08/27/2026
We get asked this several times a week, usually with a photo already open on the phone.
"Can't you just prescribe something for this?"
Sometimes yes. Sometimes genuinely not. Here's exactly where the line sits.
What MACS is: BC's Minor Ailments and Contraception Service, launched June 2023. 21 conditions.
The rule most people don't know: it has to be in person. Phone and video assessments aren't eligible. Which means, practically, that a pharmacy you never walk into can't do one at all.
What actually happens in the room — six steps, every time: consent → we review your PharmaNet history → assessment → treatment if appropriate → counselling → a follow-up plan.
What's in scope: infections like UTI, pink eye, impetigo, thrush, shingles · skin conditions like dermatitis, eczema, acne, bites · gut issues like reflux and hemorrhoids · plus headache, musculoskeletal pain, period pain, ni****ne dependence and contraception.
What isn't: new chronic conditions. Anything needing a physical exam. Psoriasis. We refer, with your history attached.
What's coming: the Ministry has proposed eight more conditions later in 2026. Proposed, not confirmed.
📍 Not sure if yours qualifies? Call 604-705-3644 before you come in.