Articles
The impact of Bill 67, explained.
Clear, sourced answers to the questions patients, pharmacies and their partners are asking. Each article links to the official publications.
Understanding Bill 67
What is Quebec’s Bill 67?
Its official name, what it changes for pharmacists, which other professions it touches and why December 9, 2026 matters: the essentials, with sources.
Bill 67 timeline: the key dates
From passage in 2024 to the end of the agreement in 2030, by way of December 9, 2026: the dates to remember in Québec, each with its source.
Bill 67: frequently asked questions
Dates, activities, fees, prescriptions, training and limits: direct answers to the most common questions about Québec’s Bill 67, with links to the details.
Bill 67 glossary
The acronyms and terms used around Québec’s Bill 67, explained simply: EPAP, DSQ, PIQ, designated substance, red flag and therapeutic substitution.
For patients and families
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.
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.
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.
Common health problems: when can a pharmacist prescribe?
There is no regulatory list: the pharmacist assesses each situation against five criteria. What they are, and why the answer may be no.
No family doctor: what can your pharmacist do?
The pharmacist may consider the fact that you have no family doctor, but does not replace one. What is possible in Québec, and what still needs arranging.
Strep test at the pharmacy: what changes
A Québec pharmacist may take a throat sample with no prescription and, based on their assessment, prescribe if the result is positive. Conditions and possible fees.
Urinary tract infection: can the pharmacist prescribe?
The Ordre’s guide uses uncomplicated cystitis as an example, with clear limits. When a Québec pharmacist may act, and when they refer you elsewhere.
Contraception, travel, quitting smoking: examples of preventive prescribing
A Québec pharmacist may prescribe to prevent a disease or condition, such as an unwanted pregnancy. The Ordre’s examples, and the limit to know about.
Vaccination at the pharmacy: what changes with Bill 67
From December 9, 2026: no more age limit, required training, the Québec Immunization Protocol and the registry. What the Ordre’s guide provides.
Why might a pharmacist refer you elsewhere?
Red flags, competence, ear infections, dizziness: what the Ordre’s guide provides when a Québec pharmacist sends a patient to another professional.
Prescription from a pharmacist: can I have it filled elsewhere?
Yes: the Ordre’s guide asks pharmacists to respect your free choice, and to hand over or send the prescription. Your right to refuse, and conflicts of interest.
Consulting your pharmacist remotely: what is provided for
Phone or teleconsultation: the four conditions for an insured remote service under the Ordre’s guide, plus confidentiality and the limits of remote care.
For pharmacists and their teams
Bill 67’s impact on pharmacies: what to organize
Consultations, space, delegation, follow-up and documentation: the real change for a pharmacy is organizational. What to settle, based on the Ordre’s guides.
OPQ mandatory training: what to know
To complete by March 31, 2028, but not a prerequisite for the new activities. What the Ordre requires, and the separate training not to confuse it with.
AI in pharmacy: what to check before adopting it
More consultations, more documentation: AI tempts many teams. Professional duties, Québec’s Law 25 and transcription: the questions to settle before adoption.
Chronic disease: when can a pharmacist prescribe?
Prior diagnosis, low risk of deterioration, therapeutic targets and communication: what the Ordre’s guide provides for chronic disease in Québec.
Drug substitution: what the pharmacist may do
“Do not substitute” notes, shortages, adverse effects, drugs not covered: the situations in the Ordre’s guide, and what must be recorded in the patient’s file.
Can a pharmacist adjust or stop a medication?
Patient safety and treatment effectiveness: what a Québec pharmacist may change, the new prescription, and the rules for designated substances.
Can a pharmacist order tests and lab work?
Monitoring, screening, help with assessment, results and critical values: what the Ordre’s guide provides when a Québec pharmacist orders and interprets a test.
Injections at the pharmacy: when may a pharmacist administer a drug?
Four situations, authorized routes, training and record-keeping: what the Ordre’s guide provides for pharmacists administering drugs in Québec.
Pharmacist prescribing: what to record in the file
Reasons, decisions not to prescribe, follow-up plans, prescriptions and sharing information: what the Ordre’s guides ask Québec pharmacists to document.
Advanced pharmacotherapy attestation: where it stands
The regulation is not yet in force. Who the attestation will be for, what it will allow according to the Ordre, and what it will not change.
For physicians, nurse practitioners and family medicine groups
Bill 67’s impact on physicians, NPs and family medicine groups
Fewer faxes and more autonomy for pharmacists: what changes for collaboration in Québec, what helps on a prescription, and consultation requests versus EPAPs.
EPAP, consultation request, collective prescription: what are the differences?
These three collaborative frameworks remain possible after December 9. What each allows in Québec, what an EPAP must contain, and their limits per the Ordre.
Bill 67 / December 9, 2026
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