PharmD · Virginia
Collaborative Practice Agreement for Pharmacists in Virginia
Yes, a written physician agreement is required. Virginia calls it a Written Collaborative Agreement.
Represents Virginia's pharmacist Collaborative Practice Agreement (CPA) tier, not ordinary licensure — base dispensing and statutory limited authority need no physician agreement and are out of scope here. Unlike NC, VA has no named credential and no board-certification/residency/experience requirement — any licensed pharmacist 'involved in patient care' may enter a CPA. No numeric cap per physician was found. Regs were amended effective Nov. 5, 2025 — that amendment's substance couldn't be fully confirmed; verify before treating details below as current.
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 · controlled substances permitted
May prescribe, modify, continue, or discontinue drug therapy per protocol following diagnosis by the collaborating practitioner, order labs, and adjust/manage device therapy (§ 54.1-3300.1). Schedule II–VI controlled substances are explicitly authorized, but only after the pharmacist submits the signed CPA to the Board of Pharmacy and obtains specific authorization — not automatic.
Written agreement
Required
Practice ownership (corporate practice of medicine)
Non-licensee ownership permitted — No pharmacist-ownership requirement — § 54.1-3434 expressly allows non-pharmacist/corporate pharmacy ownership; a licensed pharmacist-in-charge (PIC) must retain full professional control over dispensing, which the owner 'shall not abridge.'
Materially more permissive than the healing-arts/APRN PC/PLLC regime above.
What a collaborating physician costs here
Typical monthly cost in Virginia
$500 – $600
Estimate for one Pharmacist. Standard-tier state.
About Virginia's rules
No provider type below has a codified chart-review percentage, countersignature rule, or numeric proximity radius — all are left to the practice agreement. CPOM (ownership) is governed by Title 13.1's PC/PLLC statutes, which explicitly list APRNs (NP/CRNA/CNM/CNS) as eligible independent owners but do not enumerate PAs — the PA ownership pathway is an inference from that omission, not a confirmed holding. Virginia has no independent corporate-practice-of-medicine common-law doctrine (a 1992 AG opinion, secondary-sourced only).
Other clinicians in Virginia: see the state overview.