PharmD · West Virginia
Collaborative Drug Therapy Management for Pharmacists in West Virginia
Yes, a written agreement with a physician is required before you manage drug therapy. West Virginia calls it a Collaborative Pharmacy Practice Notification.
Represents WV's Collaborative Pharmacy Practice Agreement (CPA) tier (§§ 30-5-18/-19), not ordinary pharmacist licensure — base dispensing needs no agreement and is out of scope here. Unusually, WV's CPA is a three-way agreement among pharmacist, physician, AND the individual patient (informed consent), not just pharmacist-physician. Requires ≥$1M professional liability coverage and Board of Pharmacy + Board of Medicine/Osteopathy approval.
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 affirmative statutory grant of controlled-substance prescribing authority for WV pharmacists under a CPA was located — coded as not allowed pending confirmation; verify against current Board of Pharmacy rules before relying on this for a controlled-substance scenario.
Written agreement
Required
Practice ownership (corporate practice of medicine)
Non-licensee ownership permitted — No pharmacist-ownership requirement identified in West Virginia statute; distinct from the CPA-based scope-of-practice question above
Sources for the supervision rules (2)
What a collaborating physician costs here
Typical monthly cost in West Virginia
$500 – $600
Estimate for one Pharmacist. Standard-tier state.
About West Virginia's rules
Sourcing for West Virginia leans on Board of Nursing, Board of Medicine and Board of Pharmacy materials and secondary summaries rather than direct statute text, so confidence is lower than for most states. SB 956 (2026), which would let PAs own practices and end mandatory collaboration, had not been confirmed as finally passed and signed when this was written; the PA entries below reflect current, not pending, law.
Other clinicians in West Virginia: see the state overview.