Protocol · PharmD · Wisconsin
Practice Protocol for Pharmacists in Wisconsin
Wisconsin does not define a named protocol for Pharmacists. Here is what the state does require and what a written protocol usually covers.
Represents Wisconsin's Collaborative Practice Agreement (CPA) tier under §§ 448.03(2)/450.033, not ordinary pharmacist licensure — base dispensing and statutory limited authority (e.g. vaccines) need no CPA and are out of scope here. A 2023 law (Act 98) expanded pharmacist scope of practice, but did NOT add independent prescriptive authority — Wisconsin pharmacists cannot prescribe on their own even with a CPA; they perform physician-delegated patient-care services.
What a Pharmacist protocol must contain in Wisconsin
Wisconsin requires a written protocol but gives it no statutory name. Governed by the Wisconsin Pharmacy Examining Board. Each numbered item is a requirement the protocol must satisfy.
Wisconsin does not have a statutory 'collaborative practice agreement' or 'collaborative drug therapy management' framework specific to pharmacists. Instead, Wis. Stat. § 450.033 permits the Pharmacist to perform any patient care service that a physician affirmatively delegates to the Pharmacist's. The Pharmacist shall not perform a delegated service until the Physician's delegation of that specific service has been documented as required by Wis. Admin. Code ch. Phar 7.
This Agreement's terms regarding the scope, procedures, and review of any delegated patient care service accordingly reflect the Parties' own arrangement and are not themselves mandated by Wisconsin law beyond the documentation and record-retention obligations described below.
- The protocol also carries 1 scope, 1 education, 1 registration and 1 authority clauses, authored in the document itself.
Terms it has to carry
Ratio, proximity, chart review, meeting and prescribing terms the protocol has to carry, from Wisconsin'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
Act 98 (2023) expanded pharmacist scope but explicitly did NOT grant independent prescriptive authority — pharmacists perform patient-care services delegated by a physician under a CPA (§§ 448.03(2), 450.033), rather than prescribing in their own right, so they cannot independently prescribe controlled substances even under a CPA.
Written agreement
Required
Practice ownership (corporate practice of medicine)
Non-licensee ownership permitted — No pharmacist-ownership requirement identified in Wisconsin statute; distinct from the CPA-based scope-of-practice question above
Sources for the supervision rules (3)
About Wisconsin's rules
The APRN Modernization Act (2025 Act 17) took effect September 1, 2026 — days before this data's last-verified date — replacing permanent NP/CRNA/CNS collaborative arrangements with a 3,840-hour/24-month transition to independent practice; CNMs are auto-licensed with NO such threshold. Given how recent this is, verify current DSPS/Board of Nursing implementation guidance before relying on transition-period details below.
Other clinicians in Wisconsin: see the state overview.