PharmD · Hawaii
Collaborative Drug Therapy Management for Pharmacists in Hawaii
Yes, a written agreement with a physician is required before you manage drug therapy. Hawaii calls it a Written Collaborative Agreement.
Represents Hawaii's pharmacist collaborative-agreement tier (HRS § 461-1), not ordinary licensure — base dispensing needs no agreement and is out of scope here. No independence pathway away from the collaborative agreement was found.
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
Under HRS § 461-1, a pharmacist may administer drugs orally, topically, intranasally, or by injection (including initiating emergency contraception) pursuant to a board-approved written collaborative agreement with a physician, PA, or prescriptive-authority APRN — this is drug-therapy administration under protocol, not independent controlled-substance prescribing; a specific controlled-substance grant was not found.
Written agreement
Required
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Professional corporation under HRS § 415A-9 (pharmacists are an eligible profession)
This reflects the general professional-corporation statute, not a pharmacy-specific ownership provision.
Sources for the supervision rules (1)
What a collaborating physician costs here
Typical monthly cost in Hawaii
$500 – $600
Estimate for one Pharmacist. Standard-tier state.
About Hawaii's rules
Hawaii grants APRNs (NP/CRNA/CNM/CNS) full independent practice with no collaborative-agreement requirement (HRS § 457-8.5); prescriptive authority is a separate application, not automatic. Hawaii has no general corporate-practice-of-medicine statute — HRS § 415A-9 requires professional-corporation shareholders to be licensed, but doesn't clearly resolve multi-discipline (e.g. physician+APRN) ownership.
Other clinicians in Hawaii: see the state overview.