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Clinical Pharmacist Practitioners

JUNE 2016


The Medical and Pharmacy Boards recently collaborated on a series of changes to the rules governing Clinical Pharmacist Practitioners (21 N.C.A.C. 46.3101).  The chief aims of the amendments are:  (1) transfer primary administrative responsibility for CPP application, renewal, and monitoring to the Board of Pharmacy; (2) bring supervising physician consulting and oversight responsibilities in line with those for nurse practitioners and physician assistants; and (3) allow CPPs to designate “primary” and “back-up” supervising physicians, something particularly helpful for CPPs who service patients in a group practice.

This document answers some questions that are likely to arise immediately among presently-approved CPPs and CPP candidates currently seeking approval:


A Clinical Pharmacist Practitioner (CPP) is a licensed pharmacist approved to provide drug therapy management, including controlled substances, under the direction of, or under the supervision of a licensed physician. Only a pharmacist approved by the Pharmacy Board may legally identify himself/herself as a CPP.


Download a CPP application here

Certificate Program requirements

Template for CPP Protocol

CPP Change of Status Form/Instructions

CPP Form for New Physician Group for Previously Approved CPP

CPP "Primary" and "Backup" Supervising Physician Designation Form

Follow this link for FAQs regarding the CPP Application and Protocol Review by the CPP Advisory Committee Member.

Please note:
The supervising physician MUST initial each page of your protocol agreement. Also, make sure that your CPP applications are complete and that your protocols are updated with the CURRENT DATE.
Questions? Please contact Debbie Stump.


If you have further questions about CPP requirements, please contact Debbie Stump at 919.246.1050 ext. 223 or email Debbie.



CPP SITE VISITS - The North Carolina Medical Board and the North Carolina Board of Pharmacy are conducting random site visits of clinical pharmacist practitioners (CPP) to ensure compliance with certain Board rules, most specifically, 21 NCAC 32T. 0101 and 21 NCAC 46.3101.

CPPs selected for review will be given 48 hours notice of the site visit.

A similar program is currently in place for physician assistants and nurse practitioners.

For guidance on what CPPs are expected to have available for review, view the Clinical Pharmacist Practitioner Site Visit form.

Questions? Please contact Don Pittman, NC Medical Board compliance supervisor/investigator at 919.326.1100, or Krystal Brashears Stefanyk, NC Board of Pharmacy Associate Director of Investigations & Inspections, 919.246.1050 ext 222.