01
Guided assessment
A review of your answers with your team, branch by branch, to separate what is ready from what is not yet.
Bill 67 (Loi 67) · Pharmacy · Québec
Bill 67: get ready for December 9.
Pharmacists’ professional activities are expanding in Québec. Understand what changes, assess where your team stands and plan a gradual rollout, service by service.
Independent site published by Solutions MDose inc. Not affiliated with the Ordre des pharmaciens du Québec or the government.
Prescribe / Extend / Adjust / Substitute / Administer / Sample
01 / What changes
Nine activities to understand.
An overview based on the Ordre’s guides. Each activity has its own conditions, limits and sources.
01
Prescribing for a common health problem
With no prior diagnosis, when the five regulatory criteria are met.
02
Prescribing for a diagnosed chronic disease
Starting, adjusting or stopping treatment when an authorized professional made the diagnosis.
03
Prescribing for prevention
Preventing a disease, a health condition or the onset of symptoms.
04
Ordering and interpreting tests
For the safety and effectiveness of treatment, for screening or to help with assessment.
05
Extending a prescription
Avoiding an interruption in treatment, with no general maximum duration.
06
Adjusting or stopping therapy
Changing or stopping a prescription for patient safety or treatment effectiveness.
07
Substituting a drug
New circumstances, including an adverse effect or a drug that is not covered.
08
Administering a drug
For therapeutic purposes, by more routes and with no age limit.
09
Taking a throat or nasal sample
With no prescription, and the option of prescribing treatment based on the result.
02 / Free assessment
Where does your team really stand?
In about ten minutes, review your competence, space, organization, follow-up, collaboration and tools. For each activity, decide whether to offer it, phase it in or refer for now.
No account. Your answers stay on your device. You leave with a plan to print and discuss as a team.
03 / Who it is for
Everyone has a role to play.
01
Pharmacists and owners
Space, procedures, consultation time, follow-up, documentation: what to organize, service by service.
02
Technicians and assistants
How delegation and workflow may change, and what each setting needs to decide.
03
Physicians and NPs
What to include on the prescription and how communication with the pharmacist changes.
04
Patients and families
What your pharmacist can do depending on your situation, and why it is best to call before you go.
04 / A gradual change
December 9 is not an on-off switch.
The Ordre invites each pharmacist to assess what they have mastered, plan their development and practise progressively with suitable safety nets, referring to the appropriate resource when needed.
Being able to carry out an activity does not mean it will be done in every situation. The public should not expect every service to be offered everywhere on day one. December 9 is when these activities become possible; it is an effective date, not a promise of service.
Sources: OPQ, December 9: a gradual change, October 5, 2026 (in French) · Noovo Info, August 20, 2026 (in French)
05 / Support
An outside view, if you need one.
MDose AI offers software, AI, audit and validation in pharmaceutical settings. Clinical decisions stay with pharmacists.
02
Plan by service
For each activity: offer, phase in or refer, with a lead, resources and a review date.
03
Procedures to approve
Draft procedures and working templates, which the responsible pharmacist still has to review and approve.
06 / Articles
The impact of Bill 67, topic by topic.
Patients
Bill 67: what is the impact on patients?
From December 9, 2026, your pharmacist will be able to do more. What changes for you in Québec, what does not, and how to prepare.
Costs and coverage
Bill 67: who pays for the new pharmacy services?
Insured services, tests that may involve fees, public or private plans: what Order 1341-2026 and the AQPP say, without oversimplifying.
Prescriptions
Expired prescription: can the pharmacist extend it?
From December 9, 2026, a pharmacist in Québec may extend an expired prescription if they judge that treatment should not be interrupted. Conditions and limits.
FAQ
Frequently asked questions about Bill 67.
When does Bill 67 take effect for pharmacists?
The regulations announced on August 20, 2026 take effect on December 9, 2026 (Orders 1340-2026 and 1341-2026, Gazette officielle of September 2, 2026). Bill 67 was passed on November 7, 2024, but the new activities can only be carried out from that date.
Will every pharmacy offer every service on December 9?
No. The Ministry announced services that become available gradually, and the Ordre states that being able to carry out an activity does not mean it will be done in every situation. Each setting phases them in according to its competence and capacity.
Is the OPQ training mandatory before starting?
The Ordre requires the training to be completed by March 31, 2028 and states that it is not a prerequisite for carrying out the new activities. Specific training is still required, notably to administer vaccines.
Is there a list of health problems pharmacists can prescribe for?
The regulations do not set a list. They set criteria that must be met for a common health problem. The Ordre’s guide gives a few non-exhaustive examples, but each situation must be assessed.
Can pharmacists prescribe designated substances?
They cannot prescribe a designated substance (narcotic, controlled drug, targeted substance) under these new activities. Under certain conditions, they may extend or adjust an existing prescription, within the limits set.
Will these services be covered?
According to the AQPP (August 20, 2026), most of these services will be insured, but some tests may involve fees, notably for strep, urinary tract infection and ambulatory blood pressure monitoring. Ask your pharmacy.
Who publishes this site? Is it official?
No. Loi67.com is an independent site published by Solutions MDose inc., a software and consulting company that is not a pharmacy and offers no pharmaceutical services. The site is not affiliated with the Ordre des pharmaciens du Québec or the Government of Québec. Statutes and the Ordre’s publications are authoritative.
Bill 67 / December 9, 2026
Prepare your team, one service at a time.
Start with the free assessment. If you would like an outside view, MDose AI can support you, without ever replacing the pharmacist’s judgment.