PharmD · Delaware
Collaborative Practice Agreement for Pharmacists in Delaware
Yes, a written physician agreement is required. Delaware calls it a Collaborative Pharmacy Practice Agreement.
Represents Delaware's 'Collaborative Pharmacy Practice' tier (enacted 2023, Delaware the 50th state to authorize it), not ordinary licensure — base dispensing needs no agreement and is out of scope here. No independence pathway away from the collaborative pharmacy practice agreement (CPPA) was found.
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 · controlled substances permitted
The collaborative pharmacy practice agreement defines the nature, scope, conditions, and limitations of drug-therapy-management services the pharmacist may provide; whether/how controlled substances are scheduled-restricted within that scope wasn't separately confirmed in this research pass — treat as uncertain.
Written agreement
Required
Practice ownership (corporate practice of medicine)
Non-licensee ownership permitted — A pharmacy permit may be held by a non-pharmacist/artificial entity only if a majority of the pharmacy is owned by licensed pharmacists; existing permit holders and hospital pharmacies are grandfathered/exempted from the requirement (24 Del.C. Title 24 Ch. 25, Subch. IV).
Materially more permissive than the nursing/PA professional-corporation regime above, but not unrestricted — a pharmacist-majority stake is required for new permits.
Legal sources for these rules (2)
What a collaborating physician costs here
Typical monthly cost in Delaware
$500 – $600
Estimate for one Pharmacist. Standard-tier state.
About Delaware's rules
Delaware grants full independent practice to APRNs (NP/CRNA/CNM/CNS) after a uniform 2-year/4,000-hour transition period (24 Del.C. § 1906(20); 24 DE Admin. Code 1900 § 8.0) — this research pass treats that rule as applying identically across all four APRN roles; confirm role-specific nuance with the Board of Nursing before relying on it. PAs have no independent-practice pathway.
Other clinicians in Delaware: see the state overview.