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. 2017 Oct 31;70(5):349–357. doi: 10.4212/cjhp.v70i5.1696

Table 3.

Reimbursement for Prescribing Services and Administration of Injections by Pharmacists

Province Government Funding for Pharmacist Prescribing* Administration of Drugs or Vaccines by Injection Funding for Vaccines
British Columbia Funding for renewing a prescription and adapting a dose and for therapeutic substitution; clinical service fee is paid whether or not drug or patient is covered by provincial PharmaCare Cannot administer drugs; can administer vaccines Funding provided for administration of any vaccine (patient must be ≥ 5 years)
Alberta Funding for emergency prescribing, renewing and adapting a prescription, and initial-access prescribing Can administer drugs and vaccines Funding provided for administration of any IM or SC vaccine having coverage in place (patient must be ≥ 5 years for most vaccines or ≥ 9 years for seasonal influenza vaccine)
Saskatchewan Funding for emergency prescribing and renewing and adapting a prescription; no funding in place for prescriptive services provided by Level 2 pharmacists Cannot administer drugs; can administer vaccines Funding provided for administration of vaccines (patient must be ≥ 9 years)
Manitoba No funding Can administer drugs and vaccines Funding provided for administration of any vaccine (patient must be ≥ 7 years)
Ontario No funding Cannot administer drugs; can administer vaccines Funding provided for influenza vaccine only (patient must be ≥ 5 years)
Quebec Funding for prescribing: to extend prescriptions, for conditions not requiring a diagnostic test, for adjusting a prescription, and for minor ailments Cannot administer drugs or vaccines by injection, but can perform injections for demonstration purposes only
Prince Edward Island No funding Can administer drugs and vaccines Funding provided for influenza vaccine for select patient populations (e.g., > 65 years, pregnant, Aboriginal) or cost is paid by patient
Newfoundland and Labrador No funding Can administer drugs and vaccines Funding provided for influenza vaccine administered to beneficiaries of provincial drug plan
Nova Scotia Funding for adapting a prescription Can administer drugs and vaccines Funding provided for influenza vaccine administration (patient must be ≥ 5 years)
New Brunswick No funding Provincial legislation allows administration of drugs by injection, but framework for implementation not yet established; can administer vaccines Funding provided for administration of influenza vaccine to patients ≥ 5 years

APA = additional prescribing authorization, IM = intramuscular, SC = subcutaneous.

*

Many provinces have funding in place for medication review and management processes. This study specifically investigated funding for provision of the prescriptive services outlined in the case-based scenarios.

Funding agency is the provincial government, unless otherwise specified.