Pharmacist and Pharmacy Technician Regulations

t REGULATED HEALTH PROFESSIONS ACT PHARMACIST AND PHARMACY TECHNICIAN REGULATIONS PLEASE NOTE This document, prepared by the Legislative Counsel Office, is an office consolidation of this regulation, current to April 5, 2025. It is intended for information and reference purposes only. This document is not the official version of these regulations. The regulations and the amendments printed in the Royal Gazette should be consulted on the Prince Edward Island Government web site to determine the authoritative text of these regulations. For more information concerning the history of these regulations, please see the Table of Regulations on the Prince Edward Island Government web site (www.princeedwardisland.ca). If you find any errors or omissions in this consolidation, please contact: Legislative Counsel Office Tel: (902) 368-4292 Email: legislation@gov.pe.ca Pharmacist and Pharmacy Technician Regulations Table of Contents PHARMACIST AND PHARMACY TECHNICIAN REGULATIONS Table of Contents Section Page PART I - INTERPRETATION 5 1. Definitions................................................................................................................................................ 5 PART 2 - PROFESSIONAL GOVERNANCE 6 2. Designation .............................................................................................................................................. 6 3. College of Pharmacy ................................................................................................................................ 7 4. Register .................................................................................................................................................... 7 PART 3 - PHARMACISTS REGISTER 7 REGISTRATION 7 5. General Class ........................................................................................................................................... 7 6. Provisional class ....................................................................................................................................... 8 7. Special class ............................................................................................................................................. 8 8. Pharmacy Student .................................................................................................................................... 8 RENEWAL 9 9. General class ............................................................................................................................................ 9 10. Provisional class ....................................................................................................................................... 9 11. Pharmacy student class ............................................................................................................................ 9 REINSTATEMENT 9 12. Maximum period of lapsed registration ................................................................................................... 9 CURRENCY AND INSURANCE REQUIREMENTS 10 13. Currency of professional knowledge and skills ..................................................................................... 10 14. Professional liability insurance .............................................................................................................. 10 DESIGNATIONS 10 15. Designations ........................................................................................................................................... 10 SCOPE OF PRACTICE 11 16. Pharmacist, scope of practice ................................................................................................................. 11 RESERVED ACTIVITIES 11 17. Reserved activities ................................................................................................................................. 11 18. Adaptation and therapeutic substitution ................................................................................................. 12 19. No adaptation directed by prescriber ..................................................................................................... 12 20. Pharmacist duties on adaptation or substitution ..................................................................................... 12 21. Continued care prescription ................................................................................................................... 12 22. Emergency prescribing .......................................................................................................................... 13 23. Performing blood tests ........................................................................................................................... 13 24. Special authorization to perform additional reserved activities ............................................................. 13 25. Restriction on prescribing or administering a vaccine to a child ........................................................... 14 c t Current to: April 5, 2025 Page 3 Table of Contents Pharmacist and Pharmacy Technician Regulations 25.1 Administering drug or vaccine while training ........................................................................................ 15 26. Prescribing a vaccine .............................................................................................................................. 15 PART 4 - PHARMACY TECHNICIANS REGISTER 15 REGISTRATION 15 31. General class........................................................................................................................................... 15 32. Provisional class ..................................................................................................................................... 15 33. Special class ........................................................................................................................................... 16 34. Pharmacy Technician Student ................................................................................................................ 16 RENEWAL 17 35. General class........................................................................................................................................... 17 36. Provisional class ..................................................................................................................................... 17 37. Pharmacy technician student class ......................................................................................................... 17 38. Maximum period of lapsed registration .................................................................................................. 