Physician duties · PharmD · Washington

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

The agreement is mandatory for the clinician, which makes its duties mandatory for you. Washington calls the instrument a Collaborative Drug Therapy Agreement (CDTA).

Practice authoritySupervision required
Written agreementAgreement required
What Washington calls itCollaborative Drug Therapy Agreement (CDTA)
Governing boardWashington State Pharmacy Quality Assurance Commission
Agreement familyCollaborative Practice
Research date2026-09-03 · clauses 2026-09-03

Represents Washington's Collaborative Drug Therapy Agreement (CDTA) tier — one of the broadest CDTA frameworks in the U.S. (WAC 246-945-350; RCW 18.64.011) — not ordinary pharmacist licensure. A CDTA is voluntary/negotiated with any WA-licensed prescriber and must be filed with the Pharmacy Quality Assurance Commission and kept at the practice site; no numeric per-prescriber cap was found.

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 · controlled substances permitted

Described by a Council on Pharmacy Standards secondary source as 'one of the broadest CDTA frameworks in the U.S.' — no schedule-specific numeric ceiling was located in statute.

Written agreement

Required

Practice ownership (corporate practice of medicine)

Non-licensee ownership permitted — No pharmacist-ownership requirement was independently confirmed against specific Washington statute in this research pass — treat as an open item; the CDTA prescriptive-authority framework above is a clinical-practice question distinct from pharmacy-entity ownership.

Legal sources for these rules (3)
The document: Collaborative Drug Therapy Agreement (CDTA)
What a Washington Collaborative Drug Therapy Agreement (CDTA) must contain, who governs it and who signs: read the Collaborative Drug Therapy Agreement (CDTA) page on practiceagreement.com.

What physicians charge for this role

Typical monthly compensation in Washington

$500$600

Estimate for one Pharmacist. Standard-tier state.

About Washington's rules

Washington is a full-independence state for ALL FOUR ARNP roles (NP, CRNA, CNM, CNS) under RCW 18.79, not just NPs — confirmed current via WAC 246-840-300/420 and Board of Nursing guidance. PAs are separate: HB 2041 (eff. Jan. 1, 2025) replaced supervision-only with a 4,000-hour supervision→collaboration tier (RCW 18.71A.120) with no numeric ratio cap.

Other clinicians in Washington: see the state overview.