PharmD · Minnesota
Collaborative Drug Therapy Management for Pharmacists in Minnesota
Yes, a written agreement with a physician is required before you manage drug therapy. Minnesota calls it a Written Collaborative Practice Agreement.
Represents Minnesota's statutory 'collaborative practice' tier (§ 151.01, subd. 27b-27c) — initiating/managing/modifying drug therapy — not ordinary dispensing, which needs no physician relationship. No independent-prescriber pathway exists outside a collaborative practice agreement.
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
Separate prescribing terms required · no controlled-substance authority
§ 151.01, subd. 27b–27c lets a pharmacist 'initiate, manage, and modify drug therapy' under a written collaborative practice agreement with a physician, PA or APRN, but no statutory language affirmatively grants controlled-substance authority under that agreement. Treat controlled substances as unsettled rather than clearly barred.
Written agreement
Required
Required only for the expanded collaborative-practice scope; ordinary dispensing/pharmacist licensure needs no agreement at all.
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Pharmacy is an explicitly eligible owner category under Minn. Stat. § 319B.02, subd. 19 (citing §§ 151.01-151.40) — a licensed pharmacist may own a professional firm without a physician co-owner.
What a collaborating physician costs here
Typical monthly cost in Minnesota
$500 – $600
Estimate for one Pharmacist. Standard-tier state.
About Minnesota's rules
H.F. 1794 repealed the NP/CNS 2,080-hour postgraduate collaborative-agreement rule (Minn. Stat. § 148.211, subd. 1c) effective August 1, 2026 — already in force. PA remains CONDITIONAL under a separate, still-active 2,080-hour rule (§ 147A.02(c)); 2025 reform bills (H.F. 89/S.F. 1083) to loosen it are pending, not confirmed enacted.
Other clinicians in Minnesota: see the state overview.