FAQ – Collaborative Practice Agreement

What is a Collaborative Practice Agreement (CPA)?

  • A collaborative practice agreement is a written agreement between a physician and pharmacist which allows the pharmacist to provide specific patient care services to the physician’s patients.  Services provided by the pharmacist are outlined in the written agreement and must be in accordance with Florida law. Collaborative practice agreements within the State of Florida allow the pharmacist to provide specific patient care services for chronic health conditions to specific patients as outlined by the supervising physician.
  • It is important to note that this agreement is specific to an individual physician and pharmacist; not a physician and a pharmacy.

How is a Collaborative Practice Agreement defined by the State of Florida?

  •  “Collaborative pharmacy practice agreement” means a written agreement between a pharmacist who meets the qualifications of this section and a physician licensed under chapter 458 or chapter 459 in which a collaborating physician authorizes a pharmacist to provide specified patient care services to the collaborating physician’s patients. To learn more view the 2020 Florida Statutes .

Does this program meet the requirements for licensed Florida pharmacist to enter into a Collaborative Practice Agreement as outlined in Section 465.1865 of the Florida Statutes?

  • Yes. As of February 4, 2021, this 20-hour course is the only board approved program in the State of Florida pharmacists can take to meet the requirements for entering into a collaborative practice agreement with a supervising physician.

What chronic health conditions can licensed Florida pharmacists who enter into a Collaborative Practice Agreement treat under Section 465.1865 of the Florida Statutes?

  • Arthritis
  • Asthma
  • Chronic obstructive pulmonary diseases
  • Type 2 diabetes
  • Obesity
  • Hyperlipidemia
  • Hypertension
  • Anticoagulation management
  • Nicotine Dependence
  • Opioid use disorder
  • Any other chronic condition adopted in rule by the board, in consultation with the Board of Medicine and the Board of Osteopathic Medicine.

What requirements must a pharmacist meet to enter into a collaborative practice agreement in the State of Florida?

  • Hold an active and unencumbered license
  • Must have earned a degree of doctor of pharmacy or have completed 5 years of experience as a licensed pharmacist
  • Must have completed an initial 20-hour course approved by the board
  • Maintain at least $250,000 of professional liability insurance coverage.
  • A pharmacist who maintains professional liability insurance coverage pursuant to s. 465.1895 satisfies this requirement.
  • Must have established a system to maintain records of all patients receiving services under a collaborative pharmacy practice agreement for a period of 5 years from each patient’s most recent provision of service.
  • For more information, visit the Florida Board of Pharmacy website – Pharmacist Collaborative Practice Agreement.

Is there anything a pharmacist cannot do once he/she becomes licensed to enter into a collaborative practice agreement?

  • Yes.  As of February 2021, the list below outlines what a pharmacist cannot do.  Visit the Florida Board of Pharmacy website to learn more.
  • Modify or discontinue medicinal drugs prescribed by a health care practitioner with whom he or she does not have a collaborative practice agreement.
  • Enter into a collaborative pharmacy practice agreement while acting as an employee without the written approval of the owner of the pharmacy.

What are the continuing education requirements for initial certification?

  • Complete a 20-hour board-approved continuing pharmacy education program with no fewer than 8-hours of live instruction.

Do I have to complete additional continuing education programs to maintain this license?

  • Yes.

How many hours of continuing education must be completed to maintain my licensure?

  • To maintain your license, you must complete 8 hours of board-approved continuing education that addresses issues related to collaborative pharmacy practice every two years.  This 8-hour requirement is in addition to the 30 contact hours required, every two years, to maintain your general license within the State of Florida.

I have completed the 20-hour required continuing pharmacy education Collaborative Practice Program.  Now what?

Will I be able to enter into a collaborative practice agreement outside of the State of Florida?

  • This program is specific to Florida. You will need to consult other state board of pharmacies to learn more about their requirements.

What items must be included in a Collaborative Practice Agreement between a supervising physician and a pharmacist?

  • The written agreement must include the following:
    • Identify the specific patients the pharmacist can provide services
    • List the chronic conditions and medicinal drugs or drugs that may be managed by the pharmacist
    • Circumstances that permit the pharmacist to order, perform, and evaluate laboratory or clinical tests
    • Terms that require the pharmacist to notify the physician
    • Dates that the written agreement is active (e.g., beginning and end dates) and termination procedures
    • Statement that the agreement can be terminated by either party

What does my registration include?

  • Your registration includes the following:
    • Access to 12 hours of self-paced, on-demand content
    • A reserved spot for the 8-hour live program offered via Zoom
    • A virtual certificate of completion to be used when you apply

Are there any pre-requisites to register for the program?

  • You must be a licensed pharmacist.

What are the program requirements?

  • The learner must complete all three of the parts listed below to successfully complete the program and be eligible for a certificate of completion.
    • Part 1: 12-hour, self-paced and fully online education program that requires the learner to complete a 100-question self-study with a score of at least 70%.
    • Part 2: 8-hour, live seminar that requires the learner to be actively engaged and participate in the program.
    • Part 3: Complete and pass a 50-question exam with a score of at least 70% based on the knowledge gained in parts 1 and 2.

Will partial credit be provided?

  • No. Partial credit will not be provided. Credit will only be awarded once all of the program requirements are satisfied.

Can I purchase a printed certificate?

  • Yes. We are happy to mail you a printed certificate of completion for an additional $25.00.  Contact us for more information.

Who do I contact if I am having issues with Canvas?

Will you be offering continuing education courses for CPAs so I can maintain my license?

  • Yes. We will be offering the required educational courses to maintain your certification.

When a CPA needs to be amended does that have to be approved by the board each time?

  • No. per rule 64B16-31.005(2), if an addendum is made to material terms of an existing CPA, the pharmacist shall maintain a copy of the addendum and the initial agreement.  There is no requirement to have the addendum approved by the Board.

Can a pharmacist (or pharmacists) enter into a CPA with more than one physician if stated in the CPA or do you have to have an individual CPA for each Physician-Pharmacist collaboration?

  • A CPA is specific to one pharmacist and one supervising physician.  A pharmacist cannot enter into a CPA with multiple physicians or with a physicians group under a single CPA.  The CPA is specific to the relationship between the pharmacist and individual supervising physician.