Ontario Regulation 385/23, enacted under the Pharmacy Act, 1991, introduces several amendments to Ontario Regulation 202/94, with a focus on the administration of vaccines and the prescribing authority of pharmacists.

A significant aspect of this regulation is the redefinition of the roles and responsibilities of pharmacists, interns, pharmacy students, and pharmacy technicians in administering vaccines and other substances. Pharmacists are now authorized to administer substances by injection and inhalation, with specific vaccines also included for injection. Pharmacy technicians can administer certain vaccines—namely, influenza, respiratory syncytial virus, and COVID-19—provided they meet specific criteria, including age restrictions for patients receiving these vaccines. Furthermore, before administering any vaccine, the administering member must explain its purpose and obtain informed consent from the patient or their authorized agent. The regulation sets age limits for vaccine administration: influenza vaccines can only be given to patients aged two years and older, COVID-19 vaccines to those six months and older, and respiratory syncytial virus vaccines to patients five years and older.

The regulation also expands the prescribing authority of pharmacists, interns, and pharmacy students. Pharmacists can prescribe medications specifically for smoking cessation, such as Varenicline Tartrate and Bupropion Hydrochloride. They are also authorized to prescribe treatments for minor ailments and specific medications for COVID-19 and influenza. Before prescribing, pharmacists must ensure they possess adequate knowledge regarding the drug and the patient’s condition, and they must inform patients about their option to take their prescriptions to a pharmacy of their choice. Additionally, pharmacists are required to notify the patient’s primary care provider of any prescriptions issued, ensuring coordinated care.

Emphasizing the importance of knowledge, skill, and judgment among pharmacy professionals, the regulation mandates that professionals confirm informed consent prior to administration and assess the appropriateness of vaccines or prescriptions based on the patient’s condition and known risks. The regulation introduces several schedules that detail the specific vaccines and drugs that can be administered or prescribed.

By enhancing the responsibilities of pharmacists and pharmacy technicians, the regulation aims to improve access to essential healthcare services while ensuring patient safety through informed consent and professional oversight..

Ontario (385/23) December 30, 2023