PharmD · Tennessee
Collaborative Drug Therapy Management for Pharmacists in Tennessee
Yes, a written agreement with a physician is required before you manage drug therapy. Tennessee calls it a Collaborative Pharmacy Practice Agreement.
Tennessee has some form of collaborative or protocol-based pharmacy practice authority under Title 63, Chapter 10; its current specifics (agreement requirements, controlled-substance scope, any ratio cap) are not well documented, so treat this entry as less certain than most.
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
No Tennessee provision authorizes independent controlled-substance prescribing by a pharmacist under a collaborative agreement, so controlled substances are shown as not allowed.
Written agreement
Required
Tennessee's pharmacy practice act is understood to include a collaborative-agreement or protocol mechanism; its current form, scope, and whether it grants any controlled-substance authority should be confirmed with the Board of Pharmacy.
Practice ownership (corporate practice of medicine)
Non-licensee ownership permitted — No pharmacist-ownership requirement identified for a general pharmacy permit; presumed permissive, consistent with most states
Sources for the supervision rules (1)
- Tenn. Code Ann. Title 63, Chapter 10 — Pharmacy
What a collaborating physician costs here
Typical monthly cost in Tennessee
$500 – $600
Estimate for one Pharmacist. Standard-tier state.
About Tennessee's rules
TN is a restricted-practice state for NPs — no independence pathway exists. Physicians must personally review ≥20% of an APRN's charts every 30 days (100% of controlled-substance charts) and visit remote practice sites in person every 30 days. TN has an explicit, unambiguous corporate-practice-of-medicine ban (statute, case law, and AG opinions; TCA § 63-6-204) — a professional corporation may practice only a single profession.
Other clinicians in Tennessee: see the state overview.