17 39. Currency of professional knowledge and skills ...................................................................................... 18 40. Professional Liability Insurance ............................................................................................................. 18 DESIGNATIONS 18 41. Designations ........................................................................................................................................... 18 SCOPE OF PRACTICE 18 42. Pharmacy technician, scope of practice .................................................................................................. 18 RESERVED ACTIVITIES 19 43. Reserved activities .................................................................................................................................. 19 43.1 Special authorization to perform additional reserved activities .............................................................. 19 PART 5 - GENERAL 20 44. Directory ................................................................................................................................................. 20 45. Preceptors ............................................................................................................................................... 20 46. Name of corporation ............................................................................................................................... 21 47. Schedules ................................................................................................................................................ 22 48. Former regulations.................................................................................................................................. 22 49. Revocation of former regulations ........................................................................................................... 23 Page 4 Current to: April 5, 2025 t c PART I - INTERPRETATION Pharmacist and Pharmacy Technician Regulations REGULATED HEALTH PROFESSIONS ACT CHAPTER R-10.1 PHARMACIST AND PHARMACY TECHNICIAN REGULATIONS Pursuant to sections 2 and 96 of the Regulated Health Professions Act R.S.P.E.I. 1988, Cap. R-10.1, Council made the following regulations: PART I - INTERPRETATION 1. Definitions In these regulations (a) “accredited degree program in pharmacy” means (i) a pharmacy degree program, approved by the Council or accredited by the Canadian Council for Accreditation of Pharmacy Programs, or (ii) a program that has been determined by the Pharmacy Examining Board of Canada to be substantially equivalent to an approved or accredited degree program referred to in subclause (i); (b) “accredited pharmacy technician training program” means (i) a pharmacy technician training program approved by the Council or accredited by the Canadian Council for Accreditation of Pharmacy Programs, or (ii) a program that has been determined by the Pharmacy Examining Board of Canada to be substantially equivalent to an approved or accredited pharmacy technician training program referred to in subclause (i); (c) “Act” means the Regulated Health Professions Act R.S.P.E.I. 1988, Cap. R-10.1; (d) “adapt” means modify the dose, formulation or regimen of a drug that has been prescribed by a prescriber for a patient; (e) revoked by EC550/23; (f) revoked by EC550/23; (g) “College” means the Prince Edward Island College of Pharmacy continued under section 3; (h) “Council” means the Council of the College; c t Current to: April 5, 2025 Page 5 PART 2 - PROFESSIONAL GOVERNANCE Pharmacist and Pharmacy Technician Regulations (i) “device” means a medical device as defined in the Food and Drugs Act (Canada) that is provided to a patient, including but not limited to (i) an inhaler, (ii) a blood glucose monitoring machine, (iii) a nebulizer machine; (j) “direct supervision” means supervision by a person who is physically present; (k) “drug” means a drug as defined in the Pharmacy Act; (l) “hospital” means a hospital as defined in the Hospitals Act R.S.P.E.I. 1988, Cap. H- 10.1; (m) “monitored drug” means a monitored drug as defined in the Narcotics Safety and Awareness Act R.S.P.E.I. 1988, Cap. N-.01; (n) “patient” means a patient as defined in the Pharmacy Act; (o) “pharmacist” means a member who is registered in the general class, provisional class or special class of the pharmacists register; (p) “pharmacists register” means the register referred to in clause 4(a); (q) “pharmacy” means a pharmacy as defined in the Pharmacy Act, and, except where indicated otherwise, includes a premises or place in a hospital where drugs are stored, compounded, dispensed or provided to a patient; (r) “pharmacy student” means a member who is registered in the pharmacy student class of the pharmacists register; (s) “pharmacy technician” means a member who is registered in the general class, provisional class or special class of the pharmacy technicians register; (t) “pharmacy technician student” means a member who is registered in the pharmacy technician student class of the pharmacy technicians register; (u) “pharmacy technicians register” means the register referred to in clause 4(b); (v) “preceptor” means a preceptor designated under section 45; (w) “prescriber” means a prescriber as defined in the Pharmacy Act; (x) “refresher program” means a refresher program in pharmacy, designed for a pharmacist or a pharmacy technician, as the case may be, consisting of a formal curriculum, a set of individualized assignments of studies and experiences, a set of continuing education credits and a practicum, or a combination of these elements; (y) “representative” means an adult who attends at a pharmacy on behalf of a patient to obtain a drug prescribed for the patient; (z) revoked by EC550/23; (aa) “supervision” means supervision by a person who is either physically present or on call; (bb) “therapeutic substitution” means the prescribing of a drug for a patient that contains chemically different active ingredients than a drug originally prescribed by a prescriber for the patient, but is expected to deliver a similar therapeutic effect. (EC445/19; 550/23; 821/24) PART 2 - PROFESSIONAL GOVERNANCE 2. Designation Pharmacy is designated as a regulated health profession. (EC445/19) Page 6 Current to: April 5, 2025 t c PART 3 - PHARMACISTS REGISTER Pharmacist and Pharmacy Technician Regulations 3. College of Pharmacy (1) The College of Pharmacists established under the former Practice of Pharmacists and Pharmacy Technicians Regulations (EC532/14) made under the Act is continued as the college for pharmacy under the name Prince Edward Island College of Pharmacy. Additional objects of College (2) In addition to the objects set out in subsection 4(2) of the Act, the College has the following additional objects: (a) subject to the Food and Drugs Act (Canada), to establish the terms and conditions