PharmD · Kentucky
Collaborative Practice Agreement for Pharmacists in Kentucky
Yes, a written physician agreement is required. Kentucky calls it a Written Collaborative Care Agreement.
Represents KY's pharmacist Collaborative Care Agreement (CRA) tier (KRS 315.010(5)), not base dispensing licensure, which needs no agreement and is out of scope here. Unlike NC's certified CPP tier, KY names no board-certification/residency requirement — any licensed pharmacist 'involved in patient care' may enter a CRA. No independence pathway 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 · no controlled-substance authority
Whether a KY collaborative care agreement can authorize controlled-substance prescribing (as NC's and VA's frameworks expressly do) was not confirmed in this research pass — set to False as the conservative, confirmed-only position rather than assumed; verify directly with the KY Board of Pharmacy before relying on this for a controlled-substance use case.
Written agreement
Required
Practice ownership (corporate practice of medicine)
Non-licensee ownership permitted — General pharmacy-permit ownership was not separately confirmed for KY in this research pass — most peer states (NC, VA) allow non-pharmacist/corporate pharmacy ownership subject to a pharmacist-in-charge control safeguard, and this entry assumes that same pattern for KRS Ch. 315 permits, but the exact KY statutory text was not directly verified — confirm before relying on it.
Materially more permissive than the healing-arts PSC/PLLC regime governing PA/APRN entries above, consistent with the general pattern across states on file, but KY's specific permit-ownership statute text was not directly pulled in this pass.
Legal sources for these rules (2)
What a collaborating physician costs here
Typical monthly cost in Kentucky
$500 – $600
Estimate for one Pharmacist. Standard-tier state.
About Kentucky's rules
KY's PSC/PLLC statutes (KRS Ch. 274, 275) are commonly read to restrict ownership to persons rendering the 'same or related' professional service — a physician generally cannot co-own a single PSC/PLLC with a PA or APRN, unlike NC/VA's explicit combination statutes. Secondary-sourced interpretation, not a confirmed ruling — verify before relying on it. Kentucky opted out of the federal Medicare CRNA supervision requirement in April 2012; facilities may still impose their own.
Other clinicians in Kentucky: see the state overview.