Pharmacist Cheat Sheet for Vermont

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

Provider supervision requirements in Vermont

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.

H.583 (signed June 15, 2026, eff. July 1, 2026) newly restricts private-equity/hedge-fund control and requires majority physician ownership/governance of medical practices — a major shift from Vermont's historically permissive, no-common-law-CPOM stance. All 4 APRN roles (NP, CRNA, CNM, CNS/PMHNP) share one 2,400-hour/2-year transition-to-practice threshold (26 V.S.A. § 1614) — treat as newly in effect and monitor implementing guidance.

Pharmacist

Supervision required

Represents Vermont's Collaborative Practice Agreement (CPA) tier under 26 V.S.A. § 2023, not ordinary pharmacist licensure — base dispensing and statutory protocol-based authority (e.g. vaccines, naloxone) need no agreement and are out of scope here. Pharmacists may not initiate antibiotic therapy or prescribe regulated drugs/biologics except under a CPA. No board-certification or numeric per-prescriber cap found.


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

Statute text located does not affirmatively authorize controlled-substance prescribing under a Vermont CPA — coded as not allowed pending confirmation; verify against current Board of Pharmacy rules before relying on this for a controlled-substance scenario.

Practice ownership (CPOM)

Non-licensee ownership permitted — No pharmacist-ownership requirement identified for Vermont pharmacy permits; H.583 targets 'medical practices', not pharmacies

Pharmacy ownership was not separately researched in the depth given to the medical/APRN CPOM entries above — flagged as lower confidence.

Supervision ratio

Not codified — left to the practice agreement

Meeting cadence

Not codified — left to the practice agreement

Written agreement

Required

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