of the sale for drugs and devices; (b) to ensure that the public is protected from the unauthorized or inappropriate sale of drugs or devices; (c) to superintend the operation of pharmacies that are subject to the Pharmacy Act; (d) to establish, maintain and promote standards for pharmacies that are subject to the Pharmacy Act, including standards respecting the ownership and operation of those pharmacies. (EC445/19) 4. Register The register for pharmacy is divided into the following sub-registers and classes of registration: (a) the pharmacists register, consisting of (i) the general class, (ii) the provisional class, (iii) the special class, and (iv) the pharmacy student class; (b) the pharmacy technicians register, consisting of (i) the general class, (ii) the provisional class, (iii) the special class, and (iv) the pharmacy technician student class. (EC445/19) PART 3 - PHARMACISTS REGISTER Registration 5. General Class An applicant for registration in the general class of the pharmacists register shall (a) for the purpose of clause 12(2)(c) of the Act, have successfully completed an accredited degree program in pharmacy; (b) for the purpose of clause 12(2)(d) of the Act, have successfully completed the Pharmacist Qualifying Examination established by the Pharmacy Examination Board of Canada or an examination considered substantially equivalent by the Council; (c) for the purpose of clause 12(2)(e) of the Act, have successfully completed a structured practical training program for pharmacists, approved by the Council; c t Current to: April 5, 2025 Page 7 PART 3 - PHARMACISTS REGISTER Pharmacist and Pharmacy Technician Regulations (d) for the purpose of clause 12(2)(f) of the Act, demonstrate currency of professional knowledge and skills in accordance with section 13; (e) for the purpose of clause 12(2)(j) of the Act, hold professional liability insurance as required in section 14. (EC445/19; 550/23) 6. Provisional class (1) An applicant for registration in the provisional class of the pharmacists register shall (a) for the purpose of clause 12(2)(c) of the Act, have successfully completed an accredited degree program in pharmacy; (b) for the purpose of clause 12(2)(f) of the Act, demonstrate currency of professional knowledge and skills in accordance with section 13; (c) for the purpose of clause 12(2)(j) of the Act, hold professional liability insurance as required in section 14; and (d) pursuant to clause 12(2)(k), be a party to a training agreement with a preceptor. Subject to supervision (2) A pharmacist registered in the provisional class of the pharmacists register shall practise pharmacy only under the direct supervision of the pharmacist’s preceptor or a pharmacist registered in the general or special class of the pharmacists register. No reinstatement (3) Registration in the provisional class may not be reinstated. (EC445/19; 550/23) 7. Special class (1) Where the Council directs the registrar to register an applicant as a pharmacist pursuant to subsection 13(3) of the Act, the registrar shall register the applicant in the special class of the pharmacists register and specify the purpose or duration of the registration, as the case may be. Additional requirement (2) Revoked by EC550/23. No renewal or reinstatement (3) Registration in the special class may not be renewed or reinstated. (EC445/19; 550/23) 8. Pharmacy Student (1) An applicant for registration in the pharmacy student class of the pharmacists register shall (a) for the purpose of clause 12(2)(c) of the Act, be enrolled in an accredited degree program in pharmacy; (b) for the purpose of clause 12(2)(j) of the Act, hold professional liability insurance as required in section 14; and (c) pursuant to clause 12(2)(k) of the Act, be a party to a training agreement with a preceptor. Subject to supervision (2) A pharmacy student shall practise pharmacy only under the direct supervision of the pharmacy student’s preceptor or a pharmacist registered in the general or special class of the pharmacists register. Page 8 Current to: April 5, 2025 t c PART 3 - PHARMACISTS REGISTER Pharmacist and Pharmacy Technician Regulations No reinstatement (3) Registration in the pharmacy student class may not be reinstated. (EC445/19; 550/23) Renewal 9. General class An applicant for renewal of registration in the general class of the pharmacists register shall (a) for the purposes of subclause 22(2)(a)(ii) of the Act, demonstrate currency of professional knowledge and skills in accordance with section 13; and (b) for the purpose of subclause 22(2)(a)(v) of the Act, hold professional liability insurance that meets the requirements of section 14. (EC445/19; 550/23) 10. Provisional class An applicant for renewal of registration in the provisional class of the pharmacists register shall (a) for the purposes of subclause 22(2)(a)(ii) of the Act, demonstrate currency of professional knowledge and skills in accordance with section 13; (b) for the purposes of subclause 22(2)(a)(v) of the Act, hold professional liability insurance that meets the requirements of section 14; and (c) pursuant to subclause 22(2)(a)(v.1) of the Act, be a party to a training agreement with a preceptor. (EC445/19; 550/23) 11. Pharmacy student class An applicant for renewal of registration in the pharmacy student class of the pharmacists register shall (a) for the purposes of subclause 22(2)(a)(v) of the Act, hold professional liability insurance that meets the requirements of section 14; and (b) pursuant to subclause 22(2)(a)(v.1) of the Act, (i) be enrolled in an accredited degree program in pharmacy, and (ii) be a party to a training agreement with a preceptor. (EC445/19; 550/23) Reinstatement 12. Maximum period of lapsed registration (1) For the purpose of subsection 24(1) of the Act, the maximum prescribed period of time for reinstatement is three years. General class (2) An applicant for reinstatement of registration in the general class of the pharmacists register shall (a) for the purpose of clause 24(4)(c) of the Act, demonstrate currency of professional knowledge and skills in accordance with section 13; and (b) for the purpose of clause 24(4)(f) of the Act, hold professional liability insurance that meets the requirements of section 14. (EC445/19; 550/23) c t Current to: April 5, 2025 Page 9 PART 3 - PHARMACISTS REGISTER Pharmacist and Pharmacy Technician Regulations Currency and Insurance Requirements 13. Currency of professional knowledge and skills (1) Where required in this Part, an applicant shall demonstrate currency of professional knowledge and skills by having done one of the following within the three years preceding the application: (a) successfully completed an accredited degree program in pharmacy; (b) actively practised pharmacy as a pharmacist, without any restrictions, in the province or