Protocol · PharmD · Hawaii
Practice Protocol for Pharmacists in Hawaii
Required. Hawaii law names the instrument a Written Collaborative Agreement, and the clinical protocol is the content that instrument carries. Below: the board that governs it, what it must contain, and the terms it has to carry.
Represents Hawaii's pharmacist collaborative-agreement tier (HRS § 461-1), not ordinary licensure — base dispensing needs no agreement and is out of scope here. No independence pathway away from the collaborative agreement was found.
What a Hawaii Written Collaborative Agreement must contain
Governed by the Hawaii Board of Pharmacy. Each numbered item is a statutory requirement the Written Collaborative Agreement must satisfy.
Hawaii does not require the Pharmacist to enter into a general collaborative or supervision agreement with a physician in order to practice pharmacy. For a limited set of functions -- including initiating emergency contraception drug therapy and dispensing an opioid antagonist -- the Pharmacist may act pursuant to a written collaborative agreement approved by the Hawaii Board of Pharmacy, involving mutually agreeable practice protocols and guidelines, as provided by Haw. Rev. Stat. § 461-1.
Source: Haw. Rev. Stat. § 461-1
This Agreement's terms regarding the Pharmacist accordingly serve to define the working relationship and any protocol-specific functions between the Parties, and, except for the narrow Board-approved functions described above, are not themselves required by Hawaii law as a condition of the Pharmacist's authority to practice.
- The Written Collaborative Agreement also carries 1 registration clauses, authored in the document itself.
Statutes and rules these clauses cite
- Haw. Rev. Stat. § 461-1statute
Defines 'collaborative agreement' and enumerates specific pharmacist functions performable under a Board-approved collaborative agreement (e.g., initiating emergency contraception drug therapy, dispensing an opioid antagonist).
Terms it has to carry
Ratio, proximity, chart review, meeting and prescribing terms the Written Collaborative Agreement has to carry, from Hawaii's supervision rules.
Proximity
Not codified — left to the agreement
Supervision ratio
Not codified — no cap on file
Chart review
Not codified — left to the agreement
Meeting cadence
Not codified — left to the agreement
Prescriptive authority
Covered by the practice agreement · no controlled-substance authority
Under HRS § 461-1, a pharmacist may administer drugs orally, topically, intranasally, or by injection (including initiating emergency contraception) pursuant to a board-approved written collaborative agreement with a physician, PA, or prescriptive-authority APRN — this is drug-therapy administration under protocol, not independent controlled-substance prescribing; a specific controlled-substance grant was not found.
Written agreement
Required
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Professional corporation under HRS § 415A-9 (pharmacists are an eligible profession)
This reflects the general professional-corporation statute, not a pharmacy-specific ownership provision.
Sources for the supervision rules (1)
About Hawaii's rules
Hawaii grants APRNs (NP/CRNA/CNM/CNS) full independent practice with no collaborative-agreement requirement (HRS § 457-8.5); prescriptive authority is a separate application, not automatic. Hawaii has no general corporate-practice-of-medicine statute — HRS § 415A-9 requires professional-corporation shareholders to be licensed, but doesn't clearly resolve multi-discipline (e.g. physician+APRN) ownership.
Other clinicians in Hawaii: see the state overview.