirement the agreement must satisfy.

  1. No general requirement that the Pharmacist enter into a physician-specific collaborative practice agreement in order to practice pharmacy was identified under the Illinois Pharmacy Practice Act, 225 ILCS 85; the Pharmacist practices under the Pharmacist's own license issued by IDFPR.

  2. Where the Pharmacist performs services such as administering vaccines, or dispensing self-administered hormonal contraceptives or opioid antagonists, they does so under statewide standing orders or protocols established by Illinois statute or IDFPR rule, not under an individualized agreement naming the Physician as a collaborating physician. This Agreement's terms regarding the Pharmacist accordingly define the working relationship, referral pathways, and communication expectations between the Parties, and are not themselves required by Illinois law as a condition of the Pharmacist's authority to practice or to act under any such statewide standing order.

  3. The agreement on file also carries 1 education, 1 registration clauses, generated in the document itself.

Statutes and rules cited

  1. Illinois Department of Financial and Professional Regulation, Division of Professional Regulation (Pharmacy)board guidance

    State agency administering the Illinois Pharmacy Practice Act (225 ILCS 85) and pharmacist licensure; primary source for any collaborative-pharmacy-practice rulemaking.

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

Illinois's collaborative pharmacy practice framework and any controlled-substance authority within it were not confirmed with primary-source specificity in this research pass — treat as uncertain rather than assuming a specific scope.

Written agreement

Required

Practice ownership (corporate practice of medicine)

Non-licensee ownership permitted — Illinois pharmacy licensure does not require pharmacist ownership of the licensed pharmacy business; a licensed pharmacist-in-charge retains professional control over dispensing (225 ILCS 85).

Legal sources for these rules (2)
How the relationship works day to day
Who has to be where, how often you meet, and what the physician costs: Pharmacist in Illinois on collaborativeagreement.com.

About Illinois's rules

The 2017 Nurse Practice Act reform (P.A. 100-0513) lets NP/CNM/CNS attest to full practice authority after 4,000 hours under a written collaborative agreement plus 250 hours of CE — CRNAs are not included in that attestation pathway. The Medical Corporation Act (805 ILCS 15) restricts clinical-entity ownership to physicians; APRNs/PAs may still use a professional service corporation or PLLC of their own licensees.

Other clinicians in Illinois: see the state overview.