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 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