another jurisdiction recognized by the Council, to an extent acceptable to the Council, but not less than 600 hours; (c) successfully completed a refresher program satisfactory to the registrar. Failure to demonstrate currency (2) Where, in the opinion of the Council, an applicant fails to demonstrate currency of professional knowledge and skills in accordance with subsection (1), the Council may require the applicant to complete a refresher program approved by the Council within the time period specified by the Council. (EC445/19; 550/23) 14. Professional liability insurance (1) For the purpose of this Part and clause 25(3)(c) of the Act, an applicant or member registered under this Part, as the case may be, is required to hold professional liability insurance under a policy that provides coverage of not less than $2,000,000 per claim or occurrence and an aggregate limit of not less than $2,000,000, excluding legal or court costs. Proof of insurance (2) An applicant or member required to be insured under subsection (1) shall ensure that the registrar is provided with the most current certificate of professional liability insurance from the insurer that confirms that the applicant or member is insured and that the insurance complies with the regulations. (EC445/19; 550/23) Designations 15. Designations For the purpose of subsection 89(1) of the Act, the designations of a pharmacist include the following titles, abbreviations and initials: (a) pharmacist; (b) registered pharmacist; (c) Ph.C.; (d) R.Ph.; (e) R. Pharm. (EC445/19) Page 10 Current to: April 5, 2025 t c PART 3 - PHARMACISTS REGISTER Pharmacist and Pharmacy Technician Regulations Scope of Practice 16. Pharmacist, scope of practice The scope of practice of a pharmacist includes the following professional activities: (a) monitoring drug therapy and advising on the contents, therapeutic values and hazards of drugs; (b) demonstrating, administering or advising on the use, calibration, effectiveness and hazards of devices used in connection with drugs or to monitor health status, and assisting or training patients in the use of self-administered devices; (c) promoting the health, prevention and treatment of diseases, disorders and dysfunctions through monitoring and management of drug therapy; (d) identifying and assessing drug-related problems, and making recommendations to prevent or resolve them; (e) counselling persons respecting healthcare and drug-related therapies, whether the counselling takes place in a pharmacy or elsewhere; (e.1) participating in the research, development, implementation and evaluation of quality assurance and risk management policies, procedures and activities; (f) research, education, management or administrative activities incidental to performing activities in clauses (a) to (e.1); (g) acting as a preceptor, as authorized under these regulations; (h) performing certain reserved activities, as authorized by the Act and these regulations. (EC445/19; 550/23) Reserved Activities 17. Reserved activities (1) Subject to any terms or conditions imposed on the pharmacist’s registration, a pharmacist is authorized to perform the following reserved activities: (a) prescribing a drug, in accordance with sections 18 to 22; (b) dispensing a drug, other than an opioid agonist treatment; (c) selling a drug; (d) compounding a drug; (e) supervising the part of a pharmacy where drugs are kept; (f) administering a substance prescribed by a prescriber by inhalation; (g) administering a drug topically or orally; (h) performing a procedure on tissue below the dermis to collect blood to monitor and manage drug therapy using a point-of-care testing device; (i) ordering and interpreting screening and diagnostic tests that do not use prescribed forms of energy to monitor and manage drug therapy; (j) compounding a therapeutic diet that is to be administered by enteral or parenteral instillation; (k) diagnosing a common ailment set out in Schedule C and communicating the diagnosis in circumstances in which it is reasonably foreseeable that it will be relied on in health care decisions; c t Current to: April 5, 2025 Page 11 PART 3 - PHARMACISTS REGISTER Pharmacist and Pharmacy Technician Regulations (l) prescribing a drug for a common ailment set out in Schedule C; (m) prescribing a self-administered or injectable hormonal contraceptive. Exception, supervision of pharmacy (2) Notwithstanding clause (1)(e), a pharmacist registered in the provisional class of the pharmacists register shall not supervise the part of a pharmacy where drugs are kept. Ordering and interpreting tests in hospital (3) Revoked by EC201/25. (EC445/19; 550/23; 201/25) 18. Adaptation and therapeutic substitution Subject to section 19, a pharmacist may adapt or make a therapeutic substitution in respect of a prescription for a drug, other than a monitored drug. (EC445/19; 550/23) 19. No adaptation directed by prescriber (1) Where a prescriber is of the opinion that a prescription he or she is giving should not be adapted, the prescriber may prohibit adaptation by clearly writing on the prescription the words “No Adaptation”. No therapeutic substitution directed by prescriber (2) Where a prescriber is of the opinion that, with respect to a prescription he or she is giving, a therapeutic substitution should not be made, the prescriber may prohibit therapeutic substitution by clearly writing on the prescription the words “No Therapeutic Substitution”. Pharmacist shall comply with direction (3) A pharmacist shall comply with the instructions of a prescriber given in accordance with subsection (1) or (2) when dispensing the prescription initially and when dispensing any refills of the same prescription, unless the prescriber otherwise instructs. (EC445/19) 20. Pharmacist duties on adaptation or substitution Revoked by EC550/23. (EC445/19) 21. Continued care prescription (1) Where a prescription for a drug, other than a monitored drug, has expired or all authorized refills have been dispensed, a pharmacist may give a continued care prescription to a patient for the drug. Monitored drug (2) Subject to the Controlled Drugs and Substances Act (Canada), where a prescription for a monitored drug, other than opioid agonist treatment, has expired or all authorized refills have been dispensed, a pharmacist may give a continued care prescription to a patient for the monitored drug. Opioid agonist treatment (3) Subject to the Controlled Drugs and Substances Act (Canada), where a prescription for opioid agonist treatment has expired or all authorized refills have been dispensed, a pharmacist who has a special authorization under section 24 to dispense opioid agonist Page 12 Current to: April 5, 2025 t c PART 3 - PHARMACISTS REGISTER Pharmacist and Pharmacy Technician Regulations treatment may give a continued care prescription