PharmD · Montana
Collaborative Practice Agreement for Pharmacists in Montana
Yes, a written physician agreement is required. Montana calls it a Written Collaborative Pharmacy Practice Agreement.
Represents Montana's Collaborative Pharmacy Practice Agreement (CPA) tier for drug-therapy management, not ordinary dispensing licensure, which needs no physician agreement and is out of scope here. Any pharmacist 'involved in patient care' may enter a CPA — no board-certification/residency requirement found. CPA must be renewed at least every 2 years.
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
Immunization-certified pharmacists may prescribe/administer immunizations listed in § 37-7-105 without any CPA; a CPA is needed only for immunizations outside that list given to patients ≥7 years old.
Written agreement
Required
Practice ownership (corporate practice of medicine)
Non-licensee ownership permitted — No pharmacist-ownership requirement was found in Montana pharmacy licensing statute/rule — pharmacy permits are not restricted to pharmacist owners the way the medical/APRN Professional Corporation framework above restricts those entities.
Whether Montana requires a licensed pharmacist-in-charge with retained professional control (as in NC/VA) was not independently confirmed in this research pass.
Legal sources for these rules (3)
- Mont. Code Ann. § 37-7-101 — Definitions (Collaborative Pharmacy Practice Agreement)
- Mont. Code Ann. § 37-7-105 — Collaborative Pharmacy Practice; Controlled-Substance Exclusion
- Montana Board of Pharmacy Rules (as of Sept. 30, 2024)
What a collaborating physician costs here
Typical monthly cost in Montana
$500 – $600
Estimate for one Pharmacist. Standard-tier state.
About Montana's rules
House Bill 810 (2023) would have imposed a 2-year physician/NP-collaboration requirement on APRNs; it was referred to committee and this research could not confirm it became law — current APRN statute text found shows no such requirement, so NP/CRNA/CNM/CNS are coded as independent, but verify this hasn't changed before relying on it. Montana repealed its corporate-practice-of-medicine statute in 1995; CPOM entries below reflect residual board rule, not a clear statutory line.
Other clinicians in Montana: see the state overview.