PharmD · Nebraska

Collaborative Practice Agreement for Pharmacists in Nebraska

Yes, a written physician agreement is required. Nebraska calls it a Written Practice Agreement.

Practice authoritySupervision required
Written agreementAgreement required
What Nebraska calls itWritten Practice Agreement
Governing boardNebraska State Board of Pharmacy
Agreement familyCollaborative Practice
Research date2026-09-03 · clauses 2026-09-03

Represents Nebraska's pharmacist practice-agreement tier for expanded drug-therapy management under written protocol, not ordinary dispensing licensure, which needs no agreement and is out of scope here. Any pharmacist may enter a practice agreement with a prescriber; the pharmacist must notify the Board at initiation. No numeric per-prescriber cap 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 · no controlled-substance authority

Nebraska's Pharmacy Practice Act authorizes drug-therapy management under a practice agreement, but this research pass found no affirmative grant of controlled-substance prescribing authority under that agreement (contrast Montana, which has an explicit statutory bar, and NC/VA, which have explicit grants) — coded False as the more conservative default given the absence of a confirmed grant, not a confirmed statutory bar. Verify with the Board of Pharmacy before relying on this.

Written agreement

Required

Practice ownership (corporate practice of medicine)

Non-licensee ownership permitted — No pharmacist-ownership requirement was found in Nebraska pharmacy licensing statute/rule for this research pass — pharmacy ownership appears materially more permissive than the healing-arts/APRN Professional LLC framework above, consistent with Nebraska's generally permissive corporate-practice history.

Whether Nebraska requires a designated pharmacist-in-charge with retained professional control (as in several other researched states) was not independently confirmed in this pass.

Legal sources for these rules (2)
The document: Written Practice Agreement
What a Nebraska Written Practice Agreement must contain, who governs it and who signs: read the Written Practice Agreement page on practiceagreement.com.

What a collaborating physician costs here

Typical monthly cost in Nebraska

$500$600

Estimate for one Pharmacist. Standard-tier state.

About Nebraska's rules

LB 107 (2015) replaced ongoing APRN physician collaboration with a one-time 2,000-hour transition-to-practice period for nurse practitioners; whether CRNAs and CNSs follow the identical threshold (vs. a different or no threshold) could not be fully confirmed against primary statute text in this pass — verify before relying on those two entries. CNMs remain the most restricted category, unaffected by that reform.

Other clinicians in Nebraska: see the state overview.