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Bill 67 / Physicians and NPs

Physicians, nurse practitioners and family medicine groups

Working better with the pharmacist.

Pharmacists are gaining autonomy, which can simplify communication and reduce less relevant faxes. Here is what concretely helps community pharmacists.

See the expanded activities

On the prescription

Three habits that avoid calls.

1. Add the indication

It is suggested to write the indication on each prescription.

2. Specify what is relevant

  • Comorbidities
  • Therapeutic targets
  • The professional responsible for follow-up
  • The date of the next appointment, if known
  • Any other particular situation

3. Check the Québec Health Record (DSQ) before re-prescribing

It may show recent additions or adjustments made by other professionals.

Consultation or agreement?

Consultation request: it concerns a specific patient, may be made verbally or in writing, and the pharmacist replies in writing.

Advanced partnership practice agreement (EPAP): it lets the pharmacist prescribe for a group of patients when they could not do so independently. It is signed between physicians or nurse practitioners and pharmacists who share the same patients and files.

What the pharmacist communicates: current regulations do not require communication, but the Ordre asks pharmacists to send any information that may influence your future clinical decisions. Agree with pharmacies in your area on what you would like to receive.

Sources: Presentation by the Réseau québécois des pharmaciens GMF, developed with the OPQ (September 2026), shared by the OPQ · OPQ, summary of what is new (in French), p. 3

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Collaborative practice

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.

Chronic disease

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.

Adjustment

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.

Bill 67 / December 9, 2026

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