Protocol · PharmD · Kansas
Practice Protocol for Pharmacists in Kansas
Required. Kansas law names the instrument a Written Collaborative Practice 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 Kansas's optional pharmacist-physician Collaborative Practice Agreement (CPA) tier for collaborative drug therapy management, not ordinary pharmacist licensure — base dispensing needs no agreement. The collaborating physician remains responsible for the patient's care and for directing/supervising the pharmacist; the pharmacist may not diagnose, alter the physician's orders, or independently prescribe.
What a Kansas Written Collaborative Practice Agreement must contain
Governed by the Kansas State Board of Pharmacy. Each numbered item is a statutory requirement the Written Collaborative Practice Agreement must satisfy.
Kansas does not require the Pharmacist to hold a collaborative practice agreement in order to practice pharmacy generally. To engage in collaborative drug therapy management for a specific patient, however, the Pharmacist and the Physician shall enter into a written collaborative practice agreement, as authorized by K.S.A. 65-1626a. The agreement shall set out the conditions or limitations under which services are delegated to the Pharmacist pursuant to the Physician's order, standing order, delegation, or protocol, and shall be consistent with the Physician's normal and customary specialty, competence, and lawful practice, and appropriate to the Pharmacist's training and experience.
The Physician retains responsibility for the patient's care, including the initial diagnosis, assessment, direction, and supervision of the Pharmacist's delegated functions. This Agreement's terms regarding the Pharmacist accordingly define the working relationship and communication expectations between the Parties, and are not themselves required by Kansas law unless the Pharmacist engages in collaborative drug therapy management.
- The Written Collaborative Practice Agreement also carries 1 scope, 1 education and 1 registration clauses, authored in the document itself.
Terms it has to carry
Ratio, proximity, chart review, meeting and prescribing terms the Written Collaborative Practice Agreement has to carry, from Kansas'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 a CPA the pharmacist performs delegated drug-therapy management under the collaborating physician's order, standing order or protocol (K.S.A. 65-1626a; K.A.R. 68-7-22), not independent DEA-registered controlled-substance prescribing. The pharmacist may not diagnose or treat disease, alter physician orders or independently prescribe. Whether CPA terms may extend to controlled substances is not settled.
Written agreement
Required
Only required if the pharmacist and physician elect to engage in collaborative drug therapy management — a pharmacist's base license and general dispensing authority need no agreement at all (K.S.A. 65-1626a; K.A.R. 68-7-22).
Practice ownership (corporate practice of medicine)
Non-licensee ownership permitted — No pharmacist-ownership requirement identified for Kansas pharmacy permits
Materially more permissive than the healing-arts CPOM regime governing PA/APRN entities above, if confirmed.
Sources for the supervision rules (3)
About Kansas's rules
Senate Sub. for H.B. 2279 (eff. July 1, 2022) made Kansas a full-practice-authority state for all APRN categories (NP/PMHNP/CRNA/CNM/CNS) — no collaborative practice agreement, supervising physician, or prescribing protocol is required, with no experience threshold. The Kansas Medical Society has publicly disputed how far Board of Nursing regulations implementing this reform extend, calling some language an unauthorized expansion into medical practice — an unresolved legal/political dispute, not settled law. PAs are unaffected by this reform and remain supervised.
Other clinicians in Kansas: see the state overview.