to a patient for opioid agonist treatment. (EC445/19; 229/20; 703/21; 550/23) 22. Emergency prescribing (1) Subject to subsection (2), a pharmacist may give an emergency prescription to a patient for a limited and interim supply of a drug, other than a monitored drug, to ensure a patient’s health or life is not at risk, if the pharmacist is satisfied that (a) the patient has an immediate need for drug therapy; and (b) it is not reasonably possible for the patient to see a prescriber other than a pharmacist in a timely manner. Restrictions (2) A pharmacist shall not (a) authorize refills of an emergency prescription; or (b) give consecutive emergency prescriptions to a patient for the same drug. (EC445/19; 550/23) 23. Performing blood tests Revoked by EC550/23. (EC445/19; 851/22; 550/23) 24. Special authorization to perform additional reserved activities (1) A pharmacist may apply to the Registrar, in the form approved by the Council, for a special authorization to perform one or more of the following reserved activities: (a) administering by injection a drug or vaccine prescribed by the pharmacist or another prescriber; (b) prescribing or administering, intranasally or by injection, a vaccine for a disease listed in Schedule A; (c) administering by injection a vaccine for a disease listed in Schedule B; (d) prescribing a vaccine for a disease listed in Schedule B; (e) dispensing opioid agonist treatment. Special authorization to perform additional reserved activities, pharmacy student (1.1) A pharmacy student may apply to the Registrar, in a form approved by the Council, for a special authorization to perform the following reserved activities: (a) administering by injection a drug or vaccine prescribed by a prescriber; (b) administering, intranasally or by injection, a vaccine for a disease listed in Schedule A; (c) administering by injection a vaccine for a disease listed in Schedule B. Requirements for special authorization to administer drug or vaccine (2) An applicant is eligible for a special authorization to perform a reserved activity listed in clauses (1)(a) to (d) or subsection (1.1), if the applicant (a) has current certification in first aid and cardiopulmonary resuscitation; and (b) has successfully completed the applicable training program, as follows: c t Current to: April 5, 2025 Page 13 PART 3 - PHARMACISTS REGISTER Pharmacist and Pharmacy Technician Regulations (i) for the purpose of clauses (1)(a), (b) and (c), and subsection (1.1), a drug knowledge and administration program approved by the Council, (ii) for the purpose of clause (1)(d), a travel vaccine education program approved by the Council. Requirement for special authorization to dispense opioid agonist treatment (2.1) An applicant is eligible for a special authorization to perform the reserved activity listed in clause (1)(e), if the applicant has successfully completed an education program in opioid dependence approved by Council. Grant of special authorization (3) On receipt of an application in accordance with subsection (1) or (1.1), the registrar may grant the applicant a special authorization to perform a reserved activity listed in subsection (1) or (1.1), if the registrar is satisfied that the applicant meets the applicable requirements in subsection (2) or (2.1). Referral to the council (4) Where the registrar is not satisfied that the applicant meets the applicable requirements in subsection (2) or (2.1), the registrar shall refer the application to the council. Review by the council (5) On receipt of an application referred by the registrar, the council shall review the application and may (a) direct the registrar to grant a special authorization to perform a reserved activity listed in subsection (1) or (1.1); and (b) impose any terms and conditions on the special authorization that the council considers appropriate. Register and certificate (6) Where the registrar grants a special authorization under subsection (3) or (5), the registrar shall record the special authorization and any terms and conditions on the special authorization in the register and on the certificate of registration of the pharmacist or pharmacy student. Notice (7) Where the Council refuses to grant a special authorization, the Council shall serve on the applicant written notice of and reasons for the refusal. Suspension, cancellation, expiration, renewal (8) A special authorization granted under this section is suspended or cancelled, or expires, on the suspension, cancellation or expiration of the pharmacist’s or pharmacy student’s registration, as the case may be, and may be renewed on renewal of the pharmacist’s or pharmacy student’s registration. (EC445/19; 594/22; 550/23; 821/24) 25. Restriction on prescribing or administering a vaccine to a child A pharmacist or pharmacy student shall not, pursuant to a special authorization, prescribe a vaccine for or administer a vaccine to a patient under 18 years of age except (a) an injectable vaccine prescribed by a medical practitioner or nurse practitioner, which may be administered by injection to a patient who is under 18 years of age; Page 14 Current to: April 5, 2025 t c PART 4 - PHARMACY TECHNICIANS REGISTER Pharmacist and Pharmacy Technician Regulations (b) a spray vaccine for influenza, which may be prescribed for or administered intranasally to a patient who is two years of age or older; and (c) an injectable vaccine for influenza, COVID-19 or rabies (pre-exposure only), which may be prescribed for or administered by injection to a patient who is five years of age or older. (EC445/19; 844/21; 209/22; 550/23; 821/24) 25.1 Administering drug or vaccine while training A pharmacist or pharmacy student who is completing a course or program for a special authorization referred to in clauses 24(1)(a) to (c) or subsection 24(1.1) may administer a drug or vaccine, as the case may be, using the applicable method, under the direct supervision of (a) a pharmacist who has a special authorization to administer the drug or vaccine; or (b) another health care professional who is authorized by law to administer the drug or vaccine. (EC550/23; 821/24) 26. Prescribing a vaccine Sections 26 to 30 revoked by EC550/23. (EC445/19; 550/23) PART 4 - PHARMACY TECHNICIANS REGISTER Registration 31. General class An applicant for registration in the general class of the pharmacy technicians register shall (a) for the purpose of clause 12(2)(c) of the Act, have successfully completed an accredited pharmacy technician training program; (b) for the purpose of clause 12(2)(d) of the Act, have successfully completed the Pharmacy Technician Qualifying Examination established by the Pharmacy Examination Board of Canada or an examination considered substantially equivalent by the Council; (c) for the purpose of clause 12(2)(e) of the Act, have