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 Final Draft 2.2.18

1 HTN Appendix CPA Template Final Draft 2.2.18 

2 Diabetes Appendix CPA Template Final Draft 2.2.18

3 HLD Appendix CPA Final Draft 2.2.18   

4 Asthma Appendix CPA Template Final Draft 2.2.18

5 COPD Appendix CPA Template Final Draft 2.2.18

6 HF Appendix CPA Template Final Draft 2.2.18

7 Anticoag Appendix CPA Template Final Draft 2.2.18

8 MI Appendix CPA Template Final Draft 2.2.18

9 Mental Health Appendix CPA Template Final Draft 2.2.18

Appendix Template Final Draft 2.2.18