PharmD · Mississippi
Collaborative Drug Therapy Management for Pharmacists in Mississippi
Yes, a written agreement with a physician is required before you manage drug therapy. Mississippi calls it a Written Protocol.
Mississippi's mechanism is narrower than a typical collaborative-practice-agreement model: a 'written guideline or protocol' under § 73-21-73(nn) is patient-specific, requiring a signed protocol for each patient rather than a blanket population-level agreement. The core Pharmacy Practice Act sections carried a July 1, 2025 sunset; check the current codification.
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
Naloxone dispensing under a standing order (§ 41-29-319(3)) needs no individual prescription — a narrower, separate carve-out from the general protocol mechanism.
Written agreement
Required
Required per-patient, not a single standing agreement with a physician. Naloxone dispensing under a standing order (§ 41-29-319(3)) is a distinct, narrower carve-out that needs no individual prescription.
Practice ownership (corporate practice of medicine)
Non-licensee ownership permitted
Sources for the supervision rules (2)
- Miss. Code Ann. § 73-21-73(dd), (nn) — Pharmacy Practice Act definitions
- Miss. Code Ann. § 41-29-319(3) — Naloxone standing order
What a collaborating physician costs here
Typical monthly cost in Mississippi
$500 – $600
Estimate for one Pharmacist. Standard-tier state.
About Mississippi's rules
Mississippi has no independent-practice pathway for NPs/APRNs — a collaborative relationship plus Board-approved written protocol is required for the life of the license. Multiple 2025-2026 NP full-practice-authority bills (H.B. 813, H.B. 98, S.B. 2178) remain unconfirmed as enacted — re-verify § 73-15-20 each session.
Other clinicians in Mississippi: see the state overview.