Collaborative Practice Agreement Resources
Resources & Information

Florida Board of Pharmacy Resources

Visit the Florida Board of Pharmacy website to learn more about the following:

• Requirements to practice under a collaborative practice agreement (CPA) in the State of Florida
• Process to apply to the Florida Board of Pharmacy for a Pharmacist Collaborative Practice Certification
• Application Fees: Good news! There are currently no application fees.
• Statues and Rules:
  • i. Eligibility criteria for pharmacists wishing to practice under a collaborative practice agreement and information outlining the required sections of a written CPA can be found in Section 465.1865, Florida Statutes. 
  • ii. A list of chronic health conditions for which a pharmacist can provide patient care services under a collaborative practice agreement can be located in Rule 64B16-31.007, F.A.C.

Requirements of CPA

• A written collaborative practice agreement must contain the following information:
  • Name of the collaborating physician’s patient(s) for whom a pharmacist may provide services
    • The chronic health condition(s) to be managed
    • The chronic health conditions include:
      • Anticoagulation management
      • Arthritis
      • Asthma
      • Chronic obstructive pulmonary diseases
      • Human immunodeficiency virus or acquired immune deficiency syndrome
      • Hyperlipidemia
      • Hypertension
      • Nicotine dependence
      • Obesity
      • Opioid use disorder
      • Type 2 diabetes
    • Chronic health condition(s) included in a written agreement must be appropriate to the pharmacist’s training and the services delegated to the pharmacist must be within the collaborating physician’s scope of practice
• Specific medicinal drug(s) to be managed by the pharmacist for each patient
  • A pharmacist may not modify or discontinue medicinal drugs prescribed by a health care practitioner with whom the pharmacist does not have a collaborative pharmacy practice agreement.
  • A physician may not delegate the authority to initiate or prescribe a controlled substance as described in Section 893.03 or 21 USC Section 812 to a pharmacist
  • Circumstances under which the pharmacist may order or perform and evaluate laboratory or clinical tests
  • Conditions/events upon which the pharmacist must notify the collaborating physician and the manner and timeframe in which the notification must occur
  • Beginning and ending dates for the CPA and termination procedures, including procedures for patient notification and medical record transfers
  • A statement that the CPA may be terminated in writing by either party at any time

• The pharmacist entering into the collaborative practice agreement must submit a signed copy of the agreement to the board before the agreement may be implemented
• The pharmacist and collaborating physician must maintain a copy of the collaborative practice agreement at their practice site(s) and must make such agreement available to the department or board upon request
• If a required element of a written agreement is amended after initial submission to the board, the pharmacist and collaborating physician must keep a copy of the original agreement and the written amendment for proper documentation
  • Written amendments do not need to be approved by the board
• A written CPA will automatically terminate after 2 years if not sent to the Florida Board of Pharmacy to be renewed

• The information highlighted above summarizes the minimum requirements to include in a written collaborative agreement per the Florida Statutes and Florida Board of Pharmacy. The example agreement included is not an approved template by the board. Final approval of a written CPA is at the discretion of the board.

Maintaining your CPA Certification on Your Florida License

• 8-hours of Board-Approved continuing education related to collaborative pharmacy practice each biennial licensure renewal
  • Does not count towards general CE requirements for licensure renewal
  • The pharmacist must submit proof of completion to the board when applying for licensure renewal
  • If CPA certification is awarded less than 12 months from license renewal date, the 8-hour CE requirement is waived until the next licensure renewal cycle

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