PharmD · Arkansas
Collaborative Practice Agreement for Pharmacists in Arkansas
Yes, a written physician agreement is required. Arkansas calls it a Collaborative Practice Agreement (CPA).
Represents Arkansas's Disease State Management (DSM) tier (Ark. Code Ann. § 17-92-101(16), § 17-92-205(a)), not base dispensing licensure. Requires a written, physician-approved protocol/patient care plan specific to an individual patient — protocol-dependent with no independence pathway.
What the collaboration must look like
The rules the physician relationship has to follow. Each fact comes from the statute or board rule listed under sources.
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
DSM authority (Arkansas State Board of Pharmacy Regulation 9) is patient-specific and protocol-based for chronic-disease management (e.g. asthma, diabetes, hypertension, dyslipidemia, anticoagulation) rather than a controlled-substance prescriptive grant — no controlled-substance authority was found for this tier.
Written agreement
Required
Practice ownership (corporate practice of medicine)
Non-licensee ownership permitted — Pharmacies are separately licensed premises under the Arkansas Pharmacy Practice Act; no CPOM-style ownership restriction analogous to medical PCs was found relevant to DSM pharmacists specifically.
Legal sources for these rules (2)
- Ark. Code Ann. § 17-92-101(16), § 17-92-205(a) — Disease State Management
- Arkansas State Board of Pharmacy Regulation 9 — Pharmaceutical Care/Patient Counseling
What a collaborating physician costs here
Typical monthly cost in Arkansas
$500 – $600
Estimate for one Pharmacist. Standard-tier state.
About Arkansas's rules
Act 412 of 2021 created a 6,240-hour Full Independent Practice Credentialing Committee (FIPCC) pathway for CNPs and CNSs only — CRNAs and CNMs are excluded from FIPCC and follow their own frameworks. CRNA independent-practice status is a genuine, unresolved ambiguity (see that entry) — a widely repeated 'Medicare opt-out' claim doesn't equal a change to AR's own supervision statute.
Other clinicians in Arkansas: see the state overview.