Collaborative Pharmacy Practice Agreement Sample Contracts

Readopt with amendment Ph 1102.03, effective 1/23/18 (Document #12464), to read as follows:
Collaborative Pharmacy Practice Agreement • February 8th, 2023

Ph 1102.03 “Collaborative pharmacy practice agreement'' means “collaborative pharmacy practice agreement'' as defined in RSA 318:1, XXVII, namely, “a written and signed specific agreement between a pharmacist[,] and an attending practitioner[, and the patient or patient's authorized representative who has granted his or her informed consent,] that provides for collaborative pharmacy practice for the purpose of medication therapy management for the patient.” The term includes each protocol developed pursuant to RSA 318:16-a, II(a).

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Sec. 1. NEW SECTION. 155A.47 Collaborative pharmacy practice
Collaborative Pharmacy Practice Agreement • October 31st, 2019
Readopt with amendment Ph 1102.03, effective 1/23/18 (Document #12464), to read as follows:
Collaborative Pharmacy Practice Agreement • June 21st, 2023

Ph 1102.03 “Collaborative pharmacy practice agreement'' means “collaborative pharmacy practice agreement'' as defined in RSA 318:1, XXVII, namely, “a written and signed specific agreement between a pharmacist and an attending practitioner that provides for collaborative pharmacy practice for the purpose of medication therapy management for the patient.” The term includes each protocol developed pursuant to RSA 318:16-a, II(a).

Readopt with amendment Ph 1102.03, effective 1/23/18 (Document #12464), to read as follows:
Collaborative Pharmacy Practice Agreement • January 12th, 2023

Ph 1102.03 “Collaborative pharmacy practice agreement'' means “collaborative pharmacy practice agreement'' as defined in RSA 318:1, XXVII, namely, “a written and signed specific agreement between a pharmacist[,] and an attending practitioner[, and the patient or patient's authorized representative who has granted his or her informed consent,] that provides for collaborative pharmacy practice for the purpose of medication therapy management for the patient.” The term includes each protocol developed pursuant to RSA 318:16-a, II(a).

CPA)
Collaborative Pharmacy Practice Agreement • July 13th, 2016

This agreement provides the pharmacist named above to provide services outlined below in the XXXXXXXXXXX XXXXXXXXXXX in addition to the duties/services described by the Tennessee State Board of Pharmacy and policies/protocols approved by XXXXXXXXXXX XXXXXXXXXXX. Additional services include:

WEST VIRGINIA CODE: §30-5-19
Collaborative Pharmacy Practice Agreement • October 5th, 2022
Collaborative Pharmacy Practice Agreement for Pharmacist-Administered Vaccines
Collaborative Pharmacy Practice Agreement • December 2nd, 2021 • Tennessee

licensed in and actively practicing in the State of Tennessee, and Genoa Healthcare, LLC (Pharmacy), a Tennessee licensed pharmacy, for the purpose of setting forth the terms under which a pharmacist (Pharmacist), who is employed by Pharmacy and listed in Attachment 1, may administer vaccines without a prescription.

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