PharmD · Maine
Collaborative Drug Therapy Management for Pharmacists in Maine
Yes, a written agreement with a physician is required before you manage drug therapy. Maine calls it a CDTM Agreement.
Represents Maine's optional pharmacist-practitioner Collaborative Drug Therapy Management (CDTM) agreement tier under 32 M.R.S. § 13843, not ordinary pharmacist licensure — base dispensing needs no agreement. The collaborating practitioner supervises or provides direct consultation throughout; the pharmacist's lab-result evaluation may not include a diagnostic component.
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 CDTM agreement the pharmacist initiates, administers, monitors, modifies and discontinues drug therapy as authorized by the practitioner (32 M.R.S. § 13702-A). This is delegated drug-therapy management, not independent DEA-registered controlled-substance prescribing, so controlled substances are shown as not allowed; whether CDTM terms may extend to them is not settled.
Written agreement
Required
Only required if the pharmacist and a practitioner elect to engage in collaborative drug therapy management — a pharmacist's base license and general dispensing authority need no such agreement (32 M.R.S. §§ 13842-13843).
Practice ownership (corporate practice of medicine)
Non-licensee ownership permitted — No pharmacist-ownership requirement identified for Maine pharmacy permits
Materially more permissive than the physician/APRN professional-entity questions above, if confirmed.
Sources for the supervision rules (4)
What a collaborating physician costs here
Typical monthly cost in Maine
$500 – $600
Estimate for one Pharmacist. Standard-tier state.
About Maine's rules
Maine's provider categories follow different independence models: NPs graduate to full practice after 24 months of registered (not written-agreement) supervision; PAs graduate after 4,000 documented clinical hours but still need a lighter 'practice agreement' afterward; CNMs/CNSs appear independent from initial licensure; and CRNAs remain physician/dentist-accountable except in critical-access/rural hospitals. Do not assume a single APRN framework applies uniformly.
Other clinicians in Maine: see the state overview.