Protocol · PharmD · Wyoming

Practice Protocol for Pharmacists in Wyoming

Required. Wyoming law names the instrument a 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.

Practice authoritySupervision required
Written agreementAgreement required
What Wyoming calls itCollaborative Practice Agreement
Governing boardWyoming State Board of Pharmacy
Agreement familyCollaborative Practice
Research date2026-09-03 · clauses 2026-09-03

Represents Wyoming's Collaborative Pharmaceutical Care agreement tier (W.S. § 33-24), not ordinary pharmacist licensure — base dispensing and standalone statutory authorities (hormonal contraceptives under § 33-24-159, immunizations under § 33-24-157) need no physician-specific CPA and are out of scope here. No board-certification requirement or numeric per-prescriber cap was found for the general collaborative-care CPA.

What a Wyoming Collaborative Practice Agreement must contain

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

  1. The Pharmacist shall not conduct medication therapy management ("MTM") for a patient under this Agreement unless the Physician and the Pharmacist have first executed a written collaborative practice agreement, forwarded five (5) signed copies to the Wyoming State Board of Pharmacy, and received written notice of the Board's approval; the Pharmacist shall not practice under the collaborative practice agreement, or any later revision to it, until so notified.

    Source: Wyoming Pharmacy Act Rules and Regulations, Chapter 20, Collaborative Practice Regulations (promulgated under Wyo. Stat. Ann. §§ 33-24-101 through -301)

  2. The Physician and Pharmacist must each be currently licensed by their respective Wyoming boards and in active practice in this State for the collaborative practice agreement to remain valid.

  3. The Collaborative Practice Agreement also carries 2 scope, 1 education, 1 registration and 1 authority clauses, authored in the document itself.

Statutes and rules these clauses cite

  1. Wyoming Pharmacy Act Rules and Regulations, Chapter 20, Collaborative Practice Regulations (promulgated under Wyo. Stat. Ann. §§ 33-24-101 through -301)regulation

    Wyoming Board of Pharmacy rule (filed with the Wyoming Legislature's rule-tracking system) setting the mandatory content, Board-approval process, and scope limits for a pharmacist collaborative practice agreement conducting medication therapy management.

Terms it has to carry

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

No affirmative statutory grant of controlled-substance prescribing authority under a general Wyoming CPA was located — coded as not allowed pending confirmation; the hormonal-contraceptive and immunization authorities are separate, narrower statutory grants, not general controlled-substance authority.

Written agreement

Required

Practice ownership (corporate practice of medicine)

Non-licensee ownership permitted — No pharmacist-ownership requirement identified in Wyoming statute; distinct from the CPA-based scope-of-practice question above

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 Wyoming on collaborativeagreement.com.

About Wyoming's rules

Wyoming is a full-independence state for ALL FOUR APRN roles (NP, CRNA, CNM, CNS) under the APRN Consensus Model — no supervision/collaboration agreement required. PAs are separate: permanent physician supervision under W.S. 33-26, capped at 3 PAs per physician absent Board-approved good cause (W.S. 33-26-504) — one of the few explicit numeric PA ratio caps on file.

Other clinicians in Wyoming: see the state overview.