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Protocol · PharmD · Michigan

Practice Protocol for Pharmacists in Michigan

Michigan does not define a named protocol for Pharmacists. Here is what the state does require and what a written protocol usually covers.

Practice authoritySupervision required
Written agreementAgreement required
What Michigan calls itNo named instrument
Governing boardMichigan Board of Pharmacy
Agreement familyDelegation of Services
Research date2026-09-03 · clauses 2026-09-03

Represents Michigan's delegated drug-therapy-management tier under MCL 333.16215/333.17707, not ordinary pharmacist licensure — base dispensing needs no such delegation. A pharmacist is NOT independently a prescriber and cannot be delegated the core act of prescribing a controlled substance in their own name, even under delegation/protocol.

What a Pharmacist protocol must contain in Michigan

Michigan requires a written protocol but gives it no statutory name. Governed by the Michigan Board of Pharmacy. Each numbered item is a requirement the protocol must satisfy.

  1. Michigan does not have a statute establishing a physician-pharmacist "collaborative practice agreement" analogous to the practice agreement required of Physician Assistants. Instead, the Physician may delegate specific acts, tasks, or functions to the Pharmacist under MCL 333.16215, provided the delegated act does not require the Physician's own level of skill or judgment and remains under the Physician's supervision. This Agreement's terms regarding the Pharmacist accordingly define the scope of any such delegation and the working relationship between the Parties, and are not themselves required by Michigan law as a condition of the Pharmacist's authority to practice under the Pharmacist's own Board of Pharmacy license.

    Source: MCL 333.16215

  2. Separately, and independent of any delegation from the Physician, Michigan law authorizes the Pharmacist to prescribe and dispense self-administered hormonal contraceptives, contraceptive patches, vaginal rings, and emergency contraception directly to patients, subject to Board of Pharmacy training and protocol rules. That independent statutory authority exists regardless of this Agreement's terms and is neither expanded nor limited by them.

    Source: MCL 333.17744g

  3. The protocol also carries 1 education, 1 registration and 1 authority clauses, authored in the document itself.

Statutes and rules these clauses cite

  1. MCL 333.16215statute

    General statute allowing a physician to delegate acts, tasks, or functions to a qualified individual under the physician's supervision, provided the act does not require the physician's own level of skill or judgment.

  2. MCL 333.17744gstatute

    Independent pharmacist authority, separate from any physician delegation, to prescribe and dispense self-administered hormonal contraceptives and emergency contraception, subject to Board of Pharmacy training and protocol rules.

Terms it has to carry

Ratio, proximity, chart review, meeting and prescribing terms the protocol has to carry, from Michigan'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 delegation/protocol, a pharmacist may adjust doses, manage therapy, and make recommendations — including for existing controlled-substance regimens — but cannot be delegated the core act of prescribing a controlled substance in the pharmacist's own name (secondary-sourced summary of MCL 333.16215/333.17707); coded False here to reflect that this is not independent controlled-substance prescriptive authority.

Written agreement

Required

Only required if the pharmacist and a physician elect to engage in delegated drug-therapy management/protocol adjustment of an existing prescriber's orders — a pharmacist's base license and general dispensing authority need no such agreement. Michigan does not require Board approval or filing of the delegation agreement, only that a signed copy be kept at the practice site for inspection.

Practice ownership (corporate practice of medicine)

Non-licensee ownership permitted — No pharmacist-ownership requirement identified for Michigan pharmacy permits

Materially more permissive than the physician-only PSC/PLLC regime governing PA/APRN entities above, if confirmed.

Sources for the supervision rules (4)
How the relationship works day to day
Who has to be where, how often you meet, and what the physician costs: Pharmacist in Michigan on collaborativeagreement.com.

About Michigan's rules

Michigan has no independent-practice pathway for NPs, CNMs, CNSs, or PAs — specialty certification alone never grants autonomous practice, and delegated authority is renewable/revocable rather than a one-time threshold. CRNAs may deliver anesthesia care independently within the perioperative period but must still maintain a collaborating physician/dentist/podiatrist relationship. A PA-only PLLC has been prohibited since 2010.

Other clinicians in Michigan: see the state overview.