Practice Agreement · PharmD
Pharmacist Practice Agreement in Michigan
Michigan 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.
Represents Michigan's delegated drug-therapy-management tier under MCL 333.16215/333.17707, not ordinary pharmacist licensure — base dispensing needs no such delegation. A pharmacist is NOT independently a prescriber and cannot be delegated the core act of prescribing a controlled substance in their own name, even under delegation/protocol.
What a Pharmacist practice agreement covers in Michigan
Governed by the Michigan Board of Pharmacy. Each numbered item is a statutory requirement the agreement must satisfy.
Michigan does not have a statute establishing a physician-pharmacist "collaborative practice agreement" analogous to the practice agreement required of Physician Assistants. Instead, the Physician may delegate specific acts, tasks, or functions to the Pharmacist under MCL 333.16215, provided the delegated act does not require the Physician's own level of skill or judgment and remains under the Physician's supervision. This Agreement's terms regarding the Pharmacist accordingly define the scope of any such delegation and the working relationship between the Parties, and are not themselves required by Michigan law as a condition of the Pharmacist's authority to practice under the Pharmacist's own Board of Pharmacy license.
Source: MCL 333.16215
Separately, and independent of any delegation from the Physician, Michigan law authorizes the Pharmacist to prescribe and dispense self-administered hormonal contraceptives, contraceptive patches, vaginal rings, and emergency contraception directly to patients, subject to Board of Pharmacy training and protocol rules. That independent statutory authority exists regardless of this Agreement's terms and is neither expanded nor limited by them.
Source: MCL 333.17744g
- The agreement on file also carries 1 education, 1 registration, 1 authority clauses, generated in the document itself.
Statutes and rules cited
- MCL 333.17201statute
Public Health Code definitions of advanced practice registered nurse, registered professional nurse, and the practice of nursing.
- MCL 333.17211astatute
Grant of independent, non-delegated prescribing authority to an APRN for nonscheduled drugs, and the physician-delegation and dual-DEA-number requirement for Schedule 2-5 controlled substances.
- MCL 333.17047statute
Mandatory practice-agreement requirement and content for physician assistants: communication/decision-making process, alternate-physician protocol, signatures, 30-day termination notice, and delineation of duties.
- MCL 333.17048statute
Board of Medicine rulemaking authority to restrict delegation of high-risk services and to restrict which drugs a PA may prescribe; no numerical PA-per-physician ratio appears in the current text.
- MCL 333.16215statute
General statute allowing a physician to delegate acts, tasks, or functions to a qualified individual under the physician's supervision, provided the act does not require the physician's own level of skill or judgment.
- MCL 333.17744gstatute
Independent pharmacist authority, separate from any physician delegation, to prescribe and dispense self-administered hormonal contraceptives and emergency contraception, subject to Board of Pharmacy training and protocol rules.
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
Under delegation/protocol, a pharmacist may adjust doses, manage therapy, and make recommendations — including for existing controlled-substance regimens — but cannot be delegated the core act of prescribing a controlled substance in the pharmacist's own name (secondary-sourced summary of MCL 333.16215/333.17707); coded False here to reflect that this is not independent controlled-substance prescriptive authority.
Written agreement
Required
Only required if the pharmacist and a physician elect to engage in delegated drug-therapy management/protocol adjustment of an existing prescriber's orders — a pharmacist's base license and general dispensing authority need no such agreement. Michigan does not require Board approval or filing of the delegation agreement, only that a signed copy be kept at the practice site for inspection.
Practice ownership (corporate practice of medicine)
Non-licensee ownership permitted — No pharmacist-ownership requirement was identified for Michigan pharmacy permits in this pass — not independently confirmed against a specific statute/reg; treat as consistent with the typical non-restrictive pharmacy-ownership pattern seen in other states rather than a settled Michigan-specific finding.
Materially more permissive than the physician-only PSC/PLLC regime governing PA/APRN entities above, if confirmed.
Legal sources for these rules (4)
- MCL 333.16215 — Delegation of acts, tasks, or functions
- MCL 333.17707 — Practice of pharmacy; definition
- MCL 333.17744g (added by P.A. 242 of 2024) — Pharmacist contraceptive prescribing
- Council on Pharmacy Standards — Michigan Collaborative Practice Roadmap for Pharmacistssecondary
About Michigan's rules
Michigan has no independent-practice pathway for NPs, CNMs, CNSs, or PAs — specialty certification alone never grants autonomous practice, and delegated authority is renewable/revocable rather than a one-time threshold. CRNAs may deliver anesthesia care independently within the perioperative period but must still maintain a collaborating physician/dentist/podiatrist relationship. A PA-only PLLC has been prohibited since 2010.
Other clinicians in Michigan: see the state overview.