Protocol · PharmD · Nebraska

Practice Protocol for Pharmacists in Nebraska

Required. Nebraska law names the instrument a Written 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.

Practice authoritySupervision required
Written agreementAgreement required
What Nebraska calls itWritten Practice Agreement
Governing boardNebraska State Board of Pharmacy
Agreement familyCollaborative Practice
Research date2026-09-03 · clauses 2026-09-03

Represents Nebraska's pharmacist practice-agreement tier for expanded drug-therapy management under written protocol, not ordinary dispensing licensure, which needs no agreement and is out of scope here. Any pharmacist may enter a practice agreement with a prescriber; the pharmacist must notify the Board at initiation. No numeric per-prescriber cap was found.

What a Nebraska Written Practice Agreement must contain

Governed by the Nebraska State Board of Pharmacy. Each numbered item is a statutory requirement the Written Practice Agreement must satisfy.

  1. The Pharmacist ("Pharmacist") may enter into a written practice agreement with the Physician to provide pharmaceutical care according to written protocols, as authorized by Neb. Rev. Stat. § 38-2867.03. The Pharmacist shall notify the Nebraska State Board of Pharmacy and the Physician's licensing board of the practice agreement when it is initiated and whenever the parties to it, or its written protocols, change.

    Source: Neb. Rev. Stat. § 38-2867.03

  2. The practice agreement and its written protocols shall be signed and dated by each participating party at initiation, and reviewed, signed, and dated again at least every two (2) years thereafter.

  3. The Written Practice Agreement also carries 1 scope, 1 education, 1 registration and 1 authority clauses, authored in the document itself.

Statutes and rules these clauses cite

  1. Neb. Rev. Stat. § 38-2867.03statute

    Authorizes a pharmacist to enter into a written practice agreement with a prescribing practitioner to provide pharmaceutical care under written protocols.

Terms it has to carry

Ratio, proximity, chart review, meeting and prescribing terms the Written Practice Agreement has to carry, from Nebraska'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

Nebraska's Pharmacy Practice Act authorizes drug-therapy management under a practice agreement but contains no affirmative grant of controlled-substance prescribing authority under that agreement (contrast Montana's explicit statutory bar and North Carolina's and Virginia's explicit grants). Shown as not allowed as the conservative default rather than a confirmed bar; confirm with the Board of Pharmacy.

Written agreement

Required

Practice ownership (corporate practice of medicine)

Non-licensee ownership permitted — No pharmacist-ownership requirement in Nebraska pharmacy licensing statute or rule; pharmacy ownership is materially more permissive than the healing-arts Professional LLC framework

Sources for the supervision rules (2)
How the relationship works day to day
Who has to be where, how often you meet, and what the physician costs: Pharmacist in Nebraska on collaborativeagreement.com.

About Nebraska's rules

LB 107 (2015) replaced ongoing APRN physician collaboration with a one-time 2,000-hour transition-to-practice period for nurse practitioners. Whether CRNAs and CNSs follow the identical threshold is not spelled out in statute; confirm before relying on those two entries. CNMs remain the most restricted category, unaffected by that reform.

Other clinicians in Nebraska: see the state overview.