Province or territory	Relevant legislation	Prescribing privileges or type of prescribing	Requirements to prescribe	Effective date*
British Columbia	Bill-25: Health Professions Amendment Act 2008	Prescribe in an emergency, adapt a prescription (renewals, dose or formulation adjustments, and therapeutic substitutions)	Registered pharmacists, upon completion of orientation session	Jan 2009
Alberta	Health Professions Act	Prescribe in an emergency, adapt a prescription (renewals, dose or formulation adjustments, and therapeutic substitutions) Additional prescribing authorization (initiate or manage ongoing therapy)	Pharmacists on the ACP clinical register, upon completion of the orientation to new standards Pharmacists who have been given authorization after application to ACP	Apr 2007
Saskatchewan	The Pharmacy Act Bill 22, An Act to Amend The Pharmacy Act (1996)	Emergency contraception SCP can create supporting bylaws for prescribing by pharmacists Proposed: Level I Authority Prescribing – refills, continuing therapy, emergency medications, medications for self-care, nonprescription medications (for third party), seamless care Level II Authority Prescribing – independent, collaborative agreements; therapeutic substitution; dosage adjustments	All registered pharmacists, with additional training Level I – all registered pharmacists Level II – pharmacists with additional training (evidence of proper training must be submitted)	TBA
Manitoba	Bill 41: The Pharmaceutical Act	Continued care prescription (renewal or refill of a prescription) New regulations will include provisions to prescribe and administer drugs, to interpret results of point-of-care patient self-tests, and to order and receive results for screening and diagnostic tests (pending acceptance by a majority vote of pharmacists registered in Manitoba).	All registered pharmacists Extended practice – application to MPhA Clinical assistant specialist – registered under The Medical Act (can currently prescribe)	TBA
Ontario	Regulated Health Professions Act	Interim report from HPRAC recommended authority to prescribe for minor ailments, to extend prescriptions, to adapt prescriptions on the basis of laboratory test results, and to administer drugs. Prescribing is referred to as “professional collaboration”.	Under development	TBA
Quebec	Bill 90: An Act to Amend the Professional Code	Initiate or adjust medication therapy according to a prescription by a physician (authorizing the pharmacist), prescribe emergency contraception	All registered pharmacists (specific training required for emergency contraception)	Jan 2003
New Brunswick	Bill 60: An Act to Amend the Pharmacy Act	Renew or extend prescriptions, adapt prescriptions under certain conditions, prescribe in emergencies, and initiate therapy for pre-existing conditions	All registered pharmacists	Oct 2008
Nova Scotia	Pharmacy Act S.80	Conditional authority (written agreements with College of Physicians and Surgeons of Nova Scotia) Extend prescriptions Further regulations to expand practice are under development	All registered pharmacists	2006
Prince Edward Island	Bill 10: An Act to Amend the Pharmacy Act	Act added “giving prescription for a drug” to the practice of pharmacy; regulations currently under development	Under development	TBA
Newfoundland and Labrador	The Pharmacy Act	Under discussion; changes to the Act have not yet been proposed	NA	NA
Northwest Territories	Pharmacy Act, S.N.W.T. 2006, c. 24 Adoption of Formulary for the Substitution of Pharmaceutically Equivalent Drugs Order, N.W.T. Reg. 028-2007 Pharmacy Regulations, N.W.T. Reg. 018-2007	Immediate need for refill Substitute a pharmaceutically equivalent drug for the drug prescribed by the practitioner, in accordance with the territory’s formulary Modify or include instructions in respect of medical devices or packaging requirements	All registered pharmacists	2007
Nunavut	Pharmacists Act	Cannot prescribe	NA	NA
Yukon	Pharmacists Act	Cannot prescribe	NA	NA

Abbreviations: ACP = Alberta College of Pharmacists, SCP = Saskatchewan College of Pharmacy, HPRAC = Health Professions Regulatory and Advisory Council, NA = not applicable, MPhA = Manitoba Pharmaceutical Association, TBA = to be announced.

^*Date of implementation of regulations.