PharmD · Kansas

Collaborative Drug Therapy Management for Pharmacists in Kansas

Yes, a written agreement with a physician is required before you manage drug therapy. Kansas calls it a Written Collaborative Practice Agreement.

Practice authoritySupervision required
Written agreementAgreement required
What Kansas calls itWritten Collaborative Practice Agreement
Agreement familyCollaborative Practice
Research date2026-09-03 · clauses 2026-09-03

Represents Kansas's optional pharmacist-physician Collaborative Practice Agreement (CPA) tier for collaborative drug therapy management, not ordinary pharmacist licensure — base dispensing needs no agreement. The collaborating physician remains responsible for the patient's care and for directing/supervising the pharmacist; the pharmacist may not diagnose, alter the physician's orders, or independently prescribe.

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 a CPA the pharmacist performs delegated drug-therapy management under the collaborating physician's order, standing order or protocol (K.S.A. 65-1626a; K.A.R. 68-7-22), not independent DEA-registered controlled-substance prescribing. The pharmacist may not diagnose or treat disease, alter physician orders or independently prescribe. Whether CPA terms may extend to controlled substances is not settled.

Written agreement

Required

Only required if the pharmacist and physician elect to engage in collaborative drug therapy management — a pharmacist's base license and general dispensing authority need no agreement at all (K.S.A. 65-1626a; K.A.R. 68-7-22).

Practice ownership (corporate practice of medicine)

Non-licensee ownership permitted — No pharmacist-ownership requirement identified for Kansas pharmacy permits

Materially more permissive than the healing-arts CPOM regime governing PA/APRN entities above, if confirmed.

Sources for the supervision rules (3)
The document: Written Collaborative Practice Agreement
What a Kansas Written Collaborative Practice Agreement must contain, who governs it and who signs: read the Written Collaborative Practice Agreement page on practiceagreement.com.

What a collaborating physician costs here

Typical monthly cost in Kansas

$500$600

Estimate for one Pharmacist. Standard-tier state.

About Kansas's rules

Senate Sub. for H.B. 2279 (eff. July 1, 2022) made Kansas a full-practice-authority state for all APRN categories (NP/PMHNP/CRNA/CNM/CNS) — no collaborative practice agreement, supervising physician, or prescribing protocol is required, with no experience threshold. The Kansas Medical Society has publicly disputed how far Board of Nursing regulations implementing this reform extend, calling some language an unauthorized expansion into medical practice — an unresolved legal/political dispute, not settled law. PAs are unaffected by this reform and remain supervised.

Other clinicians in Kansas: see the state overview.

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