Oncology pharmacists are increasingly vital in managing complex cancer therapies, facing challenges like recognition as providers. They run therapeutic clinics, interpret test results, select clinical pathways, and manage patient disease states. Pharmacists also collaborate in tumor boards, write appeal letters, and conduct medication reconciliation for clinical trials. Advocacy efforts aim to elevate their roles in business and policy, with some states recognizing pharmacists as providers. Collaborative practice agreements allow pharmacists to prescribe and manage care, reducing physician workload. However, federal provider status remains unrecognized, limiting reimbursement and resources.