successfully completed a structured practical training program for pharmacy technicians approved by the Council; (d) for the purpose of clause 12(2)(f) of the Act, demonstrate currency of professional knowledge and skills in accordance with section 39; and (e) for the purpose of clause 12(2)(j) of the Act, hold professional liability insurance as required in section 40. (EC445/19; 550/23) 32. Provisional class (1) An applicant for registration in the provisional class of the pharmacy technicians register shall (a) for the purpose of clause 12(2)(c) of the Act, have successfully completed an accredited pharmacy technician training program; (b) for the purpose of clause 12(2)(f) of the Act, demonstrate currency of professional knowledge and skills in accordance with section 39; c t Current to: April 5, 2025 Page 15 PART 4 - PHARMACY TECHNICIANS REGISTER Pharmacist and Pharmacy Technician Regulations (c) for the purpose of clause 12(2)(j) of the Act, hold professional liability insurance as required in section 40; and (d) for the purposes of clause 12(2)(k) of the Act, be a party to a training agreement with a preceptor. Supervised by preceptor (2) A pharmacy technician registered in the provisional class of the pharmacy technicians register shall practise pharmacy only under the direct supervision of the pharmacy technician's preceptor, a pharmacy technician registered in the general or special class of the pharmacy technicians register or a pharmacist registered in the general or special class of the pharmacists register. No reinstatement (3) Registration in the provisional class may not be reinstated. (EC445/19; 550/23) 33. Special class (1) Where the Council directs the registrar to register an applicant as a pharmacy technician pursuant to subsection 13(3) of the Act, the registrar shall register the applicant in the special class of the pharmacy technicians register and specify the purpose or duration of the special registration, as the case may be. No renewal or reinstatement (2) A registration in the special class of the pharmacy technicians register may not be renewed or reinstated. (EC445/19) 34. Pharmacy Technician Student (1) An applicant for registration in the pharmacy technician student class of the pharmacy technicians register shall (a) for the purpose of clause 12(2)(c) of the Act be enrolled in an accredited pharmacy technician training program; (b) for the purpose of clause 12(2)(j) of the Act, hold professional liability insurance as required in section 40; and (c) for the purposes of clause 12(2)(k) of the Act, be a party to a training agreement with a preceptor. Supervised by preceptor (2) A pharmacy technician student shall practise pharmacy only under the direct supervision of the pharmacy technician student's preceptor, a pharmacy technician registered in the general or special class of the pharmacy technicians register or a pharmacist registered in the general or special class of the pharmacists register. No reinstatement (3) Registration in the pharmacy technician student class may not be reinstated. (EC445/19; 550/23) Page 16 Current to: April 5, 2025 t c PART 4 - PHARMACY TECHNICIANS REGISTER Pharmacist and Pharmacy Technician Regulations Renewal 35. General class An applicant for renewal of registration in the general class of the pharmacy technicians register shall (a) for the purposes of subclause 22(2)(a)(ii) of the Act, demonstrate currency of professional knowledge and skills in accordance with section 39; and (b) for the purpose of subclause 22(2)(a)(v) of the Act, hold professional liability insurance that meets the requirements of section 40. (EC445/19; 550/23) 36. Provisional class An applicant for renewal of registration in the provisional class of the pharmacy technicians register shall (a) for the purposes of subclause 22(2)(a)(ii) of the Act, demonstrate currency of professional knowledge and skills in accordance with section 39; (b) for the purposes of subclause 22(2)(a)(v) of the Act, hold professional liability insurance that meets the requirements of section 40; and (c) for the purposes of clause 12(2)(k) of the Act, be a party to a training agreement with a preceptor. (EC445/19; 550/23) 37. Pharmacy technician student class An applicant for renewal of registration in the pharmacy technician student class of the pharmacy technicians register shall (a) for the purposes of subclause 22(2)(a)(v) of the Act, hold professional liability insurance that meets the requirements of section 40; and (b) for the purposes of subclause 22(2)(a)(v.1) of the Act, (i) be enrolled in an accredited pharmacy technician training program, and (ii) be a party to a training agreement with a preceptor. (EC445/19; 550/23) Reinstatement 38. Maximum period of lapsed registration (1) For the purpose of subsection 24(1) of the Act, the maximum prescribed period of time for reinstatement is three years. General class (2) An applicant for reinstatement of registration in the general class of the pharmacy technicians register shall (a) for the purpose of clause 24(4)(c) of the Act, demonstrate currency of professional knowledge and skills in accordance with section 39; and (b) for the purpose of clause 24(4)(f) of the Act, hold professional liability insurance that meets the requirements of section 40. (EC445/19; 550/23) c t Current to: April 5, 2025 Page 17 PART 4 - PHARMACY TECHNICIANS REGISTER Pharmacist and Pharmacy Technician Regulations Currency and Insurance Requirements 39. Currency of professional knowledge and skills (1) Where required in this Part, an applicant shall demonstrate currency of professional knowledge and skills by having done one of the following within the three years preceding the application: (a) successfully completed an accredited pharmacy technician training program; (b) actively practised pharmacy as a pharmacy technician, without any restrictions, in the province or another jurisdiction recognized by the Council, to an extent acceptable to the Council, but not less than 600 hours; (c) successfully completed a refresher program satisfactory to the registrar. Refresher program (2) Where, in the opinion of the Council, an applicant fails to demonstrate currency of professional knowledge and skills in accordance with (1), the Council may require the applicant to complete a refresher program approved by the Council within the time period specified by the Council. (EC445/19; 550/23) 40. Professional Liability Insurance (1) For the purpose of this Part and clause 25(3)(c) of the Act, an applicant or member registered under this Part, as the case may be, is required to hold professional liability insurance under a policy that provides coverage of not less than $2,000,000 per claim or occurrence and an aggregate limit of not less than $2,000,000, excluding legal or court costs. Proof of insurance (2) An