PharmD · Tennessee
Collaborative Practice Agreement for Pharmacists in Tennessee
Yes, a written physician agreement is required. Tennessee calls it a Collaborative Pharmacy Practice Agreement.
TN has some form of collaborative/protocol-based pharmacy practice authority under Title 63, Chapter 10, but this research pass could not independently confirm its current specifics (agreement requirements, controlled-substance scope, or any ratio cap) against primary source text — treat this entire entry as substantially less certain than most other states in this dataset.
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
No TN-specific provision authorizing independent controlled-substance prescribing by a pharmacist under a collaborative agreement was confirmed in this research pass; set to False rather than assumed.
Written agreement
Required
TN's pharmacy practice act is understood to include some collaborative-agreement or protocol mechanism, but this research pass could not confirm its current form, scope, or whether it grants any controlled-substance authority — flagged rather than assumed.
Practice ownership (corporate practice of medicine)
Non-licensee ownership permitted — No pharmacist-ownership requirement for a general pharmacy permit was confirmed in this research pass — presumed permissive, consistent with the pattern in other states in this dataset, but not independently verified against TN's pharmacy statute.
Legal sources for these rules (1)
- Tenn. Code Ann. Title 63, Chapter 10 — Pharmacy (specific collaborative-practice section not independently confirmed in this research pass)
What a collaborating physician costs here
Typical monthly cost in Tennessee
$500 – $600
Estimate for one Pharmacist. Standard-tier state.
About Tennessee's rules
TN is a restricted-practice state for NPs — no independence pathway exists. Physicians must personally review ≥20% of an APRN's charts every 30 days (100% of controlled-substance charts) and visit remote practice sites in person every 30 days. TN has an explicit, unambiguous corporate-practice-of-medicine ban (statute, case law, and AG opinions; TCA § 63-6-204) — a professional corporation may practice only a single profession.
Other clinicians in Tennessee: see the state overview.