Pharmacist Cheat Sheet for Pennsylvania
Requirements for Supervising Physician agreements in Pennsylvania, plus a free agreement builder tailored to Pennsylvania law.
Provider supervision requirements in Pennsylvania
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.
Pennsylvania has no independent-practice pathway for CRNPs — SB 25-style full-practice-authority bills have been introduced every session without passing. PA (physician assistant) reform via Acts 78/79 of 2021 removed prior Board pre-approval of written agreements and the flat 100%-countersignature rule after the first year, but a written agreement and supervision remain mandatory. PA is a CPOM state: only licensed physicians may own a medical professional corporation.
Pharmacist
Represents Pennsylvania's Collaborative Drug Therapy Management (CDTM) tier (Pharmacy Act § 9.3, added 2010), not ordinary licensure — base dispensing needs no physician agreement and is out of scope here. Participation is voluntary for both parties; CDTM scope is permanently agreement-based with no independence pathway.
Proximity
Not codified — left to the practice agreement
Chart review
Not codified — left to the practice agreement
Prescriptive authority
Covered by practice agreement · controlled substances permitted
Controlled-substance schedule limits for CDTM are not spelled out; treat them as uncertain rather than unrestricted.Practice ownership (CPOM)
Non-licensee ownership permitted — No pharmacist-ownership requirement for standard pharmacy permits; materially more permissive than the physician-only corporate-practice rules, with a licensed pharmacist-in-charge as the typical control safeguard rather than an ownership restriction
Supervision ratio
Not codified — left to the practice agreement
Meeting cadence
Not codified — left to the practice agreement
Written agreement
Required
$500–$800/mo
Estimated Pharmacist supervision cost in Pennsylvania
Available Supervising Physicians in Pennsylvania
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