PharmD · Kentucky
Collaborative Drug Therapy Management for Pharmacists in Kentucky
Yes, a written agreement with a physician is required before you manage drug therapy. Kentucky calls it a Written Collaborative Care Agreement.
Represents KY's pharmacist Collaborative Care Agreement (CRA) tier (KRS 315.010(5)), not base dispensing licensure, which needs no agreement and is out of scope here. Unlike NC's certified CPP tier, KY names no board-certification/residency requirement — any licensed pharmacist 'involved in patient care' may enter a CRA. No independence pathway 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
Whether a Kentucky collaborative care agreement can authorize controlled-substance prescribing, as North Carolina's and Virginia's frameworks expressly do, is not settled; controlled substances are shown as not allowed as the conservative position. Confirm with the Kentucky Board of Pharmacy for a controlled-substance use case.
Written agreement
Required
Practice ownership (corporate practice of medicine)
Non-licensee ownership permitted — General pharmacy-permit ownership under KRS Ch. 315, assumed to follow the common pattern of non-pharmacist or corporate ownership with a pharmacist-in-charge; confirm the statute text
Materially more permissive than the healing-arts PSC/PLLC regime governing PAs and APRNs.
Sources for the supervision rules (2)
What a collaborating physician costs here
Typical monthly cost in Kentucky
$500 – $600
Estimate for one Pharmacist. Standard-tier state.
About Kentucky's rules
KY's PSC/PLLC statutes (KRS Ch. 274, 275) are commonly read to restrict ownership to persons rendering the 'same or related' professional service — a physician generally cannot co-own a single PSC/PLLC with a PA or APRN, unlike NC/VA's explicit combination statutes. Secondary-sourced interpretation, not a confirmed ruling — verify before relying on it. Kentucky opted out of the federal Medicare CRNA supervision requirement in April 2012; facilities may still impose their own.
Other clinicians in Kentucky: see the state overview.