Expanded Scope of Practice

In May 2019, the Minister of Health asked the College to submit regulations to expand the scope of practice for pharmacists to help ensure patients have streamlined care pathways that make connections easier in the healthcare system, and that enhance access to minor and routine care in the community.

To provide the public with safe, quality pharmacy care and improved patient outcomes, the College took a system-based, collaborative approach to develop these regulations, involving input from a broad range of stakeholders representing registrants, regulators, associations, health providers and patients.

Please review the June 15, 2020 Board meeting briefing note for complete details including a summary of the feedback received during the public consultation process.

As of December 11, 2020, pharmacists have the authority to:

  • Administer the flu vaccine to children as young as two years old
  • Renew prescriptions in quantities of up to one year’s supply

This expands pharmacists’ authority from administering the flu vaccine to children as young as five and renewing prescriptions in quantities of up to six month’s supply.

As of July 1, 2022, pharmacy professionals have the authority to:

  • Perform certain point of care tests (POCT) for chronic conditions to assist with medication management and treatment of patients (also required enabling regulations to be made under the Laboratory and Specimen Collection Centre Act)

This expands the authority of pharmacy professionals to perform the act of piercing the dermis to obtain blood with a lancing device, solely for the purposes of patient education and demonstration.

Existing guidelines have been revised to incorporate these changes to practice and support registrants in utilizing their expanded roles:

As of January 1, 2023, pharmacists have the authority to:

  • Prescribe drugs for certain minor ailments

Learn more about minor ailments

It is important to note that having the legislated authority to perform these activities does not mean all pharmacists must offer or provide a particular professional service. Speak to your pharmacist to find out more about the expanded healthcare services they may now be offering. Ensuring they have the training and competency to perform an activity safely and that it is appropriate for a particular patient are also important, and pharmacists must use their professional judgment to make the decision to do so.

The draft regulations to authorize pharmacists to administer certain substances by injection and/or inhalation for treatment purposes are pending government approval before coming into effect.