PharmD · New Jersey

Collaborative Drug Therapy Management for Pharmacists in New Jersey

Yes, a written agreement with a physician is required before you manage drug therapy. New Jersey calls it a Written Protocol.

Practice authoritySupervision required
Written agreementAgreement required
What New Jersey calls itWritten Protocol
Agreement familyCollaborative Practice
Research date2026-09-03 · clauses 2026-09-03

Represents NJ's pharmacist drug-therapy-management Collaborative Practice Agreement (CPA) tier (N.J.S.A. 45:14-61; N.J.A.C. 13:35-6.27), not ordinary dispensing licensure, which needs no physician agreement and is out of scope here. Naloxone prescribing (2023 law) and self-administered hormonal contraceptives (N.J.S.A. 45:14-67.9, via a statewide Board of Pharmacy/BME-approved protocol) are separate authorities that do NOT require an individual CPA with a specific physician — see the note under Written 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

Percentage set by agreement · Annually

No fixed chart-review percentage is codified — the collaborating physician must 'establish a method for monitoring both compliance with the collaborative practice agreement and clinical outcomes,' with the protocol itself reviewed at least annually (N.J.A.C. 13:35-6.27). Percentage is therefore omitted rather than set to 0.

Meeting cadence

Annually

Each protocol must be reviewed at least once per year by the physician and pharmacist to determine whether it should be renewed, modified, or terminated (N.J.A.C. 13:35-6.27); no in-person format is specified.

Prescriptive authority

Covered by the practice agreement · no controlled-substance authority

Physician notification timing, chart-update interval, and a protocol-change notice window must all be specified in the protocol itself — no statewide default is fixed.

Written agreement

Required

True for the drug-therapy-management CPA tier this entry represents. But naloxone dispensing and hormonal-contraceptive furnishing are authorized under separate, statewide standardized protocols rather than a per-pharmacist agreement with a named physician — a pharmacist can exercise those two authorities without entering any individual CPA at all.

Practice ownership (corporate practice of medicine)

Non-licensee ownership permitted — No statute identified restricting retail-pharmacy ownership to licensed pharmacists; assumed to follow the common pattern of corporate ownership with a designated pharmacist-in-charge, which should be confirmed for New Jersey

Materially more permissive than the medical-PC corporate-practice regime governing PAs, NPs, CRNAs, CNMs and CNSs.

Sources for the supervision rules (5)
The document: Written Protocol
What a New Jersey Written Protocol must contain, who governs it and who signs: read the Written Protocol page on practiceagreement.com.

What a collaborating physician costs here

Typical monthly cost in New Jersey

$500$600

Estimate for one Pharmacist. Standard-tier state.

About New Jersey's rules

S2996/A4052 (signed 3/30/2026) grants APNs in primary/behavioral-health population foci independent practice at ≥5,000 hours, ending the COVID-era waiver — but implementing regulations were not yet adopted at this writing, so several details below rely on bill text/press coverage, not a finalized rule. NJ's Professional Service Corporation Act (N.J.S.A. 14A:17-1 et seq.) is notably strict CPOM: only physicians may hold equity in a medical PC.

Other clinicians in New Jersey: see the state overview.

Confirming your browser