Pharmacist Cheat Sheet for Virginia
Requirements for Supervising Physician agreements in Virginia, plus a free agreement builder tailored to Virginia law.
Provider supervision requirements in Virginia
Updated 2026-08-12
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.
No provider type below has a codified chart-review percentage, countersignature rule, or numeric proximity radius — all are left to the practice agreement. CPOM (ownership) is governed by Title 13.1's PC/PLLC statutes, which explicitly list APRNs (NP/CRNA/CNM/CNS) as eligible independent owners but do not enumerate PAs — the PA ownership pathway is an inference from that omission, not a confirmed holding. Virginia has no independent corporate-practice-of-medicine common-law doctrine (a 1992 AG opinion, secondary-sourced only).
Pharmacist
Represents Virginia's pharmacist Collaborative Practice Agreement (CPA) tier, not ordinary licensure — base dispensing and statutory limited authority need no physician agreement and are out of scope here. Unlike NC, VA has no named credential and no board-certification/residency/experience requirement — any licensed pharmacist 'involved in patient care' may enter a CPA. No numeric cap per physician was found. Regs were amended effective Nov. 5, 2025 — that amendment's substance couldn't be fully confirmed; verify before treating details below as current.
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
May prescribe, modify, continue, or discontinue drug therapy per protocol following diagnosis by the collaborating practitioner, order labs, and adjust/manage device therapy (§ 54.1-3300.1). Schedule II–VI controlled substances are explicitly authorized, but only after the pharmacist submits the signed CPA to the Board of Pharmacy and obtains specific authorization — not automatic.Practice ownership (CPOM)
Non-licensee ownership permitted — No pharmacist-ownership requirement — § 54.1-3434 expressly allows non-pharmacist/corporate pharmacy ownership; a licensed pharmacist-in-charge (PIC) must retain full professional control over dispensing, which the owner 'shall not abridge.'
Materially more permissive than the healing-arts/APRN PC/PLLC regime above.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 Virginia
Available Supervising Physicians in Virginia
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