PharmD · Maine
Collaborative Practice Agreement for Pharmacists in Maine
Yes, a written physician agreement is required. Maine calls it a CDTM Agreement.
Represents Maine's optional pharmacist-practitioner Collaborative Drug Therapy Management (CDTM) agreement tier under 32 M.R.S. § 13843, not ordinary pharmacist licensure — base dispensing needs no agreement. The collaborating practitioner supervises or provides direct consultation throughout; the pharmacist's lab-result evaluation may not include a diagnostic component.
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
Under a CDTM agreement, the pharmacist initiates, administers, monitors, modifies, and discontinues drug therapy as authorized by the practitioner (32 M.R.S. § 13702-A) — delegated drug-therapy management, not independent DEA-registered controlled-substance prescribing, so controlledSubstancesAllowed is coded False here. Whether CDTM terms may extend to controlled substances was not confirmed in this pass.
Written agreement
Required
Only required if the pharmacist and a practitioner elect to engage in collaborative drug therapy management — a pharmacist's base license and general dispensing authority need no such agreement (32 M.R.S. §§ 13842-13843).
Practice ownership (corporate practice of medicine)
Non-licensee ownership permitted — No pharmacist-ownership requirement was identified for Maine 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 Maine-specific finding.
Materially more permissive than the physician/APRN professional-entity questions above, if confirmed.
Legal sources for these rules (4)
What a collaborating physician costs here
Typical monthly cost in Maine
$500 – $600
Estimate for one Pharmacist. Standard-tier state.
About Maine's rules
Maine's provider categories follow different independence models: NPs graduate to full practice after 24 months of registered (not written-agreement) supervision; PAs graduate after 4,000 documented clinical hours but still need a lighter 'practice agreement' afterward; CNMs/CNSs appear independent from initial licensure; and CRNAs remain physician/dentist-accountable except in critical-access/rural hospitals. Do not assume a single APRN framework applies uniformly.
Other clinicians in Maine: see the state overview.