Written Protocol · PharmD
Mississippi Written Protocol for Pharmacists
Required. The Written Protocol is the written instrument Mississippi 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.
Mississippi's mechanism is narrower than a typical collaborative-practice-agreement model — a 'written guideline or protocol' under § 73-21-73(nn) is patient-specific, requiring a signed protocol for EACH patient, not a blanket population-level agreement. The core Pharmacy Practice Act sections carried a 7/1/2025 sunset; this research pass could not confirm the current post-sunset codification.
What a Mississippi Written Protocol must contain
Governed by the Mississippi Board of Pharmacy. Each numbered item is a statutory requirement the agreement must satisfy.
The Pharmacist may initiate, modify, or discontinue non-scheduled prescription drug therapy pursuant to a written protocol with the Physician, as authorized by Miss. Admin. Code Title 30, Part 3001, Article XXXVI. The Pharmacist shall hold an unrestricted Mississippi pharmacy license and shall notify the Mississippi Board of Pharmacy that the Pharmacist's practice is operating under such a protocol.
Source: Miss. Admin. Code Title 30, Part 3001, Article XXXVI
The protocol shall identify the Physician and the Pharmacist, describe the specific responsibilities the Physician authorizes the Pharmacist to perform, describe the patient data the Pharmacist shall collect, state the frequency and method by which the Pharmacist shall report that data to the Physician, and describe the procedures the Pharmacist shall follow in initiating, modifying, or discontinuing therapy. The protocol shall not exceed a duration of two (2) years and shall be renewed in writing to remain effective beyond that term.
Source: Miss. Admin. Code Title 30, Part 3001, Article XXXVI
- The Written Protocol on file also carries 1 scope, 1 education, 1 registration, 1 authority clauses, generated in the document itself.
Statutes and rules cited
- Miss. Code Ann. § 73-15-20statute
Advanced practice registered nurse collaborative/consultative relationship and Board-approved protocol requirement, as compiled in the Board of Nursing's official Nurse Practice Act.
- Miss. Admin. Code Title 30, Part 2630, Ch. 1, Rule 1.2-1.3board rule
Mississippi State Board of Medical Licensure rules governing physician collaboration with nurse practitioners: chart review, quarterly QA meetings, and the 75-mile free-standing-clinic rule.
- Miss. Admin. Code Title 30, Part 2615, Ch. 1board rule
Mississippi State Board of Medical Licensure rules governing physician assistant practice protocols, supervision approval, on-site supervision of new graduates, and chart review.
- Miss. Admin. Code Title 30, Part 3001, Article XXXVIboard rule
Mississippi Board of Pharmacy rule authorizing pharmacists to initiate, modify, or discontinue non-scheduled drug therapy under a written protocol with a practitioner.
- Mississippi Board of Nursing, RN/LPN Renewal FAQboard guidance
Board of Nursing guidance confirming that continuing education is not required to renew an active RN license, except for reinstatement after a lapse of more than 5 years.
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
Separate prescribing terms required · no controlled-substance authority
Naloxone dispensing under a standing order (§ 41-29-319(3)) needs no individual prescription — a narrower, separate carve-out from the general protocol mechanism.
Written agreement
Required
Required per-patient, not a single standing agreement with a physician. Naloxone dispensing under a standing order (§ 41-29-319(3)) is a distinct, narrower carve-out that needs no individual prescription.
Practice ownership (corporate practice of medicine)
Non-licensee ownership permitted — No pharmacist-ownership requirement was confirmed this research pass — Mississippi's pharmacy-specific ownership statute was not independently pulled; treat as an open item.
Not independently verified against primary source this research pass.
Legal sources for these rules (2)
- Miss. Code Ann. § 73-21-73(dd), (nn) — Pharmacy Practice Act definitions
- Miss. Code Ann. § 41-29-319(3) — Naloxone standing order
About Mississippi's rules
Mississippi has no independent-practice pathway for NPs/APRNs — a collaborative relationship plus Board-approved written protocol is required for the life of the license. Multiple 2025-2026 NP full-practice-authority bills (H.B. 813, H.B. 98, S.B. 2178) remain unconfirmed as enacted — re-verify § 73-15-20 each session.
Other clinicians in Mississippi: see the state overview.