Pharmacist Cheat Sheet for Illinois

Requirements for Supervising Physician agreements in Illinois, plus a free agreement builder tailored to Illinois law.

Provider supervision requirements in Illinois

Updated 2026-09-03

Provided for educational and research purposes only — this is not legal advice. Laws and regulations change frequently, and this content may contain errors or omissions. Always confirm current requirements with a licensed attorney before relying on this for compliance decisions.

The 2017 Nurse Practice Act reform (P.A. 100-0513) lets NP/CNM/CNS attest to full practice authority after 4,000 hours under a written collaborative agreement plus 250 hours of CE — CRNAs are not included in that attestation pathway. The Medical Corporation Act (805 ILCS 15) restricts clinical-entity ownership to physicians; APRNs/PAs may still use a professional service corporation or PLLC of their own licensees.

Pharmacist

Supervision required

Represents Illinois's collaborative pharmacy practice tier under the Pharmacy Practice Act (225 ILCS 85), not ordinary licensure; base dispensing needs no agreement and is out of scope here. The current mechanics of the framework, after the Collaborative Pharmaceutical Task Force created by P.A. 100-0497, should be checked against the Act's current text.


Proximity

Not codified — left to the practice agreement

Chart review

Not codified — left to the practice agreement

Prescriptive authority

Covered by practice agreement · no controlled-substance authority

Whether Illinois's collaborative pharmacy practice framework extends to controlled substances is not settled in the statute; treat it as uncertain rather than assuming a specific scope.

Practice ownership (CPOM)

Non-licensee ownership permitted — Illinois pharmacy licensure does not require pharmacist ownership of the licensed pharmacy business; a licensed pharmacist-in-charge retains professional control over dispensing (225 ILCS 85).

Supervision ratio

Not codified — left to the practice agreement

Meeting cadence

Not codified — left to the practice agreement

Written agreement

Not required

No general requirement that a pharmacist enter into a physician-specific agreement in order to practice was identified under the Pharmacy Practice Act, 225 ILCS 85; the pharmacist practices under an IDFPR license. Services such as administering vaccines and dispensing self-administered hormonal contraceptives or opioid antagonists are performed under statewide standing orders or protocols set by Illinois statute or IDFPR rule, not under an individualized agreement naming a collaborating physician.

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