Covered pharmacy services

Several services are available at pharmacies. Some are covered free of charge by the Health Insurance Plan. You may also benefit from other services that are covered by your insurer, whether it is the Public Prescription Drug Insurance Plan or a private plan.

Covered services

Prescription drug insurance covers several pharmacy services under the Regulation respecting the basic prescription drug insurance plan. Still, your insurer may require that you pay a contribution (deductible and co-insurance) for these services, as would be the case with covered prescription drugs. To find out more, refer to the page Amount to pay for prescription drugs.

Covered service without cost

Several pharmacy services are covered at no cost by your insurer (private or public) or simply by presenting your Health Insurance Card:

Administration of a drug to demonstrate its appropriate use
Administration of certain drugs in an emergency situation
Adjustment of a prescription in order to attain therapeutic targets
Initiating a drug therapy (including emergency oral contraception)
Consultation request from another health professional
Modification of a drug therapy
Prescription of a drug
Case management after hospitalization
Case management of clientele receiving palliative care
Assessment to extend a prescription and its extension
Therapeutic substitution of a drug
Administration of certain vaccines in pharmacy in accordance with the conditions set out in the Québec Immunization Program

Billing of a vaccine not covered by the Québec Immunization Program

At a pharmacy, you may be billed for both the injection and the vaccine, if the vaccine is not covered under the program. Furthermore, travel vaccinations are not covered, neither the injection nor the vaccine itself, regardless of where it is provided. You will be billed for this service.

Conditions for access to covered services

You have to present your valid Health Insurance Card to receive covered services. Otherwise, you will have to pay the total cost of the services rendered and then apply for a reimbursement. If you are a recipient of a financial assistance program with claim slip (carnet de réclamation), you must also present your valid claim slip (carnet de réclamation).

All covered pharmacy services are free of charge if you are entitled to free services under the Public Prescription Drug Insurance Plan. To find out more, refer to the page Rates in effect.

Depending on your situation, you may have to present your valid Health Insurance Card, in addition to your private plan insurance card, to the pharmacist to receive covered services. Inquire with your insurer to find out the reimbursement procedure.

Non-covered services

Certain pharmacy services are not covered, and you will have to pay for them. Here are some examples:

Placing drugs in a pill organizer at your request, if not medically justified
Sample taking by a nurse at a pharmacy such as blood test
Group A Strep-test
Travel vaccination

Covered pharmacy services

Covered services

Covered service without cost

Conditions for access to covered services

Non-covered services

See also

How did we do?

Covered pharmacy services​

Covered services

Covered service without cost

Conditions for access to covered services

Are you insured by the Public Prescription Drug Insurance?

Are you insured by a private plan?

Non-covered services

See also

How did we do?

Covered pharmacy services