Strep test at the pharmacy: what changes

What exactly does the new rule allow?

According to the Ordre’s summary, the pharmacist may take two types of invasive samples with no prescription: at the pharynx or beyond the nasal vestibule. The rapid test for group A ß-hemolytic streptococcus and the rapid test for coronavirus disease are the examples given.

What happens if the test is positive?

The pharmacist may prescribe treatment, based on their assessment. The Ordre’s guide cites strep pharyngitis among its non-exhaustive examples of common health problems, but all the criteria must be met for the person consulting.

Will the test be free?

Do not assume so. According to the AQPP, most of the new services will be insured, but some pharmacy services or tests may involve fees for the patient, notably for strep. The Ordre’s guide asks pharmacists to mention costs and obtain your agreement, and you may refuse. See who pays for what.

When may the pharmacist refer you elsewhere?

When the situation does not meet all the criteria, goes beyond their competence or involves a red flag. They may also not offer this test if they lack the equipment, the space or the capacity to ensure follow-up.

What to ask before you go

• Is the test offered here, and do I need an appointment?
• Are there fees for the test, the service or the drug?
• What happens if the result is negative, or if the pharmacist cannot help me?

Sources: OPQ, summary of what is new (in French) · OPQ, practice guide on professional activities (in French) · OPQ, practice guide on professional activities (in French) · OPQ, practice guide on professional activities (in French) · OPQ, practice guide on prescribing (in French) · AQPP, adoption of the Bill 67 regulations, August 20, 2026 (in French)

General information based on the publications cited. This text does not replace professional or legal advice, or the Ordre’s guides.