Bill 67 is set to transform pharmacy practice in Quebec. Are you ready?
A new reality for Quebec pharmacists
The Quebec pharmacy landscape is undergoing a profound shift. With the adoption of Bill 67, pharmacists will see their scope of practice expand considerably: prescribing medication for common health conditions, diagnosed chronic diseases, prevention, specimen collection, and much more. Overnight, new professional acts will be added to an already demanding practice.
These are major advances for access to care. But let’s be honest: more acts means more responsibility, more references to master, more documentation to produce — all in a labour-shortage context that isn’t improving.
That is exactly why Pharmia exists.
What is Pharmia?
Pharmia is an AI-powered clinical platform, designed from the ground up for the reality of Quebec pharmacists. Not a translation of an American tool. Not a ChatGPT dressed up as a pharmacist. A complete ecosystem that covers the entire pharmaceutical consultation process: from patient history-taking to the generation of clinical documentation.
The platform is built around three flagship tools: Pharmia Atlas, the clinical research copilot, Écho, the history-taking and clinical analysis assistant, and Pharmia Nexus, the optimized consultations module.
Pharmia Atlas — your clinical copilot
Pharmia Atlas is a clinical research assistant that understands the daily reality of the Quebec pharmacist. You ask a question in plain language. Atlas simultaneously queries recognized clinical databases and gives you a structured, sourced and actionable answer, all in a matter of seconds.
Reliable sources, not hallucinations
Every Atlas answer is grounded in verifiable clinical data. It doesn’t guess a dosage and doesn’t invent an interaction. Atlas queries directly:
- Health Canada — official monographs, DIN, the Drug Product Database (DPD) and the Natural Health Products Database (NHPID)
- PubMed — peer-reviewed scientific literature
- FDA Drug Labels — American monographs and warnings
- INESSS — Quebec clinical practice guidelines
- PIQ and INSPQ — immunization protocols and public health recommendations
- OPQ and APES — practice standards and professional references
- Liverpool Drug Interactions — specialized drug interactions
These are just a few examples — Atlas has access to many more clinical sources and databases, covering nearly all of a pharmacist’s information needs.
Every source consulted is cited with a clickable link. No black box: clinical transparency.
Built for the Quebec setting
Atlas prioritizes Quebec references. When a pharmacist types “72 y.o. pt, CrCl 38, on metformin 1000 bid + glyburide 5 bid, HbA1c 8.2 — what to adjust?”, Atlas immediately flags glyburide as inappropriate in renal impairment per the RUSHGQ criteria, proposes a metformin dosage adjustment based on eGFR, and suggests a safe alternative antihyperglycemic — all with INESSS references and Quebec renal function thresholds.
The tool understands mixed terminology (French-English) and the abbreviations pharmacists use every day (“bid”, “CrCl”, “tab”). It knows the billable acts under the AQPP-MSSS Agreement, collective prescriptions, the Pharmacy Act and the RAMQ billing codes.
Dedicated modules for complex analyses
Beyond one-off research, Atlas includes specialized modules for clinical tasks that require structured, in-depth analysis.
Pharmacotherapy review. Atlas guides the pharmacist through a structured, exhaustive review of pharmacotherapy — interactions, safety, dosage adjustments, deprescribing and therapeutic gaps — all based on Quebec clinical references. A particularly relevant tool for the annual review of blister-pack patient files.
Travel health consultations. Atlas has a dedicated travel consultation module, based on INSPQ, CDC and PIQ data. For each destination, it systematically assesses malaria risk (antimalarial chemoprophylaxis), traveller’s diarrhea (standby antibiotic and self-treatment), acute mountain sickness (acetazolamide prophylaxis when the itinerary warrants it) and the vaccines recommended per the PIQ. Atlas also identifies the associated billable acts — including assessments without a prescription, often under-billed in practice.
More than 15 specialized tools
Atlas does more than generate text. It uses real-time tools to:
- Look up a drug by DIN, ATC code or brand name in the Health Canada database
- Check drug shortages in Canada (Drug Shortages Canada)
- Consult drug interactions across multiple databases
- Generate immunization schedules based on the PIQ
- Access CDC and INSPQ data for travel health consultations
- Identify acts claimable to the RAMQ based on your clinical situation
A personal workspace
Beyond the chat, Atlas offers a document workspace. Pharmacists can upload their own documents — internal protocols, practice guides in PDF, reference tables — and Atlas integrates them into its research. A document shared once stays accessible across all future conversations.
Écho — never miss a question, never miss a red flag
Écho is the part of Pharmia that directly supports the consultation. When a patient presents with a health concern, Écho makes sure all the right questions are asked and that nothing slips through the cracks.
Intelligent history-taking
Pharmia’s history-taking agent talks directly with the patient, interactively, to gather the relevant clinical information. It clarifies, digs deeper and rephrases answers to maximize the quality of the data collected — all before the pharmacist even steps in.
Red-flag detection
Écho automatically identifies warning signs in the patient’s answers. A symptom that requires an urgent medical referral, a potential interaction with the patient’s medication profile, a contraindication — Écho detects them and highlights them for the pharmacist.
Clinical analysis and prescription generation
Once the history-taking is complete, Écho produces a structured summary of the consultation, identifies the clinical problems and proposes recommendations with or without a prescription. The pharmacist stays in full control: they validate, adjust and sign. Écho handles the paperwork.
Automated documentation
The reality in pharmacy is that writing a complete SOAP note while keeping up the pace is demanding. With Écho, documentation is generated automatically — SOAP notes, DAP, or custom formats — according to the pharmacist’s choices. All they have to do is validate.
Pharmia Nexus — optimized consultations
Nexus automates information gathering before the consultation: the patient answers questions online, and the AI structures the clinical data for the pharmacist. Automatic detection of applicable clinical algorithms, regulatory verification, identification of billable acts and generation of documentation. The pharmacist receives a pre-analyzed file and focuses on their clinical judgment.
Why now? Bill 67 changes everything
Bill 67, adopted in November 2024, represents the largest expansion of pharmacists’ scope of practice in a generation. Prescribing medication for common health conditions, diagnosed chronic diseases, prevention, diagnostic tests, specimen collection — the list is long and the responsibilities are real.
The challenge is that these new acts come with a host of new references, new clinical algorithms and new documentation requirements. A pharmacist who starts prescribing for hypertension, diabetes or migraine must master the corresponding INESSS guidelines, know the critical values, and document their six-step prescribing process — all on top of an existing workload.
This is where Pharmia makes the difference. Atlas puts all those references at your fingertips, instantly. Écho structures the consultation so nothing is forgotten. Documentation is generated automatically. The pharmacist can focus on what truly matters: their clinical judgment and the patient in front of them.
The shortage in the background
Quebec is experiencing a pharmacist shortage that puts pressure on the entire network. Every minute counts. The time a pharmacist spends hunting for an interaction across three different tabs, cross-referencing sources by hand or writing a clinical note is time not invested with patients.
With Pharmia, a search that used to take 10 to 15 minutes now takes a few seconds. Documentation that took 5 minutes is generated automatically. Multiplied by the number of consultations in a day, that’s a concrete time saving that eases the workload — and helps make the profession more sustainable.
“Pharmia Atlas is a real asset! I no longer have to lose several minutes on my research. I can ask all my questions and it answers me with reliable references.”
Accessible to all, adapted to each
Pharmia is an all-in-one platform for pharmacy: history-taking, clinical analysis, research, documentation, billing. But an individual pharmacist doesn’t need to adopt the whole thing to benefit from it.
Pharmia Atlas and Écho are available individually. A pharmacist in a community pharmacy, a FMG, a healthcare institution or even solo practice can use Atlas as a daily clinical copilot, or Écho to structure their consultations — without having to integrate the entire platform into their workplace.
Security at the core of everything
In pharmacy, data security is non-negotiable. Pharmia was built with compliance in mind:
- Hosted in Quebec — data stays in Quebec and never crosses the border
- Law 25 and PIPEDA compliance — full compliance with Quebec and Canadian personal-information protection laws
- Certifications in progress — SOC 2 and TGV in the process of being obtained
- No data used for training — conversations, documents and patient data are never used to train AI models
- End-to-end encryption — data is transmitted and stored securely
- Complete logging — traceability audits are available at all times
The future of pharmacy practice starts today
Artificial intelligence is already transforming many sectors. With Bill 67 coming and the shortage persisting, Quebec pharmacists need tools that increase their clinical capacity without increasing their workload.
Pharmia is the bridge between the pharmacist’s clinical expertise and the power of AI — instant access to pharmaceutical knowledge, a structured consultation that leaves nothing to chance, and documentation that takes care of itself. All designed by a team that understands the daily reality of Quebec pharmacy.
Discover Pharmia and see how AI can become your best clinical ally.