Pharmacist Prescribing for Minor Ailments and Contraception (PPMAC)

Can a pharmacist make a diagnosis and prescribe using an assessment conducted by another health professional, such as a nurse or another pharmacist?

According to Standard 10 of the HPA Bylaws Schedule F Part 8 – Making a Diagnosis and Prescribing Standards, Limits and Conditions

“A pharmacist must review or conduct a patient assessment to support their diagnosis and/or prescribing decisions. The assessment must include the following as feasible and applicable, but is not limited to these factors…” 

Am I required to follow the medSask prescribing guidelines? Is there any particular guideline that I must follow?

MedSask is available to registrants as a clinical reference tool only. It is important to note that the medSask materials may not reflect the standards, limits and conditions set out by the College of Pharmacists of BC, or the requirements set out in the Pharmacists Regulation or the Ministry of Health’s Pharmacare Policy Guide. The Pharmacists Regulation sets out which conditions pharmacists may prescribe for, and the Schedule I drug categories pharmacists may prescribe for those conditions, which may be different than the medSask guidelines.

Do I need additional liability insurance to make a diagnosis and prescribe for minor ailments and contraception?

The College does not require pharmacists to obtain additional liability insurance if they choose to diagnose or prescribe for minor ailments or contraception.  Questions regarding liability coverage for the provision of PPMAC services should be directed to your insurance provider.<

What is considered a “minor ailment”?

Under section 4(1)(a.1) of the Pharmacists Regulation, pharmacists can:

“make a diagnosis identifying, as the cause of the signs or symptoms of an individual, a disease, disorder or condition that is shown in Column 1 of Schedule A, if all of the following conditions are met:

(i) the disease, disorder or condition, in the form indicated by the individual's signs and symptoms,

(A) presents a low risk of masking an underlying disease, disorder or condition, and

Can a student pharmacist complete the assessment, make the diagnosis, prescribe a drug, and document if the pharmacist reviews and signs off on the prescription?

According to Standard 16 of the HPA Bylaws Schedule F Part 8 – Making a Diagnosis and Prescribing Standards, Limits and Conditions:

“Only a full pharmacist may perform the restricted activities of making a diagnosis or prescribing a Schedule I drug and may only do so for the purposes set out in the Pharmacists Regulation”.

Will pharmacists who are pharmacy owners be able to prescribe for “minor ailments” or contraception?

Yes. As of June 1, 2023, section 3 of the Pharmacy Operations General Regulation specifies that a pharmacist who is authorized to prescribe a drug may be a direct or indirect owner of a pharmacy. When prescribing, pharmacy owners must continue to act in accordance with the:

Pages