PharmD · Wisconsin
Collaborative Drug Therapy Management for Pharmacists in Wisconsin
Yes, a written agreement with a physician is required before you manage drug therapy. Wisconsin calls it a Delegation Agreement.
Represents Wisconsin's Collaborative Practice Agreement (CPA) tier under §§ 448.03(2)/450.033, not ordinary pharmacist licensure — base dispensing and statutory limited authority (e.g. vaccines) need no CPA and are out of scope here. A 2023 law (Act 98) expanded pharmacist scope of practice, but did NOT add independent prescriptive authority — Wisconsin pharmacists cannot prescribe on their own even with a CPA; they perform physician-delegated patient-care services.
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
Act 98 (2023) expanded pharmacist scope but explicitly did NOT grant independent prescriptive authority — pharmacists perform patient-care services delegated by a physician under a CPA (§§ 448.03(2), 450.033), rather than prescribing in their own right, so they cannot independently prescribe controlled substances even under a CPA.
Written agreement
Required
Practice ownership (corporate practice of medicine)
Non-licensee ownership permitted — No pharmacist-ownership requirement identified in Wisconsin statute; distinct from the CPA-based scope-of-practice question above
Sources for the supervision rules (3)
What a collaborating physician costs here
Typical monthly cost in Wisconsin
$500 – $600
Estimate for one Pharmacist. Standard-tier state.
About Wisconsin's rules
The APRN Modernization Act (2025 Act 17) took effect September 1, 2026 — days before this data's last-verified date — replacing permanent NP/CRNA/CNS collaborative arrangements with a 3,840-hour/24-month transition to independent practice; CNMs are auto-licensed with NO such threshold. Given how recent this is, verify current DSPS/Board of Nursing implementation guidance before relying on transition-period details below.
Other clinicians in Wisconsin: see the state overview.