Pharmacists and owners
Organizing your pharmacy for Bill 67.
The biggest challenge is not reading the regulation: it is making room for consultations in an already full day. Here are the decisions to make, drawn from the Ordre’s guides.
Before December 9
Seven decisions to make as a team.
1. Which services to offer first
Choose according to your competence and capacity. The Ordre speaks of progressive integration, with suitable safety nets.
2. Where consultations take place
- A closed space reserved for professional activities, quiet and confidential
- Adequate lighting, enough room and access for people with reduced mobility
- The necessary equipment, such as a computer and a printer
3. How it fits into the day
- Dedicated slots or not, and a way to handle urgent and non-urgent requests
- How work is shared among pharmacists
- Policies, procedures and tools communicated to the whole team
4. What can be delegated
The guide invites you to think about tasks that could be delegated to technicians and assistants to free up time. See the page for the technical team.
5. How to ensure follow-up
- Plan follow-ups and what to monitor according to risk
- Record the reasons for the decision, including a decision not to prescribe
- Make the plan detailed enough for a colleague to take over
- Refer the patient in case of deterioration, no response or an unusual reaction
6. How to protect professional independence
The guide asks you to recognize and reduce what may influence the decision to prescribe, such as performance indicators or financial incentives. Keep this in mind for branch objectives and tools.
7. How to talk about fees and your services
- An agreement between the AQPP and the government has been ratified (2025-2030). See the AQPP and the RAMQ for rates and billing rules.
- Before an activity, obtain the patient’s agreement and, if it is paid, mention the fees. The patient may refuse.
- If you advertise these services, review the advertising chapter of the Code of ethics, notably section 103 on reserved activities and section 104 on advertised fees.
Sources: AQPP, agreement ratified, June 19, 2026 (in French) · RAMQ, pharmacists’ manual (in French) · OPQ, practice guide on professional activities (in French), p. 5 · Code of ethics of pharmacists, CQLR c. P-10, r. 7
Sources: OPQ, practice guide on prescribing (in French), section 2, pp. 14-15 · sections 3.5 and 3.6, pp. 26-27 · p. 11 · OPQ, December 9: a gradual change, October 5, 2026 (in French)
Official resources
Start with these (in French).
Summary of what is new
Three pages for a quick overview of the new activities.
Professional activities guide
Detailed steps and examples for each activity.
Prescribing guide
Principles, work environment and the prescribing process.
Mandatory training
About two hours, online, to complete by March 31, 2028.
Practice standards
The application guide, with forms to help collect information.
Prepare yourself
The Ordre’s notice and a presentation to discuss with colleagues.
Read more
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.
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.
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.
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.