Pharmacist Cheat Sheet for Michigan
Requirements for Supervising Physician agreements in Michigan, plus a free agreement builder tailored to Michigan law.
Provider supervision requirements in Michigan
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.
Michigan has no independent-practice pathway for NPs, CNMs, CNSs, or PAs — specialty certification alone never grants autonomous practice, and delegated authority is renewable/revocable rather than a one-time threshold. CRNAs may deliver anesthesia care independently within the perioperative period but must still maintain a collaborating physician/dentist/podiatrist relationship. A PA-only PLLC has been prohibited since 2010.
Pharmacist
Represents Michigan's delegated drug-therapy-management tier under MCL 333.16215/333.17707, not ordinary pharmacist licensure — base dispensing needs no such delegation. A pharmacist is NOT independently a prescriber and cannot be delegated the core act of prescribing a controlled substance in their own name, even under delegation/protocol.
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
Under delegation/protocol, a pharmacist may adjust doses, manage therapy, and make recommendations — including for existing controlled-substance regimens — but cannot be delegated the core act of prescribing a controlled substance in the pharmacist's own name (secondary-sourced summary of MCL 333.16215/333.17707); coded False here to reflect that this is not independent controlled-substance prescriptive authority.Practice ownership (CPOM)
Non-licensee ownership permitted — No pharmacist-ownership requirement identified for Michigan pharmacy permits
Materially more permissive than the physician-only PSC/PLLC regime governing PA/APRN entities above, if confirmed.Supervision ratio
Not codified — left to the practice agreement
Meeting cadence
Not codified — left to the practice agreement
Written agreement
Required
Only required if the pharmacist and a physician elect to engage in delegated drug-therapy management/protocol adjustment of an existing prescriber's orders — a pharmacist's base license and general dispensing authority need no such agreement. Michigan does not require Board approval or filing of the delegation agreement, only that a signed copy be kept at the practice site for inspection.Legal sources
MCL 333.16215 — Delegation of acts, tasks, or functions
MCL 333.17744g (added by P.A. 242 of 2024) — Pharmacist contraceptive prescribing
$500–$800/mo
Estimated Pharmacist supervision cost in Michigan
Available Supervising Physicians in Michigan
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