PharmD · West Virginia
Collaborative Practice Agreement for Pharmacists in West Virginia
Yes, a written physician agreement is required. West Virginia calls it a Collaborative Pharmacy Practice Notification.
Represents WV's Collaborative Pharmacy Practice Agreement (CPA) tier (§§ 30-5-18/-19), not ordinary pharmacist licensure — base dispensing needs no agreement and is out of scope here. Unusually, WV's CPA is a three-way agreement among pharmacist, physician, AND the individual patient (informed consent), not just pharmacist-physician. Requires ≥$1M professional liability coverage and Board of Pharmacy + Board of Medicine/Osteopathy approval.
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 affirmative statutory grant of controlled-substance prescribing authority for WV pharmacists under a CPA was located — coded as not allowed pending confirmation; verify against current Board of Pharmacy rules before relying on this for a controlled-substance scenario.
Written agreement
Required
Practice ownership (corporate practice of medicine)
Non-licensee ownership permitted — No pharmacist-ownership requirement was independently confirmed against specific West Virginia statute in this research pass — treat as an open item distinct from the CPA-based scope-of-practice question above.
Legal sources for these rules (2)
What a collaborating physician costs here
Typical monthly cost in West Virginia
$500 – $600
Estimate for one Pharmacist. Standard-tier state.
About West Virginia's rules
code.wvlegislature.gov would not serve statute text during this research pass (anomalous redirect, not followed) — sourcing below leans on WV Board of Nursing/Medicine/Pharmacy materials and secondary sources; confidence is lower than for states with direct statute access. SB 956 (2026), which would let PAs own practices and end mandatory collaboration, had NOT confirmed final passage/signature as of this research pass — treat PA entries below as the current, not the pending, law.
Other clinicians in West Virginia: see the state overview.