Physician duties · PharmD · Maine

Signing for a Pharmacist in Maine: what the physician takes on

The agreement is mandatory for the clinician, which makes its duties mandatory for you. Maine calls the instrument a CDTM Agreement.

Practice authoritySupervision required
Written agreementAgreement required
What Maine calls itCDTM Agreement
Governing boardMaine Board of Pharmacy
Agreement familyCollaborative Practice
Research date2026-09-03 · clauses 2026-09-03

Represents Maine's optional pharmacist-practitioner Collaborative Drug Therapy Management (CDTM) agreement tier under 32 M.R.S. § 13843, not ordinary pharmacist licensure — base dispensing needs no agreement. The collaborating practitioner supervises or provides direct consultation throughout; the pharmacist's lab-result evaluation may not include a diagnostic component.

What you take on as the physician

The rules the physician relationship has to follow. Each fact comes from the statute or board rule listed under sources.

Proximity

Not codified — left to the agreement

Supervision ratio

Not codified — no cap on file

Chart review

Not codified — left to the agreement

Meeting cadence

Not codified — left to the agreement

Prescriptive authority

Covered by the practice agreement · no controlled-substance authority

Under a CDTM agreement, the pharmacist initiates, administers, monitors, modifies, and discontinues drug therapy as authorized by the practitioner (32 M.R.S. § 13702-A) — delegated drug-therapy management, not independent DEA-registered controlled-substance prescribing, so controlledSubstancesAllowed is coded False here. Whether CDTM terms may extend to controlled substances was not confirmed in this pass.

Written agreement

Required

Only required if the pharmacist and a practitioner elect to engage in collaborative drug therapy management — a pharmacist's base license and general dispensing authority need no such agreement (32 M.R.S. §§ 13842-13843).

Practice ownership (corporate practice of medicine)

Non-licensee ownership permitted — No pharmacist-ownership requirement was identified for Maine pharmacy permits in this pass — not independently confirmed against a specific statute/reg; treat as consistent with the typical non-restrictive pharmacy-ownership pattern seen in other states rather than a settled Maine-specific finding.

Materially more permissive than the physician/APRN professional-entity questions above, if confirmed.

Legal sources for these rules (4)
The document: CDTM Agreement
What a Maine CDTM Agreement must contain, who governs it and who signs: read the CDTM Agreement page on practiceagreement.com.

What physicians charge for this role

Typical monthly compensation in Maine

$500$600

Estimate for one Pharmacist. Standard-tier state.

About Maine's rules

Maine's provider categories follow different independence models: NPs graduate to full practice after 24 months of registered (not written-agreement) supervision; PAs graduate after 4,000 documented clinical hours but still need a lighter 'practice agreement' afterward; CNMs/CNSs appear independent from initial licensure; and CRNAs remain physician/dentist-accountable except in critical-access/rural hospitals. Do not assume a single APRN framework applies uniformly.

Other clinicians in Maine: see the state overview.