Adaptation and drug administration data

Last updated on October 5, 2026

This page has data on prescription adaptation by pharmacists and drug administration in B.C. pharmacies.

The monitoring and evaluation data below illustrates the uptake of:

  • Prescription adaptations by B.C. pharmacists since updates to College of Pharmacists of BC PPP-58: Adapting a Prescription in August 2024, and
  • Drug administration in B.C. pharmacies since updates to College of Pharmacists of BC HPA Bylaws Schedule F Part 4, and the introduction of the Drug Administration Fee by the BC Ministry of Health in October 2022

The Health Professions and Occupations Act (HPOA) replaced the Health Professions Act (HPA) on April 1, 2026. With this change, the College of Pharmacists of BC replaced PPP-58 with their Health Professions and Occupations (HPOA) Bylaws Schedule E.11 – Practice Standards: Adapting Prescriptions and HPA Bylaws Schedule F Part 4 has been replaced with Health Professions and Occupations (HPOA) Bylaws Schedule E.4 – Practice Standards: Drug Administration. 

On this page

Adaptations and emergency fills by pharmacists

Type of service Monthly average services
August 2023 – July 2024
Monthly services 
March 2025
% Change
Adaptation, all types 67,480 89,286 +32%
   "Directions for
   use" modified
1,320 1,323 +0%
   Dosage changed 1,942 2,290 +18%
   Formulation
   changed
2,825 2,902 +3%
   Prescription
   renewed
58,811 81,015 +38%
   Therapeutic
   substitution
2,583 1,756 -32%
Emergency fills 117,701 107,022 -9%

Monthly adaptations and emergency fills by pharmacists

Drug administrations and publicly funded vaccines by pharmacists

  April 1, 2023 – March 31, 2024 April 1, 2024 – March 31, 2025
Total drug administrations (excl. publicly funded vaccines) 294,712 363,787
Total publicly funded vaccines (excl. flu and COVID) 73,962 97,315

Data source: PharmaNet, Health Sector Information, Analysis and Reporting Division, Ministry of Health, July 16, 2025