Collaborative Practice Agreements

Collaborative Practice Agreement Templates Available

OPA’s Practice Advancement and Innovation Committee (formerly the Medication Therapy Management Committee) has drafted templates for collaborative practice agreements (CPAs)as a member benefit for OPA members to use in their practices.  These templates include a CPA General Template, as well as appendices for specific disease states that may be included in a CPA.  There is also an appendix for additional disease states that pharmacists may want to include in a CPA.  These documents are available in Word format so they can be tailored to specific practice settings.

Pharmacists who enter into collaborative practice agreements need to keep up-to-date on clinical practice guidelines, as well as board of pharmacy rules that apply to consult/collaborative practice agreements.

The agreement templates may be accessed and downloaded from the following links:

CPA General Template  6.16.22

1 HTN Appendix Template 5.17.22

2 Diabetes Appendix Template  5.17.22

3 HLD Appendix Template 5.17.22   

4 Asthma Appendix Template 5.17.22

5 COPD Appendix Template  5.17.22

6 HF Appendix Template 5.17.22

7 Anticoag Appendix Template 5.17.22

8 MI Appendix Template 5.17.22

9 Mental Health Appendix Template 5.26.22

10 Smoking Cessation Appendix Template 5.26.22

Additional Appendix Template 5.17.22