- Services insured from December 9, 2026 are set by Order 1341-2026.
- According to the AQPP (August 20, 2026), some tests may involve fees, notably for strep and urinary tract infection.
- The pharmacist must mention the fees for a paid activity, and the patient may refuse.
What is insured?
Order 1341-2026, published in the Gazette officielle of September 2, 2026, sets out the services insured from December 9, 2026. These notably include extending a prescription, adjusting or stopping therapy, ordering and interpreting tests, starting drug therapy and prescribing a drug under the new regulation.
The Order includes conditions and exclusions. For example, the cost of tests done at the pharmacy is excluded for adjusting, stopping and starting therapy. The rules also differ depending on the service and the drug insurance plan.
What may involve fees?
According to the AQPP (August 20, 2026), most of these services will be insured, but some pharmacy services or tests may involve fees for the patient, notably for strep, urinary tract infection and ambulatory blood pressure monitoring.
What must the pharmacist tell you?
The Ordre’s guide asks pharmacists to obtain the patient’s agreement before an activity and to mention the fees for each paid activity, to avoid surprises. You may refuse.
What if I have private insurance?
The 2025-2030 agreement ratified by pharmacist owners concerns public plan fees. Your situation may therefore differ if you are covered by a private plan. Ask your pharmacy and, if needed, your insurer.
Why don’t we publish rates?
To our knowledge, the rates under the new agreement are not public, and the RAMQ manual consulted on November 8, 2026 still showed the previous agreement. We prefer to refer you to the AQPP and the RAMQ rather than give an amount that could be inaccurate.
Three questions to ask before the service
- Is this service offered here, and do I need an appointment?
- Are there fees for the service, the test or the drug?
- Do these fees change depending on my insurance plan?
Sources: Gazette officielle du Québec, September 2, 2026 (Orders 1340-2026 and 1341-2026), pp. 5398-5404 (in French) · AQPP, adoption of the Bill 67 regulations, August 20, 2026 (in French) · AQPP, agreement ratified, June 19, 2026 (in French) · RAMQ, pharmacists’ manual (in French) · OPQ, practice guide on professional activities (in French)
General information based on the publications cited. This text does not replace professional or legal advice, or the Ordre’s guides.