applicant or member required to be insured under subsection (1) shall ensure that the registrar is provided with the most current certificate of professional liability insurance from the insurer that confirms that the applicant or member is insured and that the insurance complies with the regulations. (EC445/19; 550/23) Designations 41. Designations For the purpose of subsection 89(1) of the Act the designations of a pharmacy technician include the following titles, abbreviations and initials: (a) pharmacy technician; (b) registered pharmacy technician; (c) Ph.T.; (d) R.Ph.T. (EC445/19) Scope of Practice 42. Pharmacy technician, scope of practice The scope of practice of a pharmacy technician includes the following professional activities: Page 18 Current to: April 5, 2025 t c PART 4 - PHARMACY TECHNICIANS REGISTER Pharmacist and Pharmacy Technician Regulations (a) receiving verbal and written prescriptions and gathering, entering and storing prescription and patient information; (b) preparing prescriptions; (c) storing and repackaging products; (d) assisting with the management of systems for drug distribution and inventory control; (e) transferring prescriptions to and receiving prescriptions from other pharmacies; (f) teaching patients about the use of devices; (g) participating in the research, development, implementation and evaluation of quality assurance and risk management policies, procedures and activities; (h) research, education, management or administrative activities incidental to performing activities in clauses (a) to (g); (i) acting as a preceptor, as authorized under these regulations; (j) performing certain reserved activities, as authorized by the Act and these regulations. (EC445/19) Reserved Activities 43. Reserved activities (1) Subject to subsection (2) and any terms or conditions on the member’s registration, a pharmacy technician is authorized to perform the following reserved activities under the direct supervision of a pharmacist registered in the general class or special class of the pharmacists register: (a) performing the following activities of dispensing a drug: (i) preparing, packaging and labelling the drug, (ii) providing the drug to the patient or a representative of the patient; (b) selling or compounding a drug; (c) performing a procedure on tissue below the dermis to collect blood to monitor and manage drug therapy using a point-of-care testing device. Hospital setting (2) Notwithstanding subsection (1), where a pharmacy technician performs a reserved activity set out in subsection (1) in a hospital, the supervision required may be direct or indirect. (EC445/19; 594/22; 550/23; 201/25) 43.1 Special authorization to perform additional reserved activities (1) A pharmacy technician or pharmacy technician student may apply to the Registrar, in the form approved by the Council, for a special authorization to perform the following reserved activities: (a) administering by injection a drug or vaccine prescribed by a prescriber; (b) administering intranasally or by injection a vaccine for a disease listed in Schedule A; (c) administering by injection a vaccine for a disease listed in Schedule B. Requirements for special authorization (2) An applicant is eligible for a special authorization to perform a reserved activity listed in subsection (1) if the applicant c t Current to: April 5, 2025 Page 19 PART 5 - GENERAL Pharmacist and Pharmacy Technician Regulations (a) has successfully completed a drug knowledge and administration program approved by Council; and (b) holds current certification in cardiopulmonary resuscitation and first aid. Process and administration (3) Subsections 24(3) to (8) apply with the necessary changes in respect of an application made under subsection (1), the requirements set out in subsection (2) and a special authorization granted to perform a reserved activity set out in subsection (1). Direct supervision (4) A pharmacy technician or pharmacy technician student may administer a drug or vaccine, as the case may be, in accordance with a special authorization granted under this section under the direct supervision of a pharmacist who has a special authorization to administer the drug or vaccine. Restrictions and duties (5) Sections 25 and 25.1 apply with the necessary changes in respect of the administration of a drug or vaccine by a pharmacy technician or pharmacy technician student with a special authorization. (EC594/22; 550/23; 821/24) PART 5 - GENERAL 44. Directory The Registrar shall post in the directory maintained by the College on the College’s website (a) the registration of a pharmacist; (b) the registration of a pharmacy technician; and (c) any terms or conditions imposed on the registration of a member affecting his or her ability to perform a restricted activity. (EC445/19) 45. Preceptors (1) Subject to subsection (2), on application in the form approved by the Council, the Council may designate a pharmacist registered in the general class of the pharmacists register or a pharmacy technician registered in the general class of the pharmacy technicians register as a preceptor, if the pharmacist or pharmacy technician, as the case may be, (a) has practised pharmacy for at least one year; (a.1) is not prohibited from acting as a preceptor by order of an investigation committee or disciplinary committee under Part VI of the Act; (b) is a member in good standing and is not the subject of an active complaint; and (c) has entered into a training agreement with a member in accordance with this section, under which the pharmacist or the pharmacy technician agrees to provide direct supervision of the member, for at least half of the time the member works in the pharmacy during the term of agreement. Refusal to designate preceptor (2) The Council may refuse to designate a pharmacist or a pharmacy technician as a preceptor where the pharmacist or pharmacy technician, as the case may be, Page 20 Current to: April 5, 2025 t c PART 5 - GENERAL Pharmacist and Pharmacy Technician Regulations (a) has been disciplined by the College or another professional regulatory body for misconduct, incompetence or incapacity; or (b) has been the subject of a judgment in negligence in the practise of pharmacy. Pharmacist as preceptor (3) A pharmacist registered in the general class of the pharmacists register may act as preceptor to any of the following: (a) another pharmacist; (b) a pharmacy student; (c) a pharmacy technician; (d) a pharmacy technician student. Not more than two preceptees (4) A pharmacist shall not act as a preceptor to more than two of the persons specified in clauses (3)(a) to (d) at one time. Pharmacy technician as preceptor (5) A pharmacy technician may act as a preceptor only to a pharmacy technician or a pharmacy technician student.

Not more than two preceptees (6) A pharmacy technician shall not act as preceptor to more than two of the persons specified in subsection (5) at one time. Designation automatically revoked (7) A preceptor’s designation is automatically revoked where (a) the preceptor’s registration expires or is suspended or revoked; or (b) the preceptor becomes the subject of an active complaint or a civil action in relation to the practise of pharmacy. Notice of revocation (8) The registrar shall serve notice in writing of the revocation of a preceptor’s designation on the preceptor and any member who has entered into a training agreement with the preceptor. Duty of preceptor (9) A preceptor shall ensure that a member with whom the preceptor has entered into a training agreement has the opportunity to complete the requisite practice experience. (EC445/19; 56/21; 550/23) 46. Name of corporation (1) The name of a health profession corporation and any business name or partnership name under which the corporation carries on the practice of pharmacy shall (a) be, in the opinion of the Council, in good taste, dignified, and professional; and (b) not contain the words “and Company”, “and Associated” or “and Partners”, or similar words, unless a member other than the member denoted in the name is also carrying on the practice of pharmacy on behalf of the corporation. c t Current to: April 5, 2025 Page 21 PART 5 - GENERAL Pharmacist and Pharmacy Technician Regulations Change of name of corporation (2) Before changing its name, a health profession corporation shall obtain written confirmation form the Registrar that the proposed name meeting the requirements of subsection (1). (EC445/19) 47. Schedules Schedules A, B and C to these regulations are hereby adopted and form part of these regulations. (EC445/19) 48. Former regulations (1) In this section, “former regulations” means the Pharmacist and Pharmacy Technician Profession Regulations (EC533/14) made under the Act. Transitional, pharmacist (2) A person who, immediately before the coming into force of these regulations, was registered in Part A or Part B of the pharmacists register under the former regulations is deemed to be registered in the general class of the pharmacists register on the coming into force of these regulations. Transitional, pharmacy intern (3) A person who, immediately before the coming into force of these regulations, was registered in the pharmacy intern register under the former regulations is deemed to be registered in the provisional class of the pharmacists register on the coming into force of these regulations. Transitional, pharmacy student (4) A person who, immediately before the coming into force of these regulations, was registered in the pharmacy student register under the former regulations is deemed to be registered in the pharmacy student class of the pharmacists register on the coming into force of these regulations. Transitional, pharmacy technician (5) A person who, immediately before the coming into force of these regulations, was registered in the pharmacy technicians register under the former regulations is deemed to be registered in the general class of the pharmacy technicians register on the coming into force of these regulations. Transitional, pharmacy technician student graduate (6) A person who, immediately before the coming into force of these regulations, was registered in the pharmacy technician students register under the former regulations and has successfully completed an accredited pharmacy technician training program or accredited degree program in pharmacy is deemed to be registered in the provisional class of the pharmacy technicians register on the coming into force of these regulations. Transitional, pharmacy technician student in school (7) A person who, immediately before the coming into force of these regulations, was registered in the pharmacy technician students register under the former regulations and enrolled in an accredited pharmacy technician training program or accredited degree program in pharmacy is deemed to be registered in the pharmacy technician student class of the pharmacy technicians register on the coming into force of these regulations. Page 22 Current to: April 5, 2025 t c PART 5 - GENERAL Pharmacist and Pharmacy Technician Regulations Terms or conditions, expiry date (8) Where a person is deemed to be registered under this section, the registration of the person is subject to any terms or conditions and any expiry date to which the registration of the person was subject under the former regulations. (EC445/19) 49. Revocation of former regulations The following regulations made under the Act are revoked: (a) Pharmacist and Pharmacy Technician Profession Regulations (EC533/14); (b) Practice of Pharmacists and Pharmacy Technicians Regulations (EC532/14). (EC445/19) c t Current to: April 5, 2025 Page 23 PART 5 - GENERAL Pharmacist and Pharmacy Technician Regulations SCHEDULE A Diseases for which a vaccine may be prescribed or administered with an applicable special authorization: (a) COVID-19; (a.1) diphtheria; (b) hepatitis A; (c) hepatitis B; (d) herpes zoster; (e) human papillomavirus; (f) influenza; (g) pertussis; (h) pneumococcal disease; (i) rabies (pre-exposure only); (i.1) respiratory syncytial virus; (j) tetanus. (EC445/19; 56/21; 594/22; 550/23; 821/24) SCHEDULE B Travel-related diseases for which a vaccine may be prescribed or administered with an applicable special authorization: (a) European tick-borne encephalitis; (b) Japanese encephalitis; (c) typhoid; (d) yellow fever. (EC445/19; 594/22; 550/23; 821/24) SCHEDULE C Common Ailments (a) allergic rhinitis; (b) calluses or corns; (c) contact allergic dermatitis (allergic skin rash); (d) cough; (d.1) COVID-19; (e) dandruff; (f) dysmenorrhea (pre-menstrual and menstrual pain); (g) dyspepsia (indigestion); (h) emergency contraception; (i) fungal infections of the skin; (j) gastro-esophageal reflux disease (heartburn); (k) hemorrhoids; (l) herpes simplex (cold sores); (l.1) herpes zoster; (l.2) impetigo; Page 24 Current to: April 5, 2025 t c PART 5 - GENERAL Pharmacist and Pharmacy Technician Regulations (m) mild acne; (n) mild headache; (o) mild to moderate eczema; (p) mild urticaria (hives, bug bites and stings); (q) minor joint pain; (r) minor muscle pain; (s) minor sleep disorders; (t) nasal congestion; (u) nausea; (v) nicotine dependence; (w) non-infectious diarrhea; (x) oral fungal infection (thrush); (y) oral ulcers (canker sores); (z) pharyngitis (sore throat); (z.1) streptococcal pharyngitis (strep throat); (aa) threadworms or pinworms; (aa.1) uncomplicated cystitis (urinary tract infection); (bb) vaginal candidiasis (yeast infection); (cc) warts (excluding facial and genital warts); (dd) xerophthalmia (dry eyes). (EC445/19; 576/20; 594/22; 550/23; 201/25) c t Current to: April 5, 2025 Page 25