- The pharmacist may prescribe with no prior diagnosis if all criteria are met.
- Recurrent episodes or certain risk factors may justify a referral.
- According to the AQPP, a pharmacy test may involve fees.
What does the Ordre’s guide say?
Its example concerns an adult woman with symptoms of uncomplicated cystitis. It is a common situation, and the guide says the pharmacist doing the assessment can readily identify its typical symptoms. If the patient’s general condition is stable, the pharmacist may assess and treat the cystitis, even if it is a first episode.
When does the pharmacist refer elsewhere?
The guide cites a history of recurrent cystitis and risk factors such as immunosuppression, which raise the risk of complications. It also asks pharmacists to check for red flags, meaning signs that are unusual or suggest another problem. With such a history or risk factors, the guide considers it preferable to send the person to another professional. A red flag requires reassessment by an authorized professional.
Will there be fees?
According to the AQPP, some tests may involve fees, notably for urinary tract infection. The Ordre’s guide asks the pharmacist to mention costs before the service, and you may refuse. For coverage rules, see who pays for the new services.
Will the service be offered everywhere?
No. The pharmacist considers their competence and their setting’s resources, and services are being phased in gradually. Call before you go.
What should the pharmacist record and follow up?
- They record their assessment, interventions and the follow-up to do.
- They plan the follow-up with you.
- If the situation worsens, persists or returns, they refer you to a physician or nurse practitioner.
- They may inform the professional responsible for your follow-up if they judge it relevant, but for an isolated episode, this communication may be judged less relevant, according to the guide.
Sources: 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 professional activities (in French) · AQPP, adoption of the Bill 67 regulations, August 20, 2026 (in French) · OPQ, December 9: a gradual change, October 5, 2026 (in French)
General information based on the publications cited. This text does not replace professional or legal advice, or the Ordre’s guides.