about the policies

On April 1st, 2023, BC implemented a first-in-Canada universal no-cost subsidy for prescription contraception. This subsidy covers prescription options like oral contraceptive pills, copper and hormonal intrauterine devices, hormonal injections, subdermal contraceptive implants, vaginal rings, as well as over-the-counter emergency oral contraceptives.

This policy eliminates the burden of cost that is often associated with many prescription contraception methods and increases confidentiality as pharmacists cannot charge fees for dispensing, assessment, or any other action associated with filling the prescription for contraceptives covered under the new contraception subsidy, thus minimizing the paper trail that often existed when pharmacists billed for contraceptives before the subsidy.

On June 1st, 2023, BC pharmacists’ scope of practice expanded to include independent prescribing for hormonal contraception. This second policy expands pharmacists’ scope of practice to include prescribing all forms of hormonal contraception.

Community pharmacists are the most accessible healthcare professionals in BC due to their numbers, broad geographic distribution, and pharmacy operating hours. Thus, people who may not have or have limited access to primary care may access the healthcare system through this expanded route of entry and receive the contraception information and services they desire.

the opportunity

In British Columbia, our Ask Us Project team has partnered with UBC Health and the Ministry of Health to investigate the experiences, beliefs, attitudes, knowledge, and contraceptive access needs of youth (aged 15 to 25) from the perspectives of youth and pharmacists, in the context of two new policies. We are investigating:

  1. What are youth and pharmacists’ experiences seeking and prescribing contraception following BC’s implementation of the contraception subsidy and pharmacist contraception prescribing?

  2. What factors support or impede access to contraception for youth in BC, specifically through pharmacy access points, from the perspectives of both youth and pharmacists?

  3. What methods of prescription contraception do youth and pharmacists choose to request or prescribe, and why?

What we are learning

As of January 2025, we have completed 15 interviews with youth and 15 interviews with pharmacists. Click on our research snapshot below to see what we’re learning with youth in BC.