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) 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 Final Draft 2.2.18
 1 HTN CPA Template Final Draft 2.2.18  6 HF CPA Template Final Draft 2.2.18
 2 Diabetes CPA Template Final Draft 2.2.18  7 Anticoag CPA Template Final Draft 2.2.18
 3 HLD CPA Final Draft 2.2.18  8 MI CPA Template Final Draft 2.2.18
 4 Asthma CPA Template Final Draft 2.2.18  9 Mental Health CPA template Final Draft 2.2.18
 5 COPD CPA Template Final Draft 2.2.18  Appendix Template Final Draft